SAP AFRICA EDUCATION CERTIFICATION ENROLMENT FORM

Please complete the form in full, attach the proof of payment and e-mail to: education.southafrica@sap.com.

A Purchase Order Number, Letter of Guarantee or Proof of Payment is mandatory for your enrolment.

It is your responsibility to check pre-requisite for certifications. For more information go to: https://training.sap.com/za/en/.
Pricing reflected on the training and certification website exclude VAT.

All payments are required to be made in full, prior to the commencement date of your exam, unless your Organisation has a VIP account with us.

If exam fees are not paid prior to the start of the exam, you will not be allowed to write.

Note if you have not cancelled your exam, fees will be charged as per Terms & Conditions.

ENROLMENT DETAILS

A.

B.

Training Requester Details

Invoice Recipient Details

Company
SAP Acc. #
First Name

First Name

Surname

Surname

Postal
Address

Postal

Tel No

Tel No

Cell No

Cell No

E-Mail

E-Mail

Address

Is the legal entity completing this form VAT registered in South Africa?

YES

NO

If YES, provide South African VAT number:

C.

DELEGATE/S DETAILS

Please write clearly in CAPITAL LETTERS for Registration & Certificate purposes

Delegate 1
First Name
Surname
ID / Passport #
Tel No

Mobile #

Title
Work e-Mail

S Number
/ Certificate ID
*Private
e-Mail
E-mail address

Location
Customer

Partner

Attended SAP Education Training

Note: please only select one of the above

Delegate 2
First Name
Surname
Work e-Mail

*Private e-Mail

ID / Passport #
Tel No

Mobile #

Title

S Number / Certificate ID
E-mail address

Location
Customer

Partner

Attended SAP Education Training

Note: please only select one of the above

Work e-Mail

*Private e-Mail

July 2014 Cert 1

Delegate 3
First Name
Surname
ID / Passport #
Tel No

Mobile #

Title

S Number / Certificate ID
E-mail
address
*Private
e-Mail

Location
Work e-Mail
Partner

Customer

Attended SAP Education Training

Note: please only select one of the above

D.
Delegate
Number
(refer to
section C)

COURSE /CERTIFICATION DETAILS

List prior attended

courses
supporting
certification

E.
Y/N

SAP Customer Account

Exam Date
(dd/mm/yyyy)

Certification Code

Location:
JHB, CPT, DBN, If
Other then specify

PAYMENT OPTIONS
Y/N

EFT

Y/N

Credit / Debit Card

SAP Customer PO #
Credit / Debit
Card Number
Card Type

CSV - Last 3 digits

on back of the card
Visa

Y/N

Master

Y/N

Debit

Note AMEX cards are not accepted.

Y/N

I authorize that my credit /debit card

can be debited for full

Name on Card
Total Amount (including 14% VAT)

Sign:
M:

Expiry date

Banking Details SAP South Africa

Y:

20

Banking Details SAP West Africa

Standard Bank - Rivonia Branch

payment
Account Number 420023925
Branch Code 001255
Swift Code - SBZAZAJJ Vat
Note that 14% VAT applies to all transactions in South Africa

F.

Citibank Nigeria
Account Number (NGN) - 7830017
Account Number- (USD) 7830009
Swift Code- 36055521
Note: 5% VAT applies to all transactions in Nigeria
Banking details may only be used when attendance is in West Africa only.

TERMS & CONDITIONS

I HEREBY ACKNOWLEDGE THAT I HAVE READ, AND ACCEPT THE SAP Education Africa General Terms and Conditions
https://training.sap.com/za/en/terms-and-conditions/

Signature:

Date:

July 2014 Cert 1