ACCEPTANCE OF PLACE IN COURSE AND PAYMENT N DIP INFORMATION TECHNOLOGY (EXTENDED) 01-DEC-2016 Please mail this acceptance form to the address below, within 14 days of receiving this letter, together with a certified copy of your payment. If this is not done, you will forfeit your place in the course and your application will be cancelled, Registrar Tshwane University of Technology Attention: Admissions Office Private Bag X680 PRETORIA 0001 Fax No 012 382 5134 or e-mail: admission@tutac.za K |, Kegomoditswe Terrance Njelela , student number 216037936 , hereby confirm that | accept my admission to the above course and take note of the content ofthis letter. [thereby cancel my application * isfrajactt ‘SIGNATURE OF STUDENT DATE Method of payment (please mark the applicable block wth an X) Kw Direct payment into the bank account [1 enclose my postal order for R500 (payable to Tshwane University of Technology) U1 _Please debit my Visa/Master Card No. CVNo. (back ofcard) = [|] ] Expiry date Budget account: [Yes] [No] (encircle applicable option) f budget account, over 6] [12] [18] [24] months? ‘SIGNATURE OF CARD HOLDER DATE