Online Application

Personal Details
Please choose one of the following options*
Student Number*
Salutation
Name*
First Middle Last
ID Number/Passport No*
Gender*
Marital Status*
Date of Birth*
Date Format: MM slash DD slash YYYY
Home Language*
Email*
Enter Email Confirm Email
Your Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nationality*
Country
Phone Number*
Please do not add country code (+27)
Alternative Cell Phone Number

Parent or Next of Kin Details
Name & Surname*
Cell Phone No of your next of kin*
Email of Next of Kin
Course Registrations
Format of Course*
Select National Qualification*
Do you have NQF Level 4 Qualification in Film & Television Production or Industry Experience?
- Yes
- No
If No, Please select NQF Level 4 from the Qualification and NOT Level 5
Do you have NQF Level 4 Qualification in Sound Technology or Industry Experience?
- Yes
- No
If No, Please select NQF Level 4 from the "Qualification Drop down" and NOT Level 5
Select Short Course*
Select Campus*
Course Start Date*
Education History & Document Upload
Highest Qualification*
Last Institution Attended
Identification Proof
Attached a scanned copy of your ID or Passport page
Copy of CV
Upload CV in Word or PDF Format
Photograph
Upload a Digital Version of your Passport size photograph
Highest Qualification
Drop files here or
Attached a scanned copy of your Highest Qualification
Academic Transcript
Drop files here or
Attached a scanned copy of your Highest Qualification
Where did you hear about us?*
- Facebook
- Web Search
- Twitter

Tuition Payment & Agreement
How will you fund your Studies*
Sponsor Details*
Phone No of Sponsor*
Email of Fee Payer
Tuition Assistance
if you have a Tuition Assistance Code enter it here, else skip the above
Payment Option*
- Once off
- 3 Months
- 6 Months
- 9 Months
*Please note that 9 Month Payment Plan option will only be accepted via Debit Order
Agreement Terms
1. i acknowledge that i will submit my application documents in original hardcopy to REVOLUTION Media Academy in addition to my online submissions. This includes the following Pre-admission and Post Admission documents: Academic Certificate Certified True Copy, Student Contract. The originals are to be Emailed or Couriered to the address: Admission office: Floor 8, His Majesty’s building, 53 Eloff Street, Corner Commissioner, Johannesburg. I understand and agree that in accordance with the academy’s admission policy as well as regulatory requirements governed by the Media information communication sector education training Authority and Quality Council of Trade and Occupations and the Department of Higher Education, my candidature to a course may be revoked as a result of my failure to do so.

2. I declare that all the information provided by me is accurate and complete. I understand that Revolution Media Academy reserves the rights to verify with the relevant parties the accuracy of the information provided. I Agree to abide by the decision of REVOLUTION Media Academy on my eligibility for a program that i applied for. By Completing this application, i give consent to REVOLUTION Media Academy to contact with regards to matters pertaining to my application and to use the information provided in this application for the purpose of supporting my studies. I have read and undertook the privacy policy(http://revolutionimedia/privacy-policy) and agree to abide by it.
Do you Agree to the Terms of Agreement?*
- I Agree to the Terms of Agreement
Type your name here*
Name of Student
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