KANAAN MINISTRIES E-SCHOOL

Administrator: Andri Weissbach

193 High Street

Vryheid

Kwa Zulu Natal

082864 4569

Financial Administrator: Rentia vd Merwe

PO Box 89, Hunters Retreat, 6017

072835 0855

1. PERSONAL DETAILS
Title: / Dr / Mr / Mrs / Miss / Me
Full Names
Surname
Date of birth / D / D / M / M / Y / Y / Y / Y
Language Preferred : Afrikaans / English / Other ______
Marital Status : Single / Married / Widowed / Divorced
Identity Number / X / X / X
Gender: Female / Male
2. CONTACT DETAILS
Postal address
Code:
Street address:
Code:
Telephone dialing code and number
(Home) / (Work) / (Fax) / (Cell)
Email address :
3. GENERAL DETAILS
Country of Origin:
Religious Affiliation:
Occupation:

4. Reason / Background for embarking on these studies (Compulsory)

______

5. Please indicate which course you are registering for:

a) Journey to Freedom (Manual 1 – 9)

b)E- Workbook 1-9 (R150.00 per book, marking and commentaries included

Payment method: Payment in advance R1350.00

Payment on completion of manual, to be send in prior to marking of e-mail

DVD set on Journey to Freedom

(I understand that Manual 8 and 9 and the DVD set are to be ordered from Kanaan Ministries by postage, and all costs involved will be paid over to Kanaan Ministries directly.)

b) Journey to Wholeness (Manual 1 – 3)

c) Workbook 1-3 (R150.00 per book, marking and commentaries included

Payment method: Payment in advance R1350.00

Payment on completion of manual, to be send in prior to marking of e-mail

(DVD set on Journey to Wholenessis to be ordered from Kanaan Ministries by postage, and all costs involved will be paid over to Kanaan Ministries directly.)

I take note of the required completion time for this course as 24 months from registration.

6. FINANCIAL AGREEMENT (Mark which applies to you please)

I,______hereby choose the option of registering for Kanaan e-school. I understand that except for the payment of certain material to be purchased from Kanaan Ministries, there are no extra costs involved.

I, ______hereby choose the option of registering for Kanaan e-school, as well as having access to and completing the Workbook Manuals. I understand that an amount of R150.00 as marking fee is payable on all 9 assignments respectively. Should I not pay this fee as agreed, the Dean has no obligation to mark my assignments.

I,______understand that Kanaan Ministries is a non-profit organization, and I would like to contribute a voluntary monthly donation of ______or a once off amount of ______to further the work of this Institution.

I______hereby declare that all information in this documentation is to my knowledge correct.

______Date______

Kanaan e-schoolBanking details: Acc Name: Andri Weissbach Type of Account: Savings Account Institution: Capitec Bank Branch Code: 470010 Account nr: 1449266426

PLEASE ATTACH A COPY OF YOUR ID.