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Module Deferment Form

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Module Deferment Form MODULE DEFERMENT FORM STUDENT NUMBER (New students to leave blank) Semester 1 Semester 2 PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING THIS CANCELLATION APPLICATION 1. Complete all sections of this form in block letters using black ink. 2. Students may only move modules from semester one to semester two in an academic year. (Timetables for the following year are only released in December) 3. Module deferments are permitted up to 7 April in semester one. 4. Once completed, please submit this application form at any IMM Graduate School office, or submit via email to [email protected] 5. Students on Payment Plan are not allowed to move modules to second semester. SECTION A: STUDENT PERSONAL DETAILS (COMPULSORY) SURNAME FIRST NAME EMAIL (Compulsory) CONTACT NUMBER ID NO/PASSPORT NUMBER SECTION B: MODULE DEFERMENT (NO COST) MODULES TO BE DEFERRED MODULES TO BE REPLACED MODULE NAME SEMESTER MODULE NAME SEMESTER MODULE TUTORIALS 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 SECTION C: STUDENT DECLARATION • I have read the IMM Graduate School Prospectus and Yearbook. • The IMM Graduate School (IMM) does not endorse third parties who offer tuition on IMM programmes. Should an IMM student enrol with any third party for tuition on IMM programmes, the IMM will be entitled to suspend the student’s registration with the IMM. • I understand and accept all policies and procedures pertaining to the IMM Graduate School, including the IMM Graduate School’s examination policy, and agree to abide by the rules stated therein. • I understand and accept that upon my acceptance to the IMM Graduate School, I immediately become liable to the IMM Graduate School for the full programme fees and therefore undertake to pay the full programme fees on or before the due dates. • I understand and accept that should I withdraw from the programme at any time, I will give written notice of my intention and immediately pay all monies owning. • I have read the Tutorial Fee Structure document where applicable. IMPORTANT: I understand and accept that for each semester a separate Registration Form must be completed and that no faxed or emailed Registration Forms will be accepted by the IMM Graduate School. I can register on the Student Portal. STUDENT SIGNATURE DATE / / 20 National Office: Atlas Studio, 33 Frost Avenue, Braamfontein Werf, 2193, P O Box 91820, Auckland Park, 2006, Tel +27 (0)11 628 2000, Fax +27 (0)11 726 4505, Email [email protected] Cape Town Student Support Centre: Level 3, Stadium on Main, Main Road, Claremont, Cape Town, 7708, P O Box 23998, Claremont, 7735, Tel +27 (0)21 671 4426, Email [email protected] Durban Student Support Centre: 245 Peter Mokaba Road, Corner Valley View Road, Morningside, Durban, P O Box 35263, Northway, 4065, Tel +27 (0)31 312 2239, Email [email protected] Edenvale Student Support Centre: Stoneridge Office Park, Building B, 8 Greenstone Place, Greenstone Hill, Edenvale, 1610, P O Box 2780, Edenvale, 1610, Tel +27 (0)11 609 5003, Email [email protected] Milpark Student Support Centre: 33 Frost Avenue, Braamfontein Werf, 2193, P O Box 91820, Auckland Park, 2006, Tel +27 (0)11 628 8029, Email [email protected] Pretoria Student Support Centre: 150 Anderson Street, Corner Jan Shoba Street, Brooklyn, Pretoria, 0181, Postnet Private Bag x 1, Menlo Park, 0102, Tel +27 (0)81 756 6016, Email [email protected] Sandton Student Support Centre: ESCA, The Wanderers Club, 21 North Street, Illovo, Sandton, 2196, P O Box 414004, Craighall, 2024, Tel +27 (0)11 783 6662, Email [email protected] Stellenbosch Student Support Centre: Bosman Business Centre, Distillery Road, Bosman's Crossing, Stellenbosch, 7600, Postnet Suite 15, Private Bag X5071, Stellenbosch, 7600, Tel +27 (0)21 883 9104, Email [email protected] Zimbabwe Administrative Office: 21 Lezard Avenue, Milton Park, Harare, P O Box MP 394, Mount Pleasant, Harare, Tel +263 (0)86 7700 4806 or +263 (0)773 475 003, Email [email protected] The IMM Graduate School of Marketing is registered with the Department of Higher Education and Training as a Private Higher Education Institution under the Higher Education Act, 1997. Registration Certificate number 2000/HE07/013. Module Deferment Form P1 Updated: April 2021.
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