SECTION 1: Tell us more about yourself (mandatory)

SECTION 2: Which course would you like to enrol for?

SECTION 3: What are your contact details?

SECTION 4: Where do you work?

SECTION 5: How would you like to pay?

IMPORTANT NO PAYMENTS IN CASH OR CHEQUE TO BE MADE TO ANYONE! ONLY PAYMENTS DIRECTLY INTO MOLTENO INSTITUTE ACCOUNT AS SHOWN IN SECTION 5 OF THIS CONTRACT ARE VALID. IF ANY CONFUSION REGARDING THIS PLEASE CALL 011 484 6245

SECTION 6: Account Payer Information

IF STUDENT IS SPONSORED