SIP Abacus Hamilton Student Registration Form

* Franchise Location Please select the franchise location for registration.

* Number of Students Please select the number of students that you wish to register.

Student 1 Details

* First Name

* Last Name

Student's Email (Optional)

* Date of Birth

Gender

Male

Female

* Level

* Select Batch

Preferred Days and Timings

School Name

Address Information Details

* Address Line 1

Suburb

City

* Region

* Postal Code

Primary Contact / Family Information

* Title

* First Name

* Last Name

* Email

* Contact Number

* Where did you hear about SIP Abacus?

Additional Contact Information

* Title

First Name

Last Name

Contact Number

Choose Payment Option

I wish to pay fees fortnightly by cash/bank transfer

I wish to pay fees fortnightly by direct debit (Pay $112 per fortnight instead of $140)

I wish to pay fees 6 monthly (Get 25% discount)

I wish to pay fees annually (Get 30% discount)

Fees / Charges

Registration Fees

$120

Book Fees

$40

Fortnightly Fee (For 1 child) - Cash/Bank Transfer

$140.00

Recurring Fortnightly Fee

$140.00

Total Fee

$300

Include One-Time Payment

Total One-Time Payment

Debit Amount

* Debit Date

Regular Debits

Recurring Debit Amount

* Recurring Payment Frequency Please select the recurring payment frequency here.

* Recurring Payment Starting Please select the recurring payment deduction start date here.

* Debit Mode

Bank Account Details

* Account Number

* Account Holder Name Please enter account holder name as mentioned in the above given bank records here.

Debit Arrangement / Terms and Conditions

Terms & Conditions

I understand that 28 days notice is required if I wish to withdraw my child from the SIP Abacus Program and cancel the subsequent payments. I understand that the fee paid is non refundable unless charged in error. If SIP Abacus is unable to start a batch as per the request, the entire fees charged will be refunded. You are also protected by the Consumer Guarantees Act.

I agree to the above Terms & Conditions and Debit Service Agreement.

SIP Abacus Hamilton Student Registration Form

Student 1 Details

Address Information Details

Primary Contact / Family Information

Additional Contact Information

Choose Payment Option

Fees / Charges

Bank Account Details

Total One-Time Payment

Regular Debits

Bank Account Details

Debit Arrangement / Terms and Conditions

Terms & Conditions

Direct Debit Arrangement Statement