A: PERSONAL DETAILS

OTHER PARTICULARS

Please indicate the nature of your disability under the categories listed below

C: QUALIFICATION DETAILS

1. Please ensure that you qualify for the first and second choice of study. Third and fourth choices would not be considered.

2. In the case of applicants re-writing, please note we can only process your application on the current result we have available. If Grade 12 has been written more than once, then your combined result must be supplied with the application form.

3. Please note that receiving a Kaizen Applications (KA) form student number does not imply that you are a student until you officially register.

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Choice of Study

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Choice of University

D: INFORMATION OF PREVIOUS SCHOOLING/EDUCATION

(Choose Higher Grade, Standard Grade or New Curriculum for subject applicable)

E: DETAILS OF PARENT, GUARDIAN OR NEXT OF KIN

F: DETAILS OF PERSON RESPONSIBLE FOR PAYMENT OF FEES

F: PAYMENT OPTIONS

G: INDEMNITY AGAINST CLAIMS OF LOSS/DAMAGES

The undersigned, hereby declare that I shall not lay any claim whatsoever against Kaizen Applications or any of its employees acting within the scope and capacity of his/her duties or shall in any way whatsoever hold Kaizen Applications responsible for the loss of information or for the use of submitted data with third parties in facilitating applications for applicants. I also undertake to ensure to abide by the full report any attempts of any staff member to involve me in any personal and/or social activity with him/her, and that I shall not take part in any of such unprofessional behaviour.

G: DISPUTE RESOLUTION

Should any dispute, except in respect of outstanding payments, arise at any time regarding the terms contained herein which the parties are unable to resolve amicably, then such dispute shall be submitted to mediation or arbitration before any legal action is taken. Except as may be expressly provided for otherwise, the mediation or arbitration proceedings shall be conducted in accordance with the applicable laws of the Republic of South Africa. The mediation or arbitration proceedings shall be held on an informal basis, it being the primary intention of the parties that a decision should be reached as expeditiously and as inexpensively as possible, subject only to the due observance of the principles of justice and the rule of law. Should the dispute be mainly of a legal nature, then the mediator or arbitrator shall be an independent practicing attorney with no less than 10 (TEN) years’ experience, or a senior advocate as agreed upon by the parties, and failing such agreement, a person nominated by the Mediation Centre falling under the auspices of the Institute of Directors. This Clause shall constitute each party’s irrevocable consent to any mediation or arbitration proceedings and neither party shall be entitled to withdraw from such proceedings or to claim that it is not bound by the provisions of this Clause.

H: PAYER DECLARATION

I accept full responsibility for the payment of the application or any other processing fees to the fullest amount for the applicant named and accept that this stands in binding me. I confirm that all payments will be made in full before any application can be processed for each application. I further agree that failure due to whatever reasons by the applicant to omit or submit incomplete application will NOT reduce my responsibility to pay the applicable fees in full.

I: PAYMENT REFUND, INFORMATION CHANGE AND SERVICE GUARANTEE

A. Any Withdrawal from or cancellation from the application process must be made in writing stating all the reasons for withdrawal or cancellation.

B. Any withdrawal or cancellation of application by the applicant made after the confirmation of the full application would be considered as invalid.

C. Withdrawal from or cancellation of an application made before the payment of the processing fee would attract a pro-rata fee for using our automatic application system and would still be payable by the applicant or an exchange fee for a supporting service.

D. Kaizen does not guarantee a successful admission to an institution. The admission to institutions is reserved by the institution itself.

I. DOCUMENTS ATTACHMENT

All documents to be uploaded must be scanned copies, certified and not older than 3 months.