Registration

Please note: Upon registration you are liable for R25 registration fees per student payable upfront as well as the cost of the contract period agreed to regardless of attendance.

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Select Course *

Main Member *

First

Last

Age *

Gelanggang *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Additional Member 1 *

First

Last

Age *

Gelanggang *

Additional Member 2 *

First

Last

Age *

Gelanggang *

Additional Member 3 *

First

Last

Age *

Gelanggang *

Additional Member 4 *

First

Last

Age *

Gelanggang *

Additional Member 5 *

First

Last

Age *

Gelanggang *

Person responsible for payment *

First

Last

Email *

Phone Number *

Have you done martial arts before? If yes, what level have you achieved? *

Do you suffer from any medical conditions which we should be made aware of? Specify *

Organisational Commitment:
1. To instill in members the Pesilat Pledge (Ikrar Pesilat)
2. To train members in Silat techniques and exercises for self-defense, health,
stamina, and to minimise body injury.
3. To promote members who show loyalty to SSPMSA, and those who excel in
achievement by creating opportunities for participation in local, national and
international events.

Members’ Commitment:
1. To uphold the Ikrar Pesilat at all times.
2. To attend classes and follow teachers’ instruction.
3. To be punctual and show discipline.
4. To follow recommended training program outside class times in order to gain
maximum benefit.
5. To use Silat only for good deeds and obey the law, and not to teach or display Silat in
public without prior consent of SSPMSA.

Administration:
1. Monthly fees are payable for each member in advance no later than the 28th of each
month prior to attendance/ Quarterly fees are due by the end of the first month of each quarter, i.e.28th of January for 1st quarter, 28 April for 2nd quarter, 28 July for 3rd quarter and 28 October for 4th quarter
2. Fees are non-refundable.
3. SSPMSA does not accept liability for injury or loss of property. We will always
promote safe training.
4. Fees stipulated are membership fees and are not based on attendance.
5. Upon signing, you are liable for payment of fees as per website,
email, SMS, telephonic or verbal agreement, or as otherwise advertised. Members who do not settle fees by
the end of their contract period will not be allowed to return until settlement has
been made.
6. Payment reference will be the Silat account number allocated to you.

Indemnity:
1. SSPMSA will take all necessary precaution to prevent injury.
2. Please do accept that we do not accept liability for injury or loss of personal
belongings.
3. Fees subject to change from time to time.

Ikrar Pesilat- The Pesilat Pledge
1. Pesilat adalah pribadi yang berbudi pekerti luhur.
A Pesilat must have a noble mind and character.

2. Pesilat adalah manusia yang menghormati sesamanya serta
mencintai persahabatan dan perdamaian.
A Pesilat must honour his fellow man, and loves friendship
and peace.

3. Pesilat adalah manusia yang senantiasa berpikir dan
bertindak positif, kreatif dan dinamis.
A Pesilat must always think and act positively, creatively and
dynamically.

4. Pesilat adalah kesatria yang menegakkan kebenaran, kejujuran
dan keadilan serta senantiasa tahan-uji dalam menghadapi
cobaan dan godaan.
A Pesilat must uphold truth, honesty and justice, and is
always resilient in facing any ordeal and temptation.

5. Pesilat adalah kesatria yang senantiasa bertanggungjawab
atas kata-kata dan perbuatanperbuatannya.
A Pesilat is always responsible for his words and deeds.

Fees 2018
Registration fee
Once-off payment for first time registrations: R25 per pesilat

Warrior Course
Adults: R275pm
Kids: R165pm

How would you like to pay? *

EFT Direct Deposit/ Cash

Payment terms & conditions
For EFT or Bank Deposits see our Bank Details below:
Bank: FNB
Account Name: Seni Silat Pukulan Melaka South Africa
Account Number: 62534672622
Account Type: Cheque
Branch Code: 200909

References:
For Intro Course: Name & Surname ,Intro .
For Warrior Course: Your unique Silat account number e.g. SILAT.M.000 or SILAT.Q.000
Proof of payment can mailed to finance@senisilatcapetown.co.za

Please note that you will be charged R30 for Bank Deposits

The information above is correct *

Yes

I agree to the aforementioned terms and conditions. This tick serves as a signature *

Yes

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