Payment Registration

Personal Details of the Student

Student Identity Number
(example 08123456)*

IMPORTANT-please write this student number on your deposit slip and ensure that it appears on your bank payment receipt

Title*

First Name*

Family Name*

Date of Birth*

DD/MM/YYYY

E-mail address*

Country of residence*

Passport Issuing Country*

Social Security Number*

Passport Issuing City*

Home address and Postal/Zip Code*

(Please use letters from the English alphabet and/or digits from 0-9)

Home phone number*

Mobile Number

Payment Details

Who is making the payment?*

(Cash, Cheques, Drafts or Funds from a Company account will not be accepted)

Bank / Company Name*

Payer Name*

(First Name Family Name)

Payer Nationality*

Relationship to Student:*

Payer Address*

Contact Person*

Payer Telephone Number*

Payer E-mail*

Company registered name*

Company registered number*

What country are you paying from?*

State*

Will you exceed the US$250,000 foreign exchange limit in the calendar year 01 April -31 March*

Payer PAN Number*

Payer Social Security Number*

Payer CPF*

Student National ID No*

Payer National ID No*

Student Chinese Name*

Payer Chinese Name*

Program fees (as per invoice)

CAD$

Total Fees Calculated*

CAD$

Your Fee payment:*

Choose a password*

Your password must have at least 6 characters

Repeat your password*

Are you ready to pay today?*

By ticking yes you are agreeing to make the payment within 48 hours.By ticking yes you are agreeing to make the payment before 2.30pm today A customer service representative will call you to verify your details. Please ensure you have entered
a valid telephone number above.

I have read and understood
the PaytoStudy terms and conditions*