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Contact Details

STUDY AND TRAVEL SOUTH AFRICA
26 Hugenoot Street
OUDTSHOORN
6625
SOUTH AFRICA

Phone: +27 (0)44 2722 901
Mobile: +27 (0)72 143 4775
Email: info@studytravelsa.com

Application Form and General Conditions

To apply, simply fill in the following form and click "Submit".
Alternatively, you can view the print version of the application form and mail it to us at the following address:

 

Printable Version

 

Physical Location: Mailing address:
STUDY AND TRAVEL SOUTH AFRICA
26 Hugenoot Street
OUDTSHOORN
6625
SOUTH AFRICA		 STUDY AND TRAVEL SOUTH AFRICA
26 Hugenoot Street
OUDTSHOORN
6625
SOUTH AFRICA
   
Phone: +27 (0)44 2722 901  
Mobile: +27 (0)72 143 4775  
Email: info@studytravelsa.com  

 

 
Student Details
First name
Family/surname
Gender Male Female
Identity Number
E - mail address
Where are you from (nationality)?
Where do you live?
Current physical address
Phone number
(incl. country and area codes)
Emergency/alternate number
(incl. country and area codes)
 
Course And Programme Details
Which programme are you interested in?
English language speaking ability? Low
Medium
High
Very High
   
Accommodation Requirements
Choice of accommodation: Please indicate
Do you smoke? Yes
No
Would you live with a family that has:
Smokers Yes No Don't mind
Dogs Yes No Don't mind
Cats Yes No Don't mind
Young children Yes No Don't mind
   
Transfer Required
From Cape Town International to B & B
From Cape Town to Oudtshoorn
 

INDEMNITY FORM – STUDY AND TRAVEL SOUTH AFRICA:

 I declare that the above information submitted by me is complete and accurate.  I further realise that any false declaration by me would render any claim whatsoever void and I could further be liable for prosecution by the laws governing South Africa. 

Of address

Contact tel. no.
mobile phone

Declare that by attending and participating in my chosen programme commencing in

2010 and ending in 2010, with STUDY AND TRAVEL SOUTH AFRICA, understand that all activities and tours are undertaken at my own risk and hereby indemnify STUDY AND TRAVEL SOUTH AFRICA against any claims whatsoever, that may arise due to any injury, loss or damage to me personally, or my property, during my time spent on the programme or my transportation to and from each destination, in the knowledge that the program advisors will take all reasonable precautions for the safety and welfare of the participants.
 
Declaration
 
I have read and agree to be bound by the TERMS AND CONDITIONS:
 
Verification: