REGISTRATION FORM: EXPLORE GEOGRAPHICAL INFORMATION SYSTEMS (GIS)
Student number
Surname, Initials, Title (eg Maluleke, RJ Ms)
2
First names
3
Maiden name and/or previous surname where applicable
4
Date of birth
5
Year
Month
Day
Identity (ID) or Passport (PP) number. Mark ID or PP
8
9
10
11
12a
with ✓ and provide number)
Physical disabilities. Briefly
describe if applicable
Telephone numbers
(dialing codes and number eg
+27 11-8394671 × 2769
-
1
Qualification code
Mark
gender
Male
6
with ✓
Female
ID
PP
Home
Work
E-mail
75515
7
Language for
certification.
Afr
(mark with ✓)
Eng
Mobile
Fax
May your E-mail address and contact numbers be given to fellow students for academic purposes? Mark with ✓
Postal address and postal code
Physical address and postal code
Yes
No
12b
Information given in questions 13 to 18 is used for statistical purposes only
Population group
14
13 Nationality
Economic sector
16
15 Occupation
Home
language
Highest tertiary qualification
18
17
Do you want to apply for exemption from module EGIS01J (see last page) based on Geography study units
19
Yes
No
passed at a tertiary institution (mark with ✓). If “Yes”, contact the Department of Geography for further
information.
Indicate with ✓ for which semester you would like to register. It is recommended to register for both modules in the same
semester. It is not permissible to register for module EGIS02K with the intention to register for module EGIS01J at a later stage.
Semester 1
Semester 2
Module EGIS01J: Exploring Geography for GIS – R2 000.00
20
Module EGIS02K: Operating a vector-based Geographical Information System – R5 200.00
Only to be completed by students registering for the first time for a non-formal qualification at Unisa. Note that any NQF
level 4 qualification (eg Grade 12 or equivalent) is a prerequisite for registration.
21
Indicate your matriculation status with ✓.
(i) Full exemption
Conditional exemption
Senior or school leaving certificate without exemption
(ii) When and under which Education Department did you write the Standard 10/Grade 12
Year
Province
examination?
(iii) Indicate all subjects you wrote at Standard 10/Grade 12 level, with grade and symbols obtained e.g. Geography HG C
Turn over for method of payment
Centre for Sustainable Agriculture and Environmental Sciences
Department of Geography
University of South Africa
Private Bag X6, Florida 1710, South Africa
Tel: +27 (0) 670 9351
Fax: +27 (0) 11 471 3867
E-mail: caesenquiries@unisa.ac.za
www.unisa.ac.za
Notes
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
An electronic version of this registration form can be downloaded by visiting www.unisa.ac.za. Click Colleges/List of
Departments per college/Geography/Courses and then scroll down to the GIS SLP.
The registration period for the first semester (2013) starts on 28 November 2012 and ends on 25 January 2013. Note that
the first assignment is due on 12 March 2013.
The registration period for the second semester (2013) starts on 3 June 2013 and ends on 12 July 2013. Note that the first
assignment is due on 30 August 2013.
We can only accommodate a limited number of students. Applications will be dealt with in a first received, first served
manner. Note however, that if there are missing or incorrect information on the registration form, you run the risk of your
registration form being filed under “Attend to later”.
First time registrations: Tel: +27 (0) 11 471 2616/3092/2577; Fax: +27 (0) 11 471 3867; Email (gaffnmj@unisa.ac.za) or
post the completed registration form (front and back pages) so that a student number can be allocated to:
Centre for Sustainable Agriculture and Environmental Sciences, Department of Geography, University of South Africa,
Private Bag X6, Florida 1710, South Africa.
We will communicate the allocated student number to you. You should then proceed with making the required payment.
Registration forms which do not include an ID number can not be processed.
Should you already have a 8-digit Unisa student number for non-formal qualifications commencing with the number 7,
proof of payment must be faxed together with your registration form since your application cannot be processed without
proof of payment.
Note that a compulsory workshop (two days) must be attended as part of the practical component of module EGIS02K.
This workshop will most probably be offered in Pretoria.
See information regarding method and particulars of payment below.
Documentation to accompany the registration form.
The university presently has two processes one can follow to become a student. These processes include an application
process and a registration process. As a potential student to this short course for the first semester of 2013, you only need
to go through the registration process which commences in December 2012. We are aware of students who have been
instructed to go through an application process first. Please refuse to do so – it will cost you additional (unnecessary)
money which cannot be reimbursed. At this stage it is not known whether 2013 second semester students have to apply
via the Applications route. We will update this information later. The completed registration form, and certified copies of
your ID document and qualifications have to be e-mailed or faxed to the Department of Geography.
METHOD AND PARTICULARS OF PAYMENT
Payment should only be made once you receive a registration letter See document on Frequently asked
Questions for full details.
PAYMENT DETAILS
1. INDIVIDUAL STUDENTS ONLY (UNISA student deposits)

CASH/CHEQUE DEPOSITS – (No cash or cheques will be accepted at the UNISA offices. Cash or
cheques can, however, still be paid into the bank account of the University at any Standard bank branch in
South Africa.)
BENEFICIARY
UNISA STUDENT DEPOSITS
BANK
STANDARD BANK
ACCOUNT NR
096R
BRANCH CODE
010645
REFERENCE
STUDENTNR 3515774764
NB: Leave one space open between student number and allocation

ELECTRONIC FUND TRANSFERS
UNISA is a prepaid beneficiary (select from your bank’s list of preapproved beneficiaries)
2
REFERENCE

STUDENTNR 3515774764
CREDIT CARD PAYMENTS – (Credit cards are restricted to Visa and MasterCard) The preferred
method of payment for national or international students is via the UNISA website. The web payment
link is as follows:
https://registration.unisa.ac.za/info/payment/index.html
REFERENCE
STUDENTNR 3515774764
2. CORPORATE CLIENTS/BULK PAYMENTS
BENEFICIARY
UNISA
BANK
STANDARD BANK
ACCOUNT NR
Please contact the Centre
BRANCH CODE
010645
REFERENCE
3515774764 COMPANY NAME
NB: A list of students with student numbers and amounts should be e-mailed to schwaae@unisa.ac.za (please
also cc gaffnmj@unisa.ac.za and moimams@unisa.ac.za) or faxed to 0866 24 21 72 (also to 011 471 3876
please).
3. FOREIGN STUDENTS
BENEFICIARY
BANK
ACCOUNT NR
BRANCH CODE
SWIFT CODE
REFERENCE
UNISA
STANDARD BANK
Please contact the Centre for Sustainable Agriculture and Environmental Sciences
(gaffnmj@unisa.ac.za and moimams@unisa.ac.za) to obtain the account number.
010645
SBZAZAJJ
STUDENTNR 3515774764
NB: PROOF OF PAYMENT SHOULD ALSO BE E-MAILED TO
gaffnmj@unisa.ac.za and moimams@unisa.ac.za. Study material will not be posted
without proof of payment submitted to the Centre for Sustainable Agriculture and
Environmental Sciences.
OTHER DOCUMENTATION TO ACCOMPANY REGISTRATION FORM
On FIRST registration for non-formal course offerings the following documents must be submitted TOGETHER WITH your
application for registration:
(a)
and
(b)
and
(c)
and
(d)
a certified copy of your qualification at matriculation level or highest school qualification (or an official statement of
results) even if you have completed a degree at another university or Technikon.
a certified copy of your ID document (issued by the Department of Home Affairs) or passport
a married woman will be registered in the name as indicated on a certified copy of her ID document or passport or birth
certificate; marriage certificate, divorce decree; official name change letter from Home Affairs. Certified copies must be
submitted.
any other difference in names on the ID compared to the academic qualification, should be accompanied by original
official documents, e.g. a letter from the Department of Home Affairs.
Applications for exemption from module EGIS01J
Applications for exemption from module EGIS01J should be accompanied with certified documentation from a tertiary institution.
You need to provide the module codes and summary of content of Geography modules you have passed which in your opinion
merits exemption. The following content are extremely important: Knowledge of the Human and Natural Environments and the
links between them; Knowledge of maps and aerial photographs.
3