Rewrite Centre Application 1Registration Details2Learner Information3Payee Information4Declaration & File Uploads Registration DetailsYou have the option to take a subject with tuition, which means that you will attend classes and build a "SBA" mark or no tuition and only write the exam.Exam year to be registered for*202420252026Exam to be registered for*May / JuneOctober / NovemberI want to register to rewrite the following subjects:*You may register to rewrite any subject I would like to attend classes for the following subjects:* Accounting Afrikaans First Additional Language Business Studies Economics English Home Language Geography Life Sciences Mathematics & Mathematical Literacy Physical Sciences Tourism I do not want to attend classes Please ensure that correct details are provided. If there are any changes, please notify the Finance Office immediately. Keep in mind that once you have booked classes, you are responsible for payment until a cancellation form is completed, giving one calendar month notice. Learner InformationLearner Name as on Birth Certificate* Initials Full Names Surname Learner Date of Birth*Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Month123456789101112Day12345678910111213141516171819202122232425262728293031Citizenship* RSA ID Number as on Birth Certificate* Passport Number Study Permit Number Gender* Male Female Previous School* Learner's Cellphone Number* Home Language* Learner's Whatsapp Number* Learner's Residential Address* Address Line 1 Address Line 2 City Postal Code Payee InformationWill the learner be responsible for the class fees?* Yes No Name of person responsible for payment of school fees* Select TitleDr.MissMr.Mrs.Ms.Prof.Rev. Title Initials Full Names Surname Identity Number* Payee Cellphone Number* Payee Email Address* Marital Status of Payee* Single Married Divorce Relationship to Learner* Parent Guardian Grandparent Residential Address of payee* Address Line 1 Address Line 2 City Postal Code Does the payee?* Own Rent Live with Family Work Information* Full Time Part Time Unemployed Student Name of Employer* Position* Work Telephone Number* Employment Date* Income* Salary payment date* Work address* Address Line 1 Address Line 2 City Postal Code Credit Check File Upload*Documents of person responsible for paying the school fees: 1. Identity document, 2. Latest 3 month bank statement OR Salary Advice, 3. Proof of Residence Drop files here or Select files Max. file size: 8 MB. Financial obligation* I declare that the information is correct and accurate and accept my obligation in terms of the financial requirements for the learner's education*I, the undersigned, understand and agree that any payment received by the Rewrite Centre will initially be allocated to the registration fee and only thereafter for class fees. I declare that I am financially able to enter into this instalment agreement and will be able to meet my commitments to this agreement. I hereby declare, with the I therefore understand if I do not pay the registration fee and paper levy before 31st of January, I will forfeit any annual discount. If my account is in arrears with 30 days, I will have to sign a Debit Order Form at the Finance Office for the remaining instalments. In the event of non-payment of school-fees, the school reserves the right to hand over both parties to this application, irrespective of any maintenance and/or court orders which may exist between the parties. The parties to this application undertake to pay all legal costs, including attorney / client fees and collection costs incurred by the school in the event of the school having to take legal action for the recovery of school fees. The school may conduct a credit enquiry and / or credit information search about the parent’s non-performance with a credit information bureau, persons acting as their agents and / or credit grantors. The school may record the parent’s non-performance (Blacklist) with a credit information bureau which may be available to other credit grantors and used in making credit risk management related decisions. I declare that I am financially able to enter this instalment agreement and will be able to meet my commitments to this agreement. I hereby declare, with the undersigning of this electronic document, that I have familiarized myself with the contents of the school’s financial policy and agree to accept the consequences of non-compliance. Credit Check Authorisation* I authorise EduLife to conduct a credit check*I / we, the undersigned, hereby authorise EduLife Group and any of its associates to conduct credit inquiries and / or obtain credit reports as far as my / our credit profile is concerned.The school need to obtain credit reports and / or other related information on the account holder as part of the learner admission process. This information forms part of the learner admission contract. The information will be treated as confidential.Signature of person responsible for school fees Declaration & File UploadsHow did you hear about the Rewrite Centre?* Friend (word of mouth) Print Media Radio Social Media Signage Teacher Internet I give consent to receive product / service / class information from learners via SMS?* Yes No File Uploads*Documents/files to be uploaded: 1. Head & Shoulder ID Photo of Learner, 2. Learner's ID, 3. Passport and Study Permit (for Non-SA Citizens), 4. Parent's ID, 5. Statement of Results, 6. Completed NSC Application Form, 7. Proof of Residence (for Learners attending classes) Drop files here or Select files Max. file size: 8 MB. Notice & Undertaking* I / the undersigned, undertake the following:*1. To submit to the rules and the disciplinary code of Academy of Excellence Rewrite Centre, to pay the tuition fees (class fees) for the course for which I have enrolled by the 1st of every month for that specific month. 2. I undertake to pay ALL fees before commencement of the National Examination that I have enrolled for and accept that I shall not be entitled to a refund of any fees paid by me or to a remission of fees due by me. 3. The information submitted is correct and justified.Signature of Applicant*Signature of Parent / Payee*EmailThis field is for validation purposes and should be left unchanged.