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Application Form

How to Apply

  1. Application requirements
     Matriculants need to have passed maths, science or biology.
    All applicants need to have a good grasp of the English language
     
  2. Academic Documents
     All applicants must submit a certified copy of their grade 11 or grade 12 results, 
    their academic history as well as a certified copy of your ID document.
     
  3. Application Fees
     A non refundable application fee of R250 is payable with every application.
    The following methods are acceptable:
    * Cheque payable to C SANUA cc T/A Naturally Yours Institute
    * Bank Deposit
    * EFT
    * Bank Details:
    ..> STD Bank, Fourways Crossing, Current Account,
    ..>Account Name : Naturally Yours Institute
    ..>Account Number: 421 477 741
    ..>Branch Code: 00 99 53
    Postal orders will not be accepted. Please do not enclose cash if returning by post. Please enclose copy of deposit slip or EFT Payment with your application if payment is made by these methods.

  4. Submission of Application
    Application forms may be submitted by post, fax or email
    Fax Number: 086 532 9774
    Email :institute@naturally-yours.co.za

  5. If you are having trouble filling in the form click here to download the application form and the brochure

 
Fill in your Personal Information
Title (*)

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Invalid Input 		Name (*)

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Date of Birth (*)

Invalid Input 		SA Identity Number (*)

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Gender (*)

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Invalid Input 		Home Language (*)

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Contact Details
Physical Address

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Home Tel Number

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Cell Number

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Where did you hear about us? (*)

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Next of Kin Information
Title

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Relationship

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Physical Address

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Home Tel Number

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Cell Number

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Person Responsible for Settlement fees

Title

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SA Identity number

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Work Tel Number

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Cell Number

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Academic History
If you have matriculated already or have attempted matric, please submit a certified copy of your matric certificate.

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Do you qualify for mature age exemption (no matric endorsement and 22 years of age)?

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High School attended

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High School Address

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Previous Higher Education Studies

Supply full details of studies at higher education institution(s), if applicable. For registration purposes, the following are regarded as higher education Institutions: universities, previous technikons, and teachers’ training and technical colleges. In the event of discontinuation of studies, indicate the date of cancellation.

1.

Year From

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Institution

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Field of Study

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Invalid Input 		Status

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2.

Year From

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Institution

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Field of Study

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Status

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3.

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4.

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Legal Declaration of Indemnity and Undertaking
I, the Applicant  Invalid Input     and I, The Parent/Guardian/ next of kin of the applicant  Invalid Input
 
( 1 ) Acknowledge that the Institute does not accept responsibility for damage or loss in respect of property of the applicant or in respect of property brought onto Institute premises by the applicant.
( 2 ) Do hereby indemnify the Institute in respect of any damage caused by the applicant to Institute property or to the property of third parties, whether on or off the Institute premises, as a result of the applicant’ s actions either whilst on the Institute premises or whilst engaged in any activity related to the Institute.
( 3 ) Undertake, during the orientation period and for any period during which I am a registered student, to be bound by the rules and regulations of the Institute for the time being in force, and by any requirements or conditions imposed by the Institute on me as a prerequisite to my registration as a student of the Institute.
( 4 ) Certify that the information provided in this form and all supporting documentation is accurate and acknowledge that furnishing any false information may result in disciplinary proceedings being taken against the applicant.
( 5 ) Declare that I have furnished the Institute with all the information necessary to make an informed decision about my admission.
( 6 ) Undertake to pay unconditionally all fees, charges and equipment surcharges payable to the Institute as they fall due for payment, for any period for which I am or may become a registered student or the applicant is or may become a registered student of the Institute.
( 7 ) All course material is the property of Naturally Yours Institute and cannot be reproduced or distributed.
( 8 ) Naturally Yours Institute reserves the right to change course content, study material, schedules or lecturers without notice.
 
  Fill in the below

Full Name of Applicant  Invalid Input

Full Name of Next of Kin if the applicant is under the age of 18 years  Invalid Input

I undertake to settle all tuition and miscellaneous fees due to the Institute by due date. I may make suitable arrangements to settle the outstanding charges as per the Institute’s Credit Policy as stipulated by the National Credit Regulator. If I do not settle by due date, I will pay the interest at the rates as prescribed by the Institute. I also consent to the Institute imposing credit control restrictions if the debt is not settled.

Name of person liable for settlement feesInvalid Input

Submit my form, and I will deposit the R250 and send through proof of payment -->    
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Total votes: 28
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