PLEASE ATTACH THE FOLLOWING DOCUMENTS:
CERT COPY OF THE GRADE 6 (2011) FINAL REPORT□
CERT COPY OF A RECENT PROGRESS REPORT□
RECENT ID PHOTO OF LEARNER□
CERT COPIES OF ID’S OF BOTH PARENTS□
PROOF OF INCOME OF BOTH PARENTS□
PROOF OF ADDRESS OF BOTH PARENTS□
PROCESSING FEE R50□

APPLICATION FOR ADMISSION FOR GRADE 9 / 10 / 11 (2013)

Learner’s Surname: (Birth Certificate) / Learner’s Name: (Birth Certificate)
Date of birth: / / / Gender: M □ F □ (tick)
Home Language: / Language of instruction:
English □ Xhosa □ Afrikaans □ / English □ Xhosa □ Afrikaans □
Family at this school: / Learner’s address:
Name:
Grade: / Postal code:
FATHER: (This info MUST be provided) / MOTHER: (This info MUST be provided)
Surname: / Surname:
First name: / First name:
Title & Initials: / Title & Initials:
ID Number: / ID Number:
Occupation: / Occupation:
Name of employer: / Name of employer:
Work tel number: / Work tel number:
Home address: / Home address:
Postal Code: / Postal Code:
Home tel number: / Home tel number:
Cell no: / Cell no:
Email address: / Email address:
Postal address (if different from residential) / Postal address (if different from residential)
Code: / Code:

LEARNER’S MEDICAL HISTORY:

Underline illness(es) pupil has had:

Measles; German Measles; Whooping Cough; Chicken Pox; Mumps

Do you suffer from any other illness(es) or disabilities?

(e.g. Asthma; Epilepsy) YES□NO□

If yes, please specify.______

Underline illness(es) pupil has been immunised against:

Tuberculosis(BCG); Diptheria; Whooping Coughj; Tetanus; Measles; German Measles; Mumps; Poliomyelitis.

IMPORTANT

Pupils should have been immunised against ALL the above illnesses before school attendance. Immunisation against Poliomyelitis is legally compulsory.

Do your parents / guardians belong to a medical aid? YES□NO□

If yes, please state name of medical aid. ------

Are you on any medication? YES□NO□

If yes, please specify.______

Name of Home Dr.______

Tel. no. of Home Dr.______

SIGNATURE: …………………………………. DATE: …………………….

(State whether father, mother or guardian)

IMPORTANT INFORMATION:

Applicant Information Form (2nd portion of this form) MUST be completed by the PUPIL in their own words and handwriting. This form is part of the criteria used to determine whether the pupil’s application was successful. It must be viewed as an important contribution to the application.

* * * * * * * CLOSING DATE FOR APPLICATIONS * * * * * * *

28TH SEPTEMBER 2012

SCHOOL FEES FOR 2013 IS R1100 PER LEARNER

This form must be completed by the pupil applicant in his or her own writing

1. Personal information

Name:
School:
Residence:

2. Academic achievements

Please fill in the results(code or %) you obtained at the end of the last grade

passed ( the marks on your year-end report).

English (HL / FAL / SAL) / Mathematics / Mathematical Literacy
What is your best subject?
------/ Average of all subjects
Special awards and achievements:

3. Sport

Please fill in the name of the sport or sports you are playing this year. State whether you serve as captain or vice-captain. If you play for a club, put the club’s name next to the sport. Write any special sporting achievements or interests in the place provided.

Special achievements:

4. Clubs and Societies

List any clubs, societies or other school activities in which you participate. If you hold a leadership position e.g. chairperson or leader, please write it down.

5. Leadership positions

Please list any leadership positions which you hold or have held in the past (e.g. prefect, monitor, captain)

6. Do you currently have a sibling at Oaklands or a parent who is an ex - Oaklands student?

Please state the grade your sibling is in or the year your parent matriculated.

7. Your brothers and sisters

If you have brothers and sisters not at OaklandsHigh School please give the name of the school or other educational institution each attends and the grade or level. If they are working please say what each is doing.

8. What kind of person are you and why do you wish to come to Oaklands?

Please describe the kind of person you are and give your reasons(s) for choosing to come to Oaklands.

9. What do you think you will be able to contribute to Oaklands?

Your signature: ……………………………………… Today’s date: ………………………..

20 October 2012

Mr & Mrs R. Malunga

116 Section B

Nyanga

8001

Dear Mrs & Mrs Malunga

Acceptance: Patiwe Malunga – Grade 8 2013

I have the pleasure to inform you that your child has been accepted for admission to OaklandsHigh School from January 2013. We look forward to having your childhere as a pupil during the exciting high school years and to welcoming your family into the life of this School.

On accepting a place for next year, please complete the enclosed forms and return it no later than ………………………..2012. A compulsory deposit of R400is payable which will be deducted from the school fees. The forms and payment should reach the school by this date. If you have decided NOT to please notify the school office by ……………………………2012.

I hope that this will be a long and happy association with OaklandsHigh School for your family.

Best wishes.

Yours sincerely

………………………..

R. PATEL

PRINCIPAL

D. SCHOOL FEES AGREEMENT

I,______(parent/guardian) am aware that the school fees for

the year 2013 is R______for my child / children and I undertake to pay as follows:

(tick the appropriate block)

□ The full amount of R______in one payment to the school bursar (by the

end of April 2013).

□ Pay directly into the school’s banking account (full payment by end of June 2013)

□ Pay directly into the school’s banking account (part payments to complete by end of June 2013.

□ Bursary FundName of Fund______

□ Exempted from paying school fees. (Please complete necessary forms available at the secretary’s office). Must be approved by Governing Body.

E. UNDERTAKING BY PARENTS AND LEARNER

In the event of this application being successful, I / we as the parent/s of my /our child / ren, and I as a prospective learner of this school, undertake the following and sign it as a written agreement. I fully understand that this agreement is legally binding.

  1. to accept & obey the disciplinary system & house rules of the school..
  2. to wear the school uniform & to adhere to the regulations in this regard.
  3. to attend school punctually (8am) and regularly.
  4. to participate in cultural and sporting activities, unless there are medical reasons preventing such participation.
  5. to pay school fees and relevant levies regularly & in full.
  6. to respect & maintain the existing values & traditions of the school.
  7. to accept & willingly promote the vision & mission of the school.
  8. the school will not be held liable for any claims, losses & expenses suffered or incurred by myself / ourselves & my/our child /ren which were not caused by negligence on the part of the school or the responsible teacher/s.
  9. I / We have noted the requirements of the school & certify that the information given by us is correct.

SIGNATURE: …………………………………. DATE: …………………….

(learner)

SIGNATURE: …………………………………. DATE: …………………….

(father, mother or guardian)

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