V01/17/ZA

Regenesys Education Tel : +27 (0)11 669 5000

165 West Street, Sandton, Fax : +27 (0)11 669 5001
Johannesburg, Gauteng, Email : info@regenesys.net
South Africa Web : www.regenesys.net

APPLICATION FORM
Student number Referral code

Enrolment for Academic Course New Application Roll Over Application

(First time students) (Returning students)
Name of programme you would like to register for:

Administration Bachelor of Business Administration – Banking – Online

Administration Bachelor of Accounting Science
Bachelor of Postgraduate Diploma in Data Science –

Master of Master of
Bachelor of Science in Computer Science – Online Bachelor of Laws (LLB) – Full-time Online
Occupational Certificate: Paralegal (QCTO) – Online
Occupational Certificate:Family Law Practitioner (QCTO) – Online

Payment: Upfront Annual Semester Monthly Flexi Payment (Sign Annexure A) Academic Year: Y Y Y Y
Option Number

Personal Information

ID number
Title Surname
First name Gender M F (Tick applicable box)

Middle name(s)
Citizenship Nationality
Home language
Date of birth D D M M Y Y Y Y
Cell Tel International dialling code +
E-mail
Residential Postal
address address
City
Province
Country Province
Municipality
Code Code
Next of Kin

Name and Surname

Relationship Tel Cell
E-mail

Employer/School Details – Where the applicant is unemployed please enter the applicant school details

Company/School Name
Designation/Grade
Department Industry
Tel International dialling code + Years’ work experience
Municipality
Sponsor/Surety Details

Name of sponsor/surety
Company registration number/ID number
Name of authorised representative
Tel International dialling code +
E-mail

1
Initial page here (applicant): Initial page here (sponsor/surety):
 V01/17/ZA

Regenesys Education Tel : +27 (0)11 669 5000

165 West Street, Sandton, Fax : +27 (0)11 669 5001
Johannesburg, Gauteng, Email : info@regenesys.net
South Africa Web : www.regenesys.net

APPLICATION FORM
Agreement to Terms and Conditions
Please ensure that you read, sign and return the Terms and Conditions. Signing this form indicates that you have read, understood and agree
to the Terms and Conditions.

I, 3 and 4)
of Regenesys and accept full liability for the payment for the course.

Signature (applicant) Date

Signature (sponsor) Date

Disclaimer
Neither REGENESYS MANAGEMENT (Pty) LTD nor any of its directors, employees or agents will be held liable for accidents, illness, losses or damage to the person and/or private property,
of whatever nature, of registered Regenesys students.

Steps needed to become registered Regenesys Documents required for a roll-over/returning

student student
• Signed roll-over application form.
1. Follow the application process by completing the application form
and submitting the required documentation. • Confirmation of modules to be completed (online).
• Proof of payment.
2. Once the application form, required documents and fees have been
received and the applicant has met all the entrance requirements,
then the applicant will be registered as a student.
3. The applicant will be enrolled as a student only when payment has
been recieved as per agreed mode of payment. Documents required for company-sponsored
4. For monthly mode of payment, the applicant must complete a debit bursary application
order form with signed terms and conditions.
5. Enrolled students will then be invited to attend class. • Copy of student ID.
• Student application form – signed.
• We require a certified copy of:
» Academic transcripts (most recent qualifications).
Application Fee » Certificates – Higher education academic qualifications.
• Proof of payment – application fee.
1. An application fee of R1,170 is required to process your application. • Current CV (applicable to postgraduate and MBA applicants).
Application fee is non-refundable. • Motivation letter (applicable to postgraduate and MBA applicants).
2. All International & MBA NQF level 9 potential students must
complete a Regenesys Management Assessment Test (RMAT).
The cost of this is R265. Recognition of Prior Learning (RPL)
students also need to do the RMAT and pay an extra R795 for the
RPL process.
3. All credit exemptions are considered at a fee of R500 per module
except where an applicant has a Regenesys qualification.
4. Roll-overs/Returning students incur a R530 administration fee
(for afull year of study).
Bank Account Details
Regenesys Education (Pty) Ltd
Documents required to process a new application
• Application form signed by student and sponsor/company. Name of Bank: Nedbank
• Proof of payment of the application fee. Branch Code: 146905
• We require a certified copy of: Account No: 1172 349 479
» Academic transcripts (most recent qualifications). Swift Code: NEDSZAJJ
» Certificates – latest school results/highest qualification obtained.
Reference: Student number/ID number
• Copy of ID – student and sponsor.
Send proof of payment to payments@regenesys.net and to the
• Module outlines or SAQA registered programme of highest
student advisor
qualification
• Current CV (only applicable to postgraduate and master applicants).
• Motivation letter (only applicable to postgraduate and master
applicants).

2
Initial page here (applicant): Initial page here (sponsor/surety):
 V10/16/ZA

Regenesys Education Tel : +27 (0)11 669 5000

165 West Street, Sandton, Fax : +27 (0)11 669 5001
Johannesburg, Gauteng, Email : info@regenesys.net
South Africa Web : www.regenesys.net

TERMS AND CONDITIONS

A. Academic Regulations f. Access to the portal shall be blocked should a student’s fees not be paid as envisaged
All academic and accredited programmes are subject to academic rules, regulations and under point G. a. above.
applicable domestic legislation as published and revised from time-to-time. Regenesys is g. Should any monies due by the student or the signatory/ies under his/her contract with
obligated to make personal academic information available to regulatory and administrative Regenesys not be paid by the due date, the student may be excluded from:
bodies for academic and statistical purposes. i. Attending further lectures, and/or
ii. Submitting assessments (assignments and exams), and/or
iii. Accessing the campus and all other facilities, and/or
‘Regenesys’ refers to Regenesys Business School, Regenesys School of Public Management
iv. Receiving assessment results, and/or
or Regenesys Management.
v. Graduation until such time as all monies due have been paid in full.
‘Academic programme’ shall mean CHE accredited courses conducted by Regenesys. vi. This is without prejudice to any other rights of Regenesys. Exclusion as set above, will
‘Management development course’ shall mean management programmes conducted over a not relieve the signatory/ies of any obligation to pay the contract amount, or any balance
period of 1-5 days by Regenesys on its premises or at a client’s premise. then outstanding.
vii. Interest will also be levied (currently prime +2%) on any monies due from the due date
‘Short course’ shall mean management development courses conducted by Regenesys. until payment is received and cleared through the Regenesys’ bank account.
These courses may vary in length and are counted in days. viii. All late payments will attract an administrative fee of R300 + VAT.
h. The signatory/ies will remain liable for all expenses incurred by Regenesys as a result of
‘In-house’ shall mean a standard or customised Regenesys course, either short or academic,
any breach of his/her/their part of this contract and acknowledge/s that this may include
that is conducted as a package for a corporate or organisational client.
legal tracing and collection costs.
‘Acceptance’ shall mean that the individual has provided supporting documentation, i. In order for a student to graduate their fees need to be settled in full. No student will be
where necessary, and has paid the application fee for the course in advance or provided invited to the graduation event until such a time as their account is settled.
documentation such as a purchase order proving commitment to pay.
H. Revised Fees to Applicable Year’s Rate
‘Roll-over/Returning Students’ shall mean a student moving from one year of tuition to a Tuition will be charged at fees applicable to the current-year’s rate. For delayed, deferred and
repeat modules, a top-up fee will be levied per module, to cover the shortfall between originally
C. Course Applications paid fees and the applicable rate when the student actually does the module. If the student
All applications submitted by an individual, whether for a short or academic course, require a only be applicable on studies
fully completed and signed application form and acknowledgment of the terms and conditions. e course.
All supporting documentation as laid out in the application form must be provided. An I. Cancellation and Postponement
application does not constitute the full registration for a course. An application will be Regenesys reserves the right to postpone or cancel the offering of a scheduled qualification,
registered once the full payment and supporting documentation (where necessary) have been due to insufficient enrolment numbers or any reason deemed fair by Regenesys. Registered
received or the payment terms agreement has been signed and all entrance requirements students might be provided with an alternative course date.
have been met. Initial here (applicant):
Academic Programmes
D. Application Fee* Should the student inform Regenesys in writing, less than 7 working days before the start of
A non-refundable fee of R1,170 is required in order for an application to be processed. Orientation date, that they want to cancel their studies, then the following will apply:
Regenesys reserves the right to amend this fee from time-to-time. - A cancellation fee of 50 % of their first semester programme fees will be owed.
E. RMAT Should a student want to cancel or postpone their studies for any reason, after
Please note that MBA, International and Recognition of Prior Learning (RPL) students are commencement of the qualification on Orientation date, the following will apply:
required to take our RMAT test for an additional fee of R265. RPL students are also required - Notice of intention to cancel/postpone needs to be communicated in writing to the Student
to pay an additional R795 for the RPL process. Terms and conditions apply. Relationship Advisor (SRA). The full year’s applicable annual fees for that qualification will
still be due and payable, irrespective of the payment option.
F. Administration Fee*
- If no written cancellation is received, the student will also be liable for the following year’s
For every qualification enrolled, the student will be required to register for each calendar year,
applicable annual fees for that qualification
and select relevant modules to be taken during that year. This facilitates better planning for
- Non-attendance of orientation, class, non-submission or failure to submit or participate in an
tuition demands and services required. An annual administration fee of R530 will be charged.
assessment does not constitute a cancellation, and the year’s applicable annual fees for
G. Payment of Study Fees* that qualification are still due and payable.
a. Regenesys Management offers the following payment options to students for the - Written acceptance of the cancellation will be given to the student by the Student
academic programmes: Relationship Advisor (SRA). The onus is on the student to ensure confirmation of receipt
i. Monthly (by compulsory debit order) by email.
ii. Per semester - Regenesys will not be held liable for failure to receive cancellation notices.
iii. Upfront
Individual Module:
iv. Annual
If you have enroled for an individual module you will be liable for the full module fee.
v.
vi. Regenesys student loan (terms and conditions apply) Short Courses:
b. If a student elects to pay on a monthly basis then the Regenesys Credit Application Form If a cancellation of a management development course or short course occurs with less than
and an income expenditure statement are required for term repayments.
i. cancel the attendance of a short course the the cancellation administration fee of R1,000 will
ii. A signed debit order needs to be completed. Should a payment be returned by the bank, be payable. If no advance payment or deposit has been made, then the tax invoice issued
being informed thereof. will be credited and a new tax invoice will be issued with a full administration fee of R1,000
Failure to do so will render the student’s studies suspended. per person.
iii. Should a monthly debit order be returned by the bank on a second occasion, in addition
J. Tuition Commencement
Once an application for any Regenesys programme has been processed and a tax invoice
arrangements will be forfeited immediately and the student will then have to pay in
raised, the individual will be deemed to be an enrolled student and will be required to pay
advance for each module attended.
the course fees and any other associated costs (subject to meeting the National Credit Act
iv. A returned debit order administration fee will be charged (currently R150 + VAT)
requirements and the academic requirements).
v. An option for an extended monthly payment period is available, subject to approval.
c. If a student elects to pay for each semester, the fee for the semester has to be paid at least

allowed to attend class. Should a student attend class, he/she will be liable for fees. to pay the balance within an agreed time frame prior to commencement.
d. In the case of upfront payments, course fees need to be paid prior to commencement and
K. IT Requirement:
attendance of the course.
• You need to be computer literate.
e. Should the student elect to take a study loan through a recogni
• You need to have a computer or tablet with webcam, speaker and 3G internet connectivity
Regenesys will facilitate the necessary forms and contact details for a select number of
for the purpose of downloads and submissions.
these institutions. However, payment for the respective course needs to be received by
Regenesys prior to the commencement of the course.

3
Initial page here (sponsor/surety):
 V10/16/ZA

Regenesys Education Tel : +27 (0)11 669 5000

165 West Street, Sandton, Fax : +27 (0)11 669 5001
Johannesburg, Gauteng, Email : info@regenesys.net
South Africa Web : www.regenesys.net

TERMS AND CONDITIONS

• Financial Calculator – suggested ‘Sharp EL 738 Financial Calculator’. database for tracing purposes should the applicant/undersigned abscond, or become
otherwise untraceable.
L. Refund of Prepaid Money The applicant/undersigned consents to Regenesys Management being entitled to obtain
Refund of any deposits and/or advance payments are subject to Regenesys’ cancellation credit and related information concerning the applicant/undersigned at any time, and to
terms as set out above. Regenesys will only refund monies to the original source/issuer and exchange or lodge and/or disclose such information with any credit bureau without any
reserves the right to refund monies in the same method in which they were received. further notice to the applicant/undersigned.
Regenesys reserves the right to postpone or cancel a scheduled course. Registered R. Liability Disclaimer
applicants will be provided with an alternative course date or offered a refund of course fees. Neither Regenesys Management (Pty) Ltd nor any of its directors, subsidiaries, suppliers,
employees or agents will be held liable for accidents, illness, losses or damage to private
M. Value Proposition*
property of whatever nature either in South Africa or abroad, of registered Regenesys
Student fees include the value of digital or contact facilitation, assessments and
students. Students are strongly recommended to seek insurance cover for health and
access to digitised study guides and one supplementary examination per module. Additional
accident, lost luggage and/or personal belongings and trip cancellation.
services over and above the course costs are charged per event, as per the current
Academic Regulations; S. Firearms and Weapons
Firearms and anything that can be considered as a weapon (that can injure another person)
N. Fees and Increases
are prohibited on the Regenesys campus.
Annual Increases:
Regenesys reserves the right to increase contracted fees on an annual basis, as well as to T. Consent to Information
change scheduled class and exam dates. Regenesys periodically sends out information to advise all registered students and/or
signed-up participants of new developments, programmes and events that might be of
Extended Tuition Fees:
interest or relevance to their personal development and career advancement. Any student
Should a student not complete the course within the timeframe stipulated as per the
or participant who wishes to stop receiving any such communication from Regenesys is
programme schedule, Regenesys reserves the right to adjust the outstanding module fees
requested to indicate this by opting out, or by sending an e-mail to this effect, to
to those of the current retail price and to levy an extension fee, which shall be reviewed from
info@regenesys.co.za.
time-to-time.
U. Regenesys Modes of Learning
Discounts:
In order to make learning accessible to all registered Regenesys students irrespective of
Early Bird Discount: save by being exempted from the annual fee increase.
their location, Regenesys is investing in e-learning resources. This involves the recording of
Upfront Discount: save up to 10% by paying the annual up front fee. live classes and events for livestreaming and distribution thro
f the cost of their next
from lectures whether they are able to attend class or not. Regenesys may also use recorded
material for demonstration or promotion of its activities or depicted events to future audiences,
Early Bird Fees: ding.
• Early Bird fees are to secure the current year’s fees for the following year’s study.
V. Updates to Terms and Conditions
• They are not an additional fee but form part of the following year’s course fees.
Regenesys reserves the right to update these terms and conditions from time-to-time.
• They only
Current terms and conditions are published on Regenesys’ website and may be viewed at
• The Early Bird fee is refundable.
www.regenesys.net/terms-and-conditions.
O. PoPI Act No. 4
W. Copyright Reserved
Regenesys complies with the South African Protection of Personal Information (PoPI) Act
Copyright persists in all materials published on any Regenesys media or website. No part of
No. 4 of 2013 and will therefore not forward any client information to a third party without the
the material on this website may be produced, stored in or introduced into a retrieval system,
client’s consent. I however authorise and consent that Regenesys may share my details with
or transmitted in any form or by any means, whether electronic, mechanical, photocopying,
its subsidiary companies.
recording, broadcast or otherwise, without the written permission of the publisher and/or
Regenesys reserves the right to share all student related information with sponsor/employer Regenesys Management.
paying for the tuition. This includes but is not limited to marks, attendance and assignment
submission.
P. Warranty
Every applicant or student warrants that information supplied by themselves or on their

Should this be found not to be the case, the student or applicant will be legally bound to pay
as per normal cancellation clauses, and any studies will be for non-degree purposes.
Q. Consent Clauses
Regenesys Management reserves the right to appoint an agent to collect outstanding
monies on their behalf and to institute legal proceedings against the applicant for the “Regenesys Business School retains an exclusive and unlimited right to determine any future
recovery of any monies outstanding as a result of default in payment, and in such event changes in fees and costs pertaining to its course offerings across all study modes. The student
the applicant acknowledges that the applicant shall be liable for all legal costs incurred accepts and acknowledges that any such future changes in course offerings across all study
by Regenesys Management in the collection of the outstanding balance on the scale as modes shall not apply to his/her existing course fees as they shall be exclusively governed by
between attorney or debt collectors and client, including collection of commission on capital, this agreement and the relevant provisions herein.”
interest and costs, as well as the tracing and administrative costs incurred by the appointed
agent for the recovery of any amounts owing.
The applicant/undersigned hereby chooses e-mail, sms or regular post as the
communication method for all accounts and notices for services supplied.
The applicant/undersigned consents to Regenesys Management using a national credit

4
Initial page here (applicant): Initial page here (sponsor/surety):
 165 West Street, Sandton, Johannesburg, Gauteng, South Africa
Postnet Suite 71, Private Bag x9976, Sandton City, 2146, South Africa
Tel: +27 (0) 11 669 5000 • Fax: +27 (0) 11 669 5001
Email: info@regenesys.net
Web: www.regenesys.net

Date : ....................
01 September 2022

DECLARATION LETTER

Dear Student

The Department of Higher Education and Training (DHET) requires the signing of a student declaration as
part of the enrolment process. Please sign and return in order for us to release your Welcome Pack.

Student Declaration
I, …………………………….. (student name), …………… (student number), am fully aware that the
programme I have enrolled on, that is, the ……………………………... (full title of programme/qualification)
with SAQA ID: ……………, is registered with the Department of Higher Education and Training to
Regenesys Management (Pty) Ltd, as indicated on the Registration Certificate dated: 21/09/2015.

Student signature: ……………………………………………............

Date: ……………

Regenesys’ representative signature: ……………………….

Date: ……………

Registered with the Department of Education as a private higher education institute under the Higher Education Act, 1997. Registration Certificate No. 2000/HE07/023.
License No. NCRCP7940. Directors: Dr Marko Saravanja, Dr Penny Law, Mr William Vivian, Mr Ronald Nemukula, Mr Lebogang Kamohi,
Mr Sibongiseni Kumalo, Mr Wayne Song, Ms Indherani Reddy
 165 West Street, Sandton, Johannesburg, Gauteng, South Africa
Postnet Suite 71, Private Bag x9976, Sandton City, 2146, South Africa
Tel: +27 (0) 11 669 5000 • Fax: +27 (0) 11 669 5001
Email: info@regenesys.net
Web: www.regenesys.net

13th February 2023

PAYMENT LETTER

Student Number: ………………

Name: ………………………….

Thank you for applying with Regenesys Business School!

As per your email dated the …………………..., you would like to pay us via EFT on a monthly
basis. This means that the last day of every month the full monthly payment of ……... must appear
in our bank account.

Please can you agree to these terms so we can get you enrolled for your programme.

The course material and assignments for the first semester will only be loaded on the student
portal, once we have confirmed your registration. Your registration will be confirmed on receipt of
this signed letter.

Once all documentation is submitted, you will receive your confirmation of registration, a welcome
pack and your student portal login details.

I ………………(name) ………………. (ID number) agree to pay my monthly payment via EFT on a
monthly basis. I understand that failing to do so will result in my studies been suspended.

Thus, done and signed at Sandton on this ………………………….

________________________ (Signature of Student)

_________________________ (Regenesys Staff)

Registered with the Department of Education as a private higher education institute under the Higher Education Act, 1997. Registration Certificate No. 2000/HE07/023.
License No. NCRCP7940. Directors: Dr Marko Saravanja, Dr Penny Law, Mr William Vivian, Mr Ronald Nemukula, Mr Lebogang Kamohi,
Mr Sibongiseni Kumalo, Mr Wayne Song, Ms Indherani Reddy
A. Authority

Given by (ACCOUNT HOLDER)

Account type: Current Savings Transmission

Account holder's name:

Surname
Tel Number
Bank
Account Number:
Branch Code:
Address

Amount R .

Date:

To (BENEFICIARY DETAILS)

Name REGENESYS MANAGEMENT (PTY) LTD

Abbreviated Name R E G E N E S Y S REG.NO. 97/009003/07
Contact Number 0 1 1 6 6 9 5 0 0 0
Address 4 P Y B U S RD S A N D T O N
2 1 9 6

This signed Authority and mandate refers to our Agreement dated _____________________________________________

I/We hereby authorise you to issue and deliver payment instructions to your Banker for collection against my/our above-mentioned
account at my/our above-mentioned Bank (or any other bank or branch to which I/we may transfer my/our account) on condition
that the sum of such payment instructions will never exceed my/our obligations as agreed to in the Agreement and commencing
on and continuing until this Authority and Mandate is termintated by me/us by giving you one calendar's month notice in writing.

The individual payment instructions so authorised to be issued must be issued and delivered month on the ________ day of
every month.

In the event that the payment date falls on a Sunday, or recognised South African public holiday, the payment day will be the
very next ordinary business day.

I/We understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South
African Banks. I also understand that details of each withdrawal will be printed on my bank statement. Such should enable me to
identify the beneficiary.

B. MANDATE

I/We acknowledge that all payment instructions issued by you shall be treated by my/our abovementioned Bank as if the
instructions have been issued by me/us personally.

C. CANCELLATION

I/We agree that although this Authority and Mandate may be cancelled by me/us, such cancellation will not cancel the Agreement.
I/We shall not be entitled to any refund of amounts which you have withdrawn while this Authority is in force, if such amounts were
legally owing to you.

D. ASSIGNMENT

I/We acknowledge that this Authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that
third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third
party.

The Agreement reference

Signed at ________________________________________ on this ______________________ day of _________________

_________________________________
SIGNATURE OF ACCOUNT HOLDER

Date:
Day Month Year