DTMSI - Application for Enrolment

APPLICATION FOR ENROLMENT
(DTMSI related education, professional development courses)

COURSE FEES

	One subject	$170-00USD
	Two or more subjects	$150-00USD
	Certificate program (minimum 7 subjects)	$1500-00USD
	Diploma program (excluding certificate part)	$1500-00USD
	Diploma program (including certificate part)	$3000-00USD
	Advanced Diploma (excluding diploma program)	$1500-00USD
	Advanced Diploma (complete all parts)	$4500-00USD
	Postgraduate Diploma	$3500-00USD

IMPORTANT NOTICES:

1.) The above fees DOES NOT include textbooks and must be purchased separately
by the student.
2.) These fees differ from the fee-structure where students enroll through agencies and study-organisations and therefore studies indirectly through the DTMS via these organisations.
3.) Please send CERTIFIED copies of any certificates, diplomas or degrees you have obtained,
to the following postal address:

DTMSI
P.O.Box 306
LADISMITH (CAPE)
6655
South Africa


Surname :
Name :
Title :
Full Name for Certificate Purposes :
Age :
Date of Birth :
Residential Address :
Postal Address :
Tel No :
Fax No :
E-mail :

Employer Name :
Tel No :
Fax No :
E-mail :
Employment Status :
How would you study?	mail e-mail fax other :
Name of Course/Program you enrol into :
Major Study Area :
Choice Subjects :

*Payment Method ( South African Applicants only) \| view DTMSI bank account details** Elec. Transfer Draft Cheque Postal Order Online (PayPal) \| about Paypal Direct payment into DTMSI bank account* Credit Card PLEASE NOTE: When paying by cheque, please provide your name and address.
For Credit Card Payment Only (complete ALL fields): PLEASE NOTE: credit card details will be encrypted before transmitted over the Internet. INCLUDE YOUR CVV NUMBER!		We accept

Your budget :
Credit card in the name of :
Credit Card Number :
Credit Card Type :
If Credit Card type is set to "OTHER" please enter :
Expiry Date :	(Year) (Month)
CVV Number (Last 3 digits on back of card) :
Amount :

DTMSI Bank Account Details:
Bank	First National Bank
Account Name	Design, Technology and Management Society International
Account Type	Current
Branch Code	200213
Account Number	62066368294
OVERSEAS	SWIFT FRINZAJJ Refer to the bank and the DTMSI account details as above

BEFORE YOU SUBMIT, PLEASE MAKE SURE YOU UNDERSTAND THE FOLLOWING:

Fees must accompany your application. Fees are as quoted or as specified by the DTMSI. Fees can be deposited directly into the DTMSI bank account. Details are available on our website. Deposit receipts must be faxed to the DTMSI or at least a copy thereof must be included with your enrollment documents.

Declaration: I agree to study a professional development course through the DTMSI. Upon successful completion, I shall be entitled to a DTMSI transcript of studies as well as a DTMSI certificate of course completion. The DTMSI shall nominate me for any degree programs (or degrees) through suitable universities as required or requested by me. The DTMSI shall communicate with me regarding my studies and any related information as applicable from time to time. The DTMSI reserve the right to change the curriculum or subjects depending on the availability of suitable textbooks. I understand that I am responsible for my textbooks and that the DTMSI shall furnish me with a reading list and instructions on where to obtain the textbooks and learning sources.

PLEASE PRINT THIS FORM BEFORE YOU SUBMIT IT AND RETAIN A
COPY FOR YOUR RECORDS