Registration Form - Student Contract: IRE
MBA in Retail Management




STUDENT INFORMATION:
Date of Application: 22-06-2017 Title: * Mr Mrs Miss Ms
Legal Surname: * Marital Status: *
First Name: * Birth Date: *
Middle Name: Age: *
Identification #: * Gender: * male female
Nationality: * Race: B W C I Other
E-Mail: * Mobile Telephone: *
Facsimile: Home Telephone:
    Family / Friend Tel:
Postal Address:      
Street / Box / Bag: * City: *
Country: * Province / State: *
Postal / Zip Code: *    
Physical Address:
(if different to above)
       
Highest Qualification Obtained: *
Institution: *
Date Obtained: *
       
FINANCIAL INFORMATION - MBA in Retail Management
Non Refundable Registration Fee: (to be paid on date of application) R      500.00
MBA discounted price R 28 000.00
MBA total fee if paid via 3 equal annual instalments: R 35 000.00
MBA annual instalment value: [for 3 years] R 11 666.67
Date first payment due: 07-07-2017

These prices are for African students only, students from anywhere else would have to pay the full prices as advertised on the IRE website

I, the student agree and confirm that all information provided above is true and correct and also have read and accepted the terms and conditions (click here to read terms and conditions)
Accept & Confirm *
       
Please note that all fields marked * are required fields and that this form can be submitted until these fields have been completed in full and correctly What does four and 4 equal? *