ITS Integrator User Certification Programme
2017 Application / Registration
Note:
 The completion of this form will serve as an application to register for the programme as indicated and once the
application is accepted, the form will also serve as the registration form and the registration contract.
 Applicants, who wish to apply for Recognition of Prior Learning (RPL) of a module or modules in the
qualification, must complete Annexure A (pg. 7-8) of this form. Candidates must ensure that he/she is familiar
with the terms and conditions that apply to the RPL application as described in the programme prospectus.
 The onus remains on the programme participant to ensure that he/she is registered for the correct programme
and modules as set out in the programme prospectus, and the he/she has familiarize himself/herself with the
registration requirements, rules and regulations contained therein.
 Accordingly, the signatory to this form warrant that he/she understands the content of the prospectus and
accepts that on acceptance of the application and registration for the programme, this document is a binding
contract between the programme participant and Adapt IT (Pty) Ltd.
Please include a copy of your ID or passport with this application form.
First name of applicant:
Surname of applicant:
Employer:
Section 1: Programme Information
1.
Programme enrolling for (tick the programme that you are applying for this 2013 first trimester intake)
ITS Integrator System User: Transactional level

Student Management System
o
o
o
o

* Qual code
Enquiries Management
Admission & Registration Management
Academic Administration Management
Graduation and Alumni Management
Financial Management System
o Cash Management
o Debt Management
o Supply Chain Management

Human Resources and Payroll Management System
o Human Resources Management
o Payroll Management
* To be supplied by Adapt IT
Tick
2.
Module/s enrolling for
Refer to the electronic Annexures A and B to the Prospectus and supply the name and code of the module/s you plan to enroll
for and / or the modules for which you want to apply for RPL and then tick when you plan to schedule your participation in these
module/s.
Note:

Registration for a program as indicated above is only required once at the beginning of a 3-trimeser period, i.e. one
academic year, which is the maximum duration provided to complete the programme. If you have not completed the
program in this period, you will have to re-register for the programme.

Please consult with a consultant or the programme administrators at Adapt IT to plan your enrollment for the module/s
that you are enrolling for and for which you will be attending the lectures presented via WebEx (Table 2.1 below), as well
as for the module/s that you are applying for RPL (Table 2.2 below). The enrollment plan should be aligned with your
workload at your institution and the time required attending the lectures and the completion of the formative assessments
(assignments) that forms part of your Portfolio of Evidence (PoE).

The summative assessment (examination) for each module will be scheduled at the end of the trimester which you have
indicated below that you will be participating in the particular module.

Should you need to change your initial enrollment plan and intend to do a module in another trimester as indicated below,
you must inform the programme administrator in writing (by e-mail) at least 2 weeks before the commencement of that
trimester.
2.1
Modules applied for full registration (including attendance of lectures)
Module name
e.g. Academic Structure
2.2
Module Code
1st trimester –
Aug – Oct 2013
ACA100
X
2nd trimester
Jan – Mar 2014
3rd trimester
May – Jul 2014
Modules applied for RPL (examination only)
Note: Please complete Annexure A hereto (on page 7-8) in support of your application for RPL of the
following module/s. You cannot apply for both full registration above and RPL for a particular module/s.
Module name
e.g. Academic Structure
Module Code
1st Examination
opportunity Oct 2013
ACA100
X
2nd Examination
opportunity March 2014
3rd Examination
opportunity Jul 2014
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Section 2: Participant information
Personal particulars
Student no:
(To be assigned by the system on processing of the application)
Surname:
First names:
Date of birth:
Gender:
Male:
Female:
ID/Passport
no:
Citizenship:
Home
language
Postal
address:
Postal code:
Home
address:
Postal code:
Tel. work:
-
-
Cellular:
-
-
Emergency tel:
-
-
E-mail
Highest qualification:
Institution:
Year:
Section 3: Employment information
Employing institution:
Postal address:
Postal code:
Department:
Current position:
Period in this
position:
years
months
How long have you been working on ITS Integrator:
years
months
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Which menu options
do you frequently
use:
Section 4: Payment of course fees
Who will be responsible for the payment of your course
fee?
Employing
institution
Course
participant
Other
sponsor
If approval has been granted by your institution that they will pay your course fees, please complete the following: (tick
which of procedure 1 or 2 is required)
1. Should your institution be issued with a quotation / pro-forma invoice for the course fees in
order to issue a purchase order?
2. Should in invoice be issued to your institution for the course fee?
Please provide the contact detail of the person to whom the quotation / invoice must be sent:
Title:
Mr M
Dr Prof
s
Initials and surname:
Position:
Postal address:
Postal code:
E-mail:
If you indicated above that your course fees will be paid by another sponsor, please provide documented proof of such a
sponsorship and the contact detail of the person and institution to which the invoice must be issued:
Title:
Mr Ms Dr Pro
f
Initials and surname:
Company/Organization
Postal address:
Postal code:
E-mail:
Section 5: Management authorization
In order to ensure that the applicant’s admission to this course has been noted and approved by his/her departmental manager
or immediate supervisor, and that the programme schedule and timetable can be provided to his/her manager for staff capacity
planning purposes, this section must please be completed and signed by the applicant’s departmental manager or immediate
supervisor.
Title:
Mr Ms Dr
Initials and surname:
Prof
Department /
Section:
Position:
E-mail
I, ________________________________________________ (name of supervisor) hereby acknowledge that
___________________________________________________ (name of applicant) is applying to be registered for the
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programme as indicated in this application form and agree that the programme schedule and timetable will be provided to me by
e-mail. I also acknowledge that the employment information supplied by the applicant in Section 3 above is accurate.
_________________________________________
Signed (Supervisor / Manager)
___________________
Date:
Section 6: Contract and Conditions of Registration
The signatory/ies to this registration contract and all documents forming part hereof (“the contract”) agree/s to the following terms and
conditions of registration with Adapt IT(Pty) Limited (“The Company”):
1. Financial
1.1
The signatory/ies acknowledge/s that he/she/they will be jointly and severally liable to The Company for payment in full of all
course fees and other charges as detailed in Programme Prospectus – Annexure A, subject to the terms and conditions set out
below, and that, having regard to all their financial obligations, they have sufficient funds to make all the payments in terms of this
contract on due date.
1.2
By signing these terms and conditions the signatory/ies is/are committing to make payment of the full course fee amount referred
to in 1.1 above; any failure by the participant to attend lectures will not reduce liability for payment of the full contract amount.
1.3
The registration fee is non-refundable.
1.4
The signatory/ies will be responsible for the cost of transport and any specialised consumables used during the module
/programme including but not limited to: specialised stationery, printing of assignments, toolkits or any other material whether in
printed or electronic format.
1.5
This contract may not be cancelled unless –
1.5.1
the participant fails to satisfy the entrance requirements (in which event the signatory/ies shall be entitled to a refund of
the course fees, or any portion thereof paid to date);
1.5.2
insufficient enrolments are received by The Company to justify, at The Company’s sole discretion which will not be
unreasonably exercised, the running of the programme for which the participant has enrolled (in which event the
signatory shall be entitled to a refund of the course fee, or any portion thereof paid to date); or
1.5.3
the participant has been expelled following due process (in which event the fees will not be refunded and the
signatory/ies will remain liable for the balance of fees).
1.6
If a participant is suspended from attendance of any lecture, module, programme, etc. for any reason whatsoever, but not
expelled, following due process, the fees payable by the signatory/ies will not be adjusted or reduced at all as a consequence of
non-attendance, and the signatory/ies will remain liable for payment of the full course fee.
1.7
Participants who wish to cancel their registration must submit a written and signed notice of intention to discontinue attendance to
the programme manager; provided, however, that the signatory/ies remain/s liable for the balance of the fees, as specified in the
Programme Prospectus.
1.8
Should any monies due by the participant or the signatory/ies under this contract not be paid on the due date, the participant may
be excluded from (i) attending further lectures, and/or (ii) access to the examinations and all other facilities, and/or (iii) graduation,
until such time as all monies due have been paid in full. The Company may withhold results of any assessments conducted until
such time as all fees have been settled in full. This is without prejudice to any other rights of The Company. Exclusion, as set out
above, will not relieve the signatory/ies of any obligation to pay the course fee amount, or any balance then outstanding.
1.9
The signatory/ies will remain liable for all expenses incurred by The Company as a result of any breach on his/her/their part of this
contract and acknowledge/s that this may include legal, tracing and collection costs.
1.10
If any payment due under this contract remains unpaid for a period of thirty (30) days after the due date thereof, the entire
outstanding balance will immediately become due and payable. In addition thereto, interest on the outstanding amount due will be
charged at the maximum rate permitted by law, from time to time, as determined under the National Credit Act (Act 34 of 2005).
1.11
The finance department of The Company must be informed immediately, in writing, should the signatory/ies hereto change
address, or should the participant change his/her module/s or programme/s, subsequent to submission of the registration
documentation.
2. Indemnity
2.1
The Company or any of its representatives shall not be liable for any loss or damage, howsoever sustained, whilst the participant
is enrolled at The Company. The signatory/ies hereby indemnify/s The Company, against all and any claims made by any person
whatsoever in respect of any damage arising out of any grossly negligent or intentional acts or omissions by the participant.
2.2
The signatory/ies accept/s liability for damage to The Company’s property, injury to or death of any participant, or loss or damage
to personal effects and possessions as a result of the actions of the participant whilst the participant is on or off The Company’s
premises, and he/she/they hereby indemnify The Company, accordingly.
3. General
3.1
The signatory/ies warrant/s that the information submitted on the application form, if any, and registration contract is both true and
correct.
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3.2
The Company reserves the right to cancel and/or amend certification, programme syllabi, commencement and termination dates
and timetables without prior notice, which discretion shall be exercised reasonably, to accommodate changing circumstances.
3.3
The Company, at its sole discretion, which discretion shall be exercised reasonably, may combine classes of similar academic
level and content or cancel tuition in any programme or module advertised and offered on an insufficient demand basis; provided
that the contract amount shall be adjusted accordingly.
3.4
The onus remains on the participant to ensure that he/she is registered for the correct module/s and programme. The participant
must familiarise him/herself with the registration requirements, subject selection criteria, rules, regulations and prospectus, as well
as any rules regarding the maximum completion time for the chosen qualification. Accordingly, the signatory/ies and, more
specifically, the participant, warrant/s that he/she/they has/have investigated the programme concerned to his/her/their satisfaction
prior to the signing of this contract and further absolve The Company, from any liability resulting from any incorrect registrations,
enrolment or assessment.
3.5
The signatory/ies acknowledge/s that he/she/they is/are aware of whom the conferring body is for the programme of study for
which the participant registers as well as any particular information in relation to accreditation and registration of this programme of
study.
3.6
The participant will be provided with a copy of The Company’s rules/regulations and participant code of conduct within seven (7)
days of commencement of classes. The participant has twenty-one (21) days within which to read and acquaint him/herself with
the content thereof, and to familiarise him/herself with their application to the modules/programme for which the participant is
registering. Thereafter, the participant will be regarded as having read and understood such rules, regulations and code of
conduct, and as having undertaken to abide by and comply with the terms thereof, as they may be amended from time to time.
3.7
By signature hereof the signatory/ies consent/s to The Company utilising electronic methods of communication (including SMS
and email) in matters of an academic and financial nature, or relating to scheduling of lectures, campus activities or similar issues.
The Company may, from time to time, send the participant and/or the signatory/ies marketing material by electronic methods of
communication.
3.8
The Company may, from time to time, introduce rules and regulations deemed necessary relating to module attendance,
participant conduct and other related matters.
3.9
Academic integrity is taken very seriously. Any violations of academic integrity by the participant including, but not limited to,
cheating or plagiarism, will result in disciplinary action being instituted against the participant, which could result in expulsion from
the programme.
3.10
In the event of an act of God, war, insurrection, industrial unrest, natural disasters or other such events that may cause the
temporary cessation of tuition or classes, The Company shall use its best endeavours to resume lectures as soon as is practically
possible; however, no guarantees can be made in this regard.
3.11
The participant and/or the signatory/ies understand/s, accept/s and consent/s to The Company collecting personally identifiable
information about the participant or signatory/ies (including consumer credit information where necessary) in connection with this
contract. The participant and the signatory/ies acknowledge/s that The Company has the right to view and obtain the participant’s
results from external examining bodies. In addition, the participant and the signatory/ies consent to The Company providing
information, including personal information and/or participant’s results, to the participant’s employer or any other third party
academic partner; and/or providing confirmation of graduation or non-graduation to external bodies; and/or verifying participants’
results upon request from external bodies. Such information will only be provided insofar as may be required for the purposes of
this agreement and for the studies being undertaken by the participant.
3.12
The participant and signatory/ies cede and assign to The Company all rights, title and interest in and to any intellectual property
that may be created in the course of any study or research project that the participant undertakes or may undertake at The
Company or that the participant develops or may develop with the assistance of The Company’s equipment and/or facilities. The
participant and the signatory/ies, furthermore, acknowledge that and consent to the outcomes of any work undertaken by the
participant being used by The Company in marketing and promotion activities.
3.13
No guarantees, promises or representations of any nature are made by The Company pertaining to the participant’s enrolment for
programme/s selected by the participant with regard to the participant’s success or failure or otherwise.
3.14
Registration is conditional pending the submission by the applicant and successful assessment by the programme personnel of
the documents required to complete The Company’s administrative process of registration. Failure to submit any of the required
documentation will result in the participant being unable to graduate.
3.15
The signatory/ies choose(s) as his/her/their address for service and delivery of legal notices and communications (domicilium
citandi et executandi) in connection with this contract the address/es set out in sections 2 and 3 of this contract. The Company
choose(s) as its/their address for service and delivery of legal notices and communications (domicilium citandi et executandi) in
connection with this contract, as 50 Bushbuck Lane, Monument Park, Pretoria, 0181.
I, __________________________________________________________ (name of applicant) hereby confirm that
that I have read and understood the terms and conditions of the programme as published in the programme
prospectus and that I agree to and accept the terms and conditions of the registration contract with Adapt IT as
specified in Section 6 above (pg. 5-6 of this document).
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____________________________
Date: ___________________
(Signature of applicant)
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Annexure A (Only to be completed if applying for RPL for specific module/s)
RPL Information
In order for Adapt IT to make a proper assessment of your prior learning and practical experience in respect of the module
content, you are required to supply the following information.
Note: Granting of RPL for a specific module/s is at the sole discretion of Adapt IT and depends on the applicant’s usage and
experience in the use of the system applicable to the module/s applied for RPL.
1.
Your current position
Please supply a short description of the duties and responsibilities of your current position. (Refer Section 3)
2.
Previous positions
Please supply a short description of the duties and responsibilities of previous positions you held where you worked on the ITS
Integrator system.
Position held and duties
From (date)
To (date)
3.
Information on the modules indicated in par. 2.2 above (pg. 2), i.e. modules that you applied for RPL.
Module name
e.g. Academic structure
Module
Code
ACA100
Describe the system functionality/ies that you
used (please expand on a this information as
deemed necessary)
Maintain Subject Information Structure
Maintain Curriculum Information Structure
Utilize Document Storage and Retrieval Etc.
Menu
option/s if
applicable
{SACAD-14}
{SACAD-15}
Frequency
Bi-annually
Annually
Monthly
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For the last 6 months preceding this application for RPL, on which version of the Integrator system have you
been working? Integrator 1, 2 or 3
For the last 12 months preceding this application for RPL, on which sub-system
or specific functionality/ies of the Integrator system have you attended formal
user training presented by an Integrator system consultant from Adapt IT,
irrespective of whether it was presented on-site or at Adapt IT Pretoria? (Exclude
system enhancement training that was part of a system version upgrade project)
Sub-system / functionality
When
I, __________________________________________________________ (name of applicant for RPL) hereby
confirm that the abovementioned information regarding user experience and prior learning on the ITS Integrator
system is accurate and that I have read and understood the terms and conditions of the Recognition of Prior
Learning in the programme prospectus. I agree that Adapt IT may where they deem it necessary request me to
supply proof of the abovementioned information for verification purposes.
_________________________________________
(Signature of applicant)
Date: _____________________
I, ________________________________________________________ (name of supervisor / manager of the
abovementioned applicant for RPL) hereby confirm that the abovementioned information regarding user experience
and prior learning on the ITS Integrator system is accurate and in accordance with the information that is available
to me.
_________________________________________
(Signature of manager / supervisor)
Date: ____________________
_________________________________________
(Position)
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