SPECIAL PAYMENT ARRANGEMENT FORM

By Filling this form, you apply for a Special Payment Arrangement for the Profs November 2024 ICA tuition tuition fees and Agree to all terms and conditions attached therein.

FEE ARRANGEMENTS AVAILABLE
1 Subject-FULL PAYMENT
2 or more subjects
-60% start, 40% the following month
Special Arrangement - Contact Admin(0246752130)

Name *
First
Last

Email *

Student No. (SRN) *
Fill in your ICAG Student registration Number

Mobile Number *
Enter your Contact Number

Choose Level *
Choose your Level

Number of Courses *
Write the Number of Courses you are Taking.

Enter Total Fee Payable *
Enter the Amount due

Amount paid *
State the amount paid already and add your screenshots of any instalments made before

Amount Outstanding

File Upload *

Click or drag files to this area to upload. You can upload up to 5 files.

When do you Intended to Settle the balance?

State when you intend to settle the installments

DECLARATION- I DECLARE THAT THE INFORMATION PROVIDED IS ACCURATE AND TRUE. I UNDERSTAND THAT FAILURE TO MEET THE PAYMENT SCHEDULE MAY RESULT IN PENALTIES AND/OR CANCELLATION OF MY REGISTERATION.
I strongly agree to the terms above

Date / Time of Application *
Date
Time
Please Fill in the Time and Date of Application

SPECIAL PAYMENT ARRANGEMENT FORM

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