A3 Institute Application For Admission (Page 2 of 2) in pdf

Fees & Payment

FEES DETAILS

Item

Tuition Fees

Registration Fees

Examination Fees

Other*

TOTAL

Amount

Discounts /

Mode of Payment

Full Payment

Instalments

Scholarships Offered

FINAL AMOUNT

* Provide Details

PAYMENT SCHEDULE

Instalments

1st Instalment

2nd Instalment

3rd Instalment

4th Instalment

5th Instalment

Date

Amount

For assistance in completing the Instalment Schedule, refer to the Admin Office of the Institute

How did you learn about A

Institute of Professional Studies?

Newspaper Advert

Fliers

Banners

Internet

From a student of A

Institute

Name of the student:

Other

Declaration & Signature

I confirm that the information given on this form is true, complete and accurate and no information requested or other material information has been omitted.

I acknowledge that the provision of false or misleading information may result in a range of possible disciplinary actions, including cancellation of this application,

revocation of admission and/or course credit, grades, awards/certificates/diplomas etc, withdrawal of any offer and/or immediate expulsion from the Institute.

I also confirm that I am aware of all the terms and conditions that govern my eligibility for entrance/admission into a particular programmes, as stipulated by the

concerned Board/Authority.

I also attest that I am aware that fees, once paid, shall not be refunded.

I hereby consent and agree that A

Institute can, at will, use my personal educational profile, academic performance, results, achievements, photographs and personal

information for advertising, promotional and marketing purposes. I, along with my legal guardian(s) give this authority, completely and unconditionally, and indemnify the

Institute, its management, lecturers and staff from any recourse or claim, financial or otherwise. This authority shall persevere unless expressly annulled by me or my legal

guardian(s), in writing and delivered to A

Institute on a recorded basis.

Signature

Date

Institute of Professional Studies does not discriminate on the basis of race, colour, ethnicity, national origin, religion, creed, sex, age, marital status, parental

status, physical disability, learning disability, political affiliation, veteran status, or sexual orientation.

The Institute reserves the right to make changes in regulations, courses / programmes, fees, timings etc., at any time, before or after a candidate’s admission,

without any prior information or notice.

F O R O F F I C E U S E O N LY

Details Entered By

Programme / Course Code

Application Checked By

Course Start Date

Student No.

Course End Date

Yes

Signature

Date

Director’s Approval