Which Grade was repeated / Finance No.
Choose class / Double medium / English / Subject Input
DOCUMENTS REQUIRED / Copy of ID of Father / Disciplinary letter – previous school / Proof of home address
Copy of ID of Mother / SASSA proof / Medical Aid card
Copy of Child’s Birth Certificate / Transfer letter / All copies – certified.
No copies will be made by the school.
Copy of Clinic Card / Copy of Salary Slip Father
Copy of Last School Report / Copy of Salary Slip Mother
FOR OFFICE USE / Principal Signature / Approved / Waiting list
Payment / Receipt/Pmt No. / Date paid
School Fees 1st month
Gr 1 package
- All successful applications will be contacted within one month after the closing date. Should you not receive a call a month later than the closing date, your application was unsuccessful.
- Once the application has been approved the school fees for the first month is immediately payable at the school. This is the only money that is paid directly at school. All other payments are to be done at the bank.
LEARNER DETAILS / Surname / Initials
Full names (on ID) / Name on Books/Diplomas
Previous Surname / Gender / Male / Female
Birth date / YYYY / MM / DD / Race : African/Black; Asian; Indian; Coloured; White; Other
ID No.
Citizenship / SA / Immigrant / Religion : Eg. Christian, Hindu, etc.
Home language / Transport to school
Child lives with / Mother / Father / Guardian / Writing Hand / LEFT / RIGHT
Parents Deceased / Mother / Father / Both / None
HOME ADDRESS / Residential Address / Postal Address
Building name
Street Name & No.
Suburb
Town/City
Postal Code
Province
MEDICAL AID / Medical Aid Name / Medical Aid No.
Main Member / Doctor Name
Doctor Address / Doctor Tel No.
Health Status / Special problems
Medication - specify
PREVIOUS SCHOOL / Name of School
Street Name & No. / Tel No.:
Suburb / Fax No.:
Town/City
Postal Code
Province
SASSA /
WELFARE / Registration / Receiving / Grant No.
Child Support / Child Support
Maintenance / Maintenance
Foster Child / Foster Child
Care Dependency / Care Dependency
CHILDREN / (Not cousins) / Name / Surname / Brother / Sister / Age / Gr / School
If parents don’t live at the same address, separate forms are to be completed. / FATHER/ Guardian Details / Surname / Initials
Full names (on ID) / Nickname
Previous Surname / Race : African/Black; Asian; Indian; Coloured; White; Other
Birth date / YYYY / MM / DD / Citizenship / SA / Immigrant
ID No.
Marital Status / Single / Married / Divorced / Widow / Traditional
Occupation / Cell No.
Company / Tel. No.(w)
Company Address / Fax No.(w)
Relationship-learner / Tel. No.(h)
Email address / Emergency Tel Friend / Family
MOTHER/ Guardian Details / Surname / Initials
Full names (on ID) / Nickname
Previous Surname / Race : African/Black; Asian; Indian; Coloured; White; Other
Birth date / YYYY / MM / DD / Citizenship / SA / Immigrant
ID No.
Marital Status / Single / Married / Divorced / Widow / Traditional
Occupation / Cell No.
Company / Tel. No.(w)
Company Address / Fax No.(w)
Relationship-learner / Tel. No.(h)
Email address / Emergency Tel
Friend / Family
ACCOUNT PAYER / SMS No. -toreceive messages from school – Only 1 parent
Father
Mother / E-mail Address for accounts:
Guardian
I hereby acknowledgeand declare that the above information is accurate and correct and that ALL required documents are attached.
SIGNATURE Parent/Guardian : ______Date : ______