REGISTRATION FORM
(PLEASE ENSURE HANDWRITING IS LEGIBLE)
Date:
SCHOOL DETAILS:
School Name
Postal Address
Postal Code
Physical Address
Postal Code
Telephone No.
Fax No.
Email
SUPERVISING TEACHER DETAILS:
First Name
Last Name
Username
Password
(Min. of 6 alpha numeric and one special character, eg: password#1)
Contact No.
Email
TEAM DETAILS:
Team Name
TEAM MEMBER 1
TEAM MEMBER 2
First Name
First Name
Last Name
Last Name
Grade
Grade
User Name
User Name
Password
Password
(Min. of 6 alpha numeric digits and one special character, e.g. password#1)
(Min. of 6 alpha numeric digits and one special character, e.g. password#1)
Email
Email
Cell Number
Cell Number
TEAM MEMBER 3
TEAM MEMBER 4
First Name
First Name
Last Name
Last Name
Grade
Grade
Personal User Name
Personal User Name
Personal Password
Personal Password
(Min. of 6 alpha numeric digits and one special character, e.g. password#1)
(Min. of 6 alpha numeric digits and one special character, e.g. password#1)
Email
Email
Cell Number
Cell Number
Please select one or more portfolios by ticking in space
provided
Income
Equity Growth
Speculator
(Internet access only)
Principal’s Full Name and Surname
CONFIRMATION:
I
hereby confirm that all information contained herein is true and correct.
Signature:
PAYMENT DETAILS:
Return this form by fax or post to the Investment Challenge coordinators.
Proof of payment must accompany this form.
On receipt you will be forwarded information on how to play the Challenge
or register at http://schools.jse.co.za
R120 per team per game
Make payment to: JSE Investment Challenge
A/C Number: 002351064
Reference: Your school and team name
Bank: Standard Bank, Braamfontein
Branch: 00-48-05
Type: Current
NB: IT IS RECOMMENDED THAT LEARNERS IN GRADES 8 AND 9
PARTICIPATE IN THE INCOME GAME
TELEPHONE / FAX
POST
Desiree: (011) 520 7344 or
Jenny: (011) 520 7116 or
Ralph: (011) 520 7129
Fax:
(011) 520 8588/86
The JSE Investment Challenge
JSE Limited
Private Bag X991174
Sandton 2146