Debit order form

Congratulations on your enrolment!

Kindly complete the form below to setup a debit order. You are welcome to email debitorder@eduvos.com if you need any further debit order assistance.

Fees for the first month are not payable via a debit order - payment to be made via our Payment Page, using the student number/student identity number as payment reference.

A debit order will be deducted monthly as per contract conditions and duration. Debit order cancellations or amendments: email debitorder@eduvos.com.

Student Name

Student Last Name

Student Number

ID Number Format

Please add cellphone number with +27

Cell Phone Number Format

Account Holder Email Address

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Account Holder Full Name

ID Number Format

Account Holder Passport Number

Account Holder Bank Account Number Format

Account Holder Bank Lookup

Account Holder Bank Account Type

Account Holder Debit Order Amount

Account Holder Start Date of Debit Order (mm/dd/yyyy)

Account Holder End Date of Debit Order (mm/dd/yyyy)

I as the account holder hereby consent to initiate this debit order

NoYes

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Debit order form

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