SECTION A: PERSONAL DETAILS
SECTION B: PARENT /GUARDIAN DETAILS
SECTION C: (SURETY SHIP)

This section should be filled in by the parent/guardian

I in community of property, the signature of the parent, ID OR Passport this is the following course Taken by me /dependent. I agree to pay monthly R and continue to pay for months Declared is offer being made with my permission and that I hereby bind my self-guarantor for the fulfillment of the student obligations as a result of this agreement. Signature: Full Name: Date: Occupation: Company name
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