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APPLICATION FORM FOR ACADEMIC YEAR 2021

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PROUDLY TAKEN OVER BY ACADEMY OF BANKING NAMIBIA

1

APPLICATION FORM FOR ACADEMIC YEAR 2021

Number

(Only complete if you have been issued with a student number ABN)

GENERAL INFORMATION AND INSTRUCTIONS

PLEASE BE INFORMED THAT NAMIBIA INSTITUTE OF BANKERS HAS BEEN TAKEN OVER BY ACADEMY OF

BANKING NAMIBIA AS FROM 2020 ACADEMIC

YEAR

1.

Please complete this form in full, in block letters, to prevent unnecessary delays.

2.

CERTIFIED COPIES OF THE FOLLOWING DOCUMENTS MUST ACCOMPANY THIS FORM:

2.1. YOUR IDENTITY DOCUMENT.

2.2. A transcript of your official ACADEMIC RECORD, if you have studied at another higher education institution.

If you are currently in Grade 12, please submit a certified copy of the following results: August Grade 12 Results

(if available) + Final Grade 12 / Ordinary and higher level results (if available).

Qualification.

2.3. Proof of the APPLICATION FEE payment (Please refer to PAYMENTS on page 3).

3.

Registration for all instructional programmes (qualifications) will be subject to academic selection.

4.

This form can be e-mailed to (info@abnnamibia.com) to prevent unnecessary delays or it can be posted to:

P.O.Box 21376, Windhoek.

PERSONAL

INFORMATION

Nationality (e.g. Namibia)

Citizen Resident Status (Mark the applicable option)

Namibian

Other Permanent Resident N/A

Namibian ID Number

International ID Number (Applicants who are not Namibia citizens)

Date of Birth (YYYYMMDD)

Title:________

Last Name/Surname

Previous Last Name/Maiden Name

Passport Photo

ACADEMY OF BANKING NAMIBIA

ERF 20 WAGNER STREET, WINDHOEK WEST, WINDHOEK

P.O. Box 21376, Windhoek, www.abnnamibia .com info@abnnamibia.com Tel (+264-61)255 632, Mobile+264812017560

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First Name

Middle Name/s

Current

Employer:________

Socio-Economic Situation (Select ONE option where applicable)

Seeing

1 2 3 4 5 6

Please indicate

Hearing

1 2 3 4 5 6

specific disability

Communication

1 2 3 4 5 6

needs for

Walking

1 2 3 4 5 6

examination

purposes

Remembering

1 2 3 4 5 6 (e.g. wheelchair

Self-care

1 2 3 4 5 6 access, etc)

Employer Details - if employed

Tick in the appropriate box if you are employed If not, insert employer details below

by any of the banks listed below

Bank of Namibia

Employer:

Standard Bank

First National Bank

Nedbank

Employment Category:

Bank Windhoek

Agribank

Employer's Address:

Development Bank of Namibia

Trustco Bank

Contact numbers at work:

Letshego

Home language:

Gender

Male

Female

2

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ADDRESS & CONTACT

DETAILS

Study Material Delivery Address e.g. Physical, or Postal

Home Address

Postal Code

Telephone Work (Area Code + Number)

Cell Phone Number

Telephone Home (Area Code + Number)

Fax (Area Code + Number)

Private E-Mail Address (Please print your e-mail address clearly.)

SCHOOL LEAVING DETAILS

Highest School Grade Obtained (e.g. 11, 12)

Name of School

PREVIOUS QUALIFICATIONS - ATTACH DETAILS

Student Number

From (Year)

To (Year)

Name of Qualification

Name of Institution

Obtained?

Student Number

From (Year)

To (Year)

Name of Qualification

Name of Institution

Obtained?

HOW DIDYOUHEAR ABOUT ACADEMY OF BANKING NAMIBIA?

IOB Student

Colleague

Advertisement

Friend

WWW / Internet

Media (E.g. newspaper, Radio, Billboard, TV)

Student Number

(Only complete if you have been issued with a student number by ABN)
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ENROLMENT SELECTION

Examination Venues

Examination venues are as follows: Windhoek; Otjiwarongo; Walvis Bay; Ongwediva; Rundu; Katima Mulilo; Oranjemund; Karasburg and Mariental. Please indicate your EXAM VENUE selection here:

PAYMENT – APPLICATION FEES

REGISTRATION FEES OR PROOF OF PAYMENT MUST ACCOMPANY THIS FORM. Please refer to the INFORMATION SHEET 2020 for the

Registration Fee details:

BANKING DETAILS

Bank: Standard Bank Branch: Ausspannplatz Brach code: 082672

Name of Account Holder: Academy of Banking Namibia CC Account No: 60004387928

Type of Account: Business Current Account. (Please use your ID number or Student number /Student name as a reference.

Student Number

(Only complete if you have been issued with a student number by ABN)

TERMS AND CONDITIONS

1. The Applicant agrees that this form, by signature hereof, becomes a binding contract.

2. The Applicant accepts the Terms and Conditions and any rules and regulations attached to any of the courses enrolled for, by signature hereof. The Applicant accepts that these may change without notice.

3. ABN will provide the Applicant with the necessary study material (excluding textbooks), assignments, student support and examination facilities, where applicable.

4. The Applicant guarantees that the information in this contract is correct (irrespective and notwithstanding the person who completed and supplied the information contained herein) and if proved otherwise ABN reserves the right to cancel the contract by written notification without redress AND THAT all additional documentation provided are true and correct copies of the originals AND THAT he/she availed himself/herself of the curriculum and the qualification of the course enrolled for.

5. Enrolment may only be cancelled within seven (7) days of registration, in which case the registration fee listed in PAYMENTS on page 3 will be

6. If the Student fails to pay an amount payable in terms of this agreement on the due date for payment thereof or breaches any of the terms or conditions hereof, then in such event the total amount outstanding in terms of the agreement shall immediately become due and payable, whether or not such amount is then due and without prejudice to any other right which ABN may have as a result of such a breach.

7. The Student shall not be entitled for any reason whatsoever to withhold or defer payment stipulated for in this Registration document.

8. If any amount payable to ABN in respect hereof is not paid on the due date thereof and is consequently in arrears, ABN has the right, without impairment or any other right that ABN has in terms hereof to retain the examination results of the student; and/or retain the qualification; and/or refuse to enrol such a student again.

9. The Student shall be at liberty to pay any portion of the Principal Debt before the due date thereof without derogating from any right he/she may have in terms thereof.

10. The Applicant hereby consents to the jurisdiction of the Magistrate's Court of Roodepoort and acknowledges that he/she is liable for all costs including costs on an attorney client scale, should the course fees not be paid according to the method of payment selected in the Application Form, within thirty (30) days of registration.

DECLARATION AND SIGNATURE OF APPLICANT

I, (name of Student)

Student / ID number

Signature

Date (YYYYMMDD)
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