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Online Registration for Wits Language School

Registration Form
Wits Language School
University of the Witwatersrand, Johannesburg
 
Surname:*
First Name:*
Other Names:
Title:
Marital Status:
Date of Birth (yyyy/mm/dd):*
Gender:*
Wits Staff / Student Number:

South African Applicants
South African Citizen?
South African ID No:
Home Language:
Culture: South African citizens and permanent residents please complete: required by Government for statistical purposes.

Foreign Applicants
Foreign applicants please complete: required by Government for permit purposes
Passport No:
Nationality:
Date of Arrival in South Africa:

Course Details
Please enter the details of the course you are applying for. Please note that your language competence must still be pre-assessed. The results of the pre-assessment may result in these course details changing.
Course
Course starts on:
Course Level:
Course:
Course starts on:
Course:
Course starts on:

Contact Details
Tel (Home):*
Fax (Home):
Tel (Work):
Fax (Work):
Cell Phone:
Email Address:*
Residential Address*
Postal Address*
Postal Code:
Postal Code:

Sponsor Details
Company Name:
VAT Number:
Contact Person:
Position:
Tel (Work):
Fax (Work):
Cell Phone:
Email Address - Sponsor:
Residential Address:
Postal Address:
Postal Code:
Postal Code:
How did you hear about Wits Language School?
Yes, I understand and accept your Terms and Conditions: *
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