ACKNOWLEDGEMENT OF DEBT
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1. I, ____________________________________________________(insert name), an adult, with Student No.
_______________________, acknowledge that:
Please provide the persons full name and Student Number
DO NOT LEAVE ANY PORTION OF THIS BLANK
a. I am liable to the University of the Witwatersrand, Johannesburg (“the University”) in
the amount of R________________________ (“the Principle Debt”);
Please provide the accurate figure
DO NOT LEAVE THIS BLANK
b. Subject to clause (c) below, the Principal Debt is due and payable immediately upon
signature of this Agreement; and
c. By signing this Agreement I am entering into