ACKNOWLEDGEMENT OF DEBT

I/We, the undersigned,……...……….……………………………and referring to Student

number………………
Identity number: …………………………………………………………………
Residential address: /(STU HOME ADDRESS)

…………………………………………………………

………………………………………………………...
hereby acknowledge the following:

that I owe R……………………………………………………………. to

RHODES UNIVERSITY. And advise that payment will be made

as follows:…………………………………………………………………………….

…………………………………………………………………………….. .

I also acknowledge that I have been advised that no results will be made available to me should the

debt remain outstanding.

STUDENT SIGNATURE: ……………………………………………………………….

SIGNED at Grahamstown on this……… day of …………………….. 2021.

ACCEPTANCE

I, the undersigned, ………………………………………….in my capacity as……………………. at RHODES

UNIVERSITY, do hereby accept the terms and conditions of aforegoing Acknowledgment of Debt.
SIGNED at Grahamstown this ….. day of ………………….. 2021.

SIGNATURE: …………………………………………………..(Rhodes rep)