Enrolment Form PERSONAL DETAILS Student #: ………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………… First name: Surname: …………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………… Do you expect to finish your degree at the end of this semester? Yes No …………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………… Has your citizenship or contact details changed since your last enrolment? Yes No …………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………… If yes, please specify: …………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………… Course Details: UNDERGRADUATE GRADUATE Audit (Non Award) Diploma of Ministry (P1) Diploma of Ministry (P2) Diploma of Theology (P2) Ass Degree in Theology Bachelor of CS Bachelor of Ministry Bachelor of Theology POSTGRADUATE Bachelor of Ministry (Hon) Bachelor of Theology (Hon) Grad Certificate of Divinity Grad Diploma of CS Grad Diploma of Divinity Master of Arts (CS) Master of Divinity Grad Diploma of Ministry Grad Diploma of Theology Master of Arts (Ministry) Master of Arts (Theology) Master of Theology Doctor of Ministry Doctor of Philosophy Doctor of Theology Subject Selection: Please refer to the timetable and fee-schedule to determine your unit codes, subject title, and unit fees. UNIT CODE DISTANCE CITY AUDIT UNIT FEES Subject Title $ $ $ $ $ UNIT FEE TOTAL $ PAYMENT METHOD: STUDENT BODY FEES: Fee-Help Cash Full Time $15 Cheque Credit card Part Time $10 Instalments Other N/A (Audit, Distance & Postgraduate) Agreement: By enrolling in this accredited course of study I declare my intention to complete this course of study (not applicable to cross-institutional enrolments or non-award studies). Student Signature: Date: …………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………… Registrar Signature Date: …………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………… TAMS ACCOUNTS RECEIPT # CREDIT CARD DETAILS Amount to be deducted from credit card: VISA CARD EXPIRY: MASTERCARD NAME ON CARD: Credit Card Signature: CARD NUMBER: Date of Signature: / /