ITE Application Form

PERSONAL DETAILS
SURNAME NAME(S)
GENDER (Male/Female) DATE OF BIRTH
NATIONAL ID # NATIONALITY
RESIDENTIAL POSTAL
ADDRESS ADDRESS
HOME TEL WORK TEL
CELL E-MAIL

EDUCATIONAL DETAILS
EDUCATIONAL LEVEL -tick one- None / High School / Certificate / Graduate / Post Graduate
I.T. RELATED CERTIFICATES

IF EMPLOYED FOR STUDENTS

COMPANY SCHOOL / COLLEGE
NAME NAME
JOB TITLE COURSE
LEVEL

SPONSOR ( please tick)

SELF
EMPLOYER Name of Employer (e.g. NUST)
OTHER Name of Sponsor
For Official use only
{do not fill}
Allocated Student Number ITE_ _ _ _

Terms and conditions

• No refunds of fees upon failure to complete course or discontinuation.
• The student is liable to pay full amount of semester fees if he/she discontinues before semester completion.
• For a valid semester registration, at least a down payment of 50% the total fees due should be paid, the rest should be settled
before the sitting of final semester exams. Any Semester fees that have not been settled a week after the final semester exam
date, will accrue a late penalty fee which could be as much as 100 % of the outstanding fee. Any Semester fees that have been
not paid after this period shall accrue as penalty to be determined at the time of settling the outstanding balances
• The student shall pay the full amount if repeating a semester
• Quoted tuition fees are subject to change for each semester, and students maybe required to pay top up fees.
• Tuition fees do not cover the cost of production of the certificates; the cost will be quoted at the end of each semester.

I hereby certify that the information presented in this application form is correct as well I agree with the above terms
and conditions.

Signature Date

Post or Hand Deliver to –NUST Comp consult CISCO Academy, C/O ICTS Dept, NUST, Box AC 939 Ascot, Bulawayo