ATTACH A RECENT PASSPORT SIZE PHOTOGRAPH HERE

WAVERLEY GIRLS’ HIGH SCHOOL

FIRST TIME APPLICATION FORM FOR 2017

Full Name of Learner: ______

Grade: ______Date of Application: ______

School Exit Grade (last grade offered at previous school): ______

NO APPLICATION will be considered without the accompanying documents:

  1. Certified Copy of the Child Birth Certificate
  2. Certified Copy of Both Parents/Guardians ID Documents
  3. Proof of Child’s Residence and/ or Parents’ Work Address
  4. Where The Parents is NOT the natural parent of the child certified proof of the parents’ legal relationship to the learner must be provided
  5. A Certified Copy of the most recent school report
  6. Attach a Most Recent ID Photograph
  7. Foreign Nationals must provide a valid study permit for the learner

R4400 is payable on acceptance

This fee will be credited against your school fees for 2017

OFFICE USE ONLY
NAME AS PER BIRTH CERTIFICATE: ______
GRADE AND LEVEL IN WHICH TO BE ENROLLED: ______
SCHOOL HOUSE: ______
ADMISSION DATE: ______
SCHOOL FEES ACCOUNT NO. ______
ADMISSION NUMBER: ______
ATTACHED DOCUMENTS:
Transfer Card
Identity Documents
School Report
Birth Certificate
Proof of Residence

PAYMENT:AMOUNT
RECEIPT NO: ______

COMPUTER:
SIGNATURE: ______DATE: ______

A LISTB LIST WAITING LIST NO.

DETAILS OF LEARNER

  1. Surname of Learner (must correspond with Birth Certificate/ID): ______
  1. First names in full (must correspond with Birth Certificate/ID): ______
  1. Preferred name of learner: ______
  1. Learner’s date of Birth Year: ______Month: ______Day: ______
  1. Identity Number: ______Passport Number: ______
  1. Religion: ______
  1. Residential address of learner: ______

______Postal Code: ______

  1. Postal Address of learner: ______Postal Code: ______
  2. Position in Family: ______of ______(Eldest child = 1; Second eldest child = 2; etc.):
  3. Sisters at Waverley Girls’ High School:

Name and Surname: ______Grade: ______House: ______

Name and Surname: ______Grade: ______House: ______

  1. Present School: ______Present Grade: ______
  2. Country of origin: ______Nationality: ______
  3. Home Language: ______Cultural Affiliation (for stats only): ______
  4. Date entered South African Education System (immigrants only): ___ / ___ / __(YY/MM/DD) Date of arrival in SA
  5. Special Needs of Learner, (e.g. epilepsy, allergies, use of wheelchair, etc.)

______

  1. Has the prospective learner held any position of leadership at her present school: YES / NO if YES state

Position of leadership: ______

List the activities in which the learner participates. Mention any special achievements attained:

SPORT: ______

CULTURAL: ______

Permanent / Long term medication: ______

  1. NEXT OF KIN / RELATIVES OTHER THAN PARENT / GUARDIAN

Surname: ______First Names: ______

Relationship of Learner: ______

Address: ______

______Code: ______

Telephone Number: ______Cell Number: ______

Name of Doctor: ______

Telephone number of Doctor: ______


WAVERLEY GIRLS’ HIGH SCHOOL

SCHOOL FEE PAYMENT FORM

For office use only: Re-Reg. Fee / Enrol. Fee Receipt Number Date: ______Grade: ______

Please complete this form indicating the school fee Payment option

PERSONAL DETAILS OF LEARNER

Surname of learner: ______

First Name of Learner: ______

Grade of learner: ______

PERSON RESPONSIBLE FOR PAYMENT OF SCHOOL FEES

(if divorced, please attach a copy of the Divorce order pertaining to school fee payment responsibilities)

PARENT / GUARDIAN / PERSON RESPONSIBLEFOR SCHOOL FEE PAYMENT

RELATIONSHIP TO LEARNER: ______

SURNAME: ______TITLE: Mr/ Mrs/ Miss/ Dr/ Rev: ______

FULL NAMES: ______

IDENTITY NUMBER: ______

RESIDENTIAL ADDRESS: ______

______CODE: ______

POSTAL ADDRESS: ______

______CODE: ______

TELEPHONE H ( ) ______W ( ) ______CELL: ______E-mail: ______

ADDRESS TO WHICH ACCOUNTS SHOULD BE POSTED: ______

PAYMENT OPTIONS (Please tick appropriate option)

OPTION A
IN FULL BY 31/12/2016 / OPTION B
IN FULL BY 31/03/2017 / OPTION C
MONTHLY 10 INSTALLMENTS / OPTION D
PER TERM

(2017 Discounts applicable to options A and B will be verified at the AGM to be held in October 2016)

PAYMENT METHOD (PLEASE TICK APPROPRIATE OPTION)

DIRECTION DEPOSIT (Deposit slip required) – PREFFERED METHOD OF PAYMENT / CASH
ELECTRONIC TRANSFER (copy of transfer req.) – PREFFERED METHOD OF PAYMENT / DEBIT ORDER

In terms of section 40 of the South African Schools Act 84 of 1996, school fees are payable by the parents of the child/ren attending the school. This form is intended to facilitate the payment of such fees to Waverley Girls’ High School to suit the convenience of the parents and to assist the school in regulating its cash flow. If for any reason the persons responsible do not affect timeous payments of the account and steps are taken to enforce payment, the parents/ guardians or signatories hereto agree:

1.1. to pay costs including attorney and clients costs, tracing fees and collection commission.

1.2. the address given above be regarded as the chosen domicilium citandi et executiandi for all purpose and at law.

1.3. to the jurisdiction of the Magistrate Court in terms of section 45 of Act 32 of 1944 for the recovery of any amount due in terms hereof.

Should any of the installments payable in terms hereof, whether by debit order, electronic transfer, direct deposit or cash, not be paid in by the due date, the full sum outstanding shall automatically become immediately due and payable.

PLEASE NOTE: A R200 administration charge will be levied on all payments RETURNED TO DRAWER.

I,______the parent / guardian of ______

Accept responsibility for the school fees.

Signed: ______at ______Date: ______

Should a Parent or Guardian during the year find it difficult due to unforeseen financial circumstances to pay the School fees they may request an application form for exemption or partial exemption of School fees from the school. This will be duly considered by the SGB of the school

SECTION A:THIS INFORMATION RELATES TO PARENT/S

DETAILS OF PARENTS/ GUARDIANSGUARDIANS WITH WHOM THE CHILD LIVES

  1. Surname of Parent/s / Guardian ______Specify Parent or Guardian (Circle which ever applies)
  2. Title: (circle whichever applies) MR /MRS / MR/ MRS/ MISS/ MS/ DR
  3. Initials ______
  4. Residential Address: (includes suburb and extension) ______

______Postal Code ______

  1. Home Telephone No. ______Cell No. ______
  2. Postal Address ______Postal Code ______
  3. E-mail Address ______
  4. Father’s Initials and Surname ______
  5. Father’s ID Number ______
  6. Father’s Employer ______
  7. Father’s Work Address ______
  8. Father’s Job Description ______
  9. Father’s Business Telephone Number ______Fax No. ______E-mail ______
  10. Mother’s Initials and Surname ______
  11. Mother’s ID Number ______
  12. Mother’s Employer ______
  13. Mother’s Work Address ______
  14. Mother’s Job Description ______
  15. Mother’s Business Telephone Number ______Fax No. ______E-mail ______

SECTION B:

NB!!! (This section is only to be filled in if the child has other parents/ guardians)

THIS INFORMATION RELATES TO PARENTS WITH WHOM THE CHILD DOES NOT LIVE

Relationship to child ______

  1. Surname of parent ______
  2. Title: (circle whichever applies) MR / MRS / MR/ MRS/ MISS/ DR & MRS/ DR/ MR & DR
  3. Initials ______
  4. ID Number ______
  5. Residential Address (include suburb and extension) ______

______Postal Code ______

6. Home Telephone 1. ______Cell ______

7. Postal address ______Postal Code ______

  1. Employer ______Job description ______
  2. Business Telephone Number ______Fax No. ______
  3. Address of Employment ______
  1. GENERAL DETAILS

Reasons for leaving previous school

4.1. Unaffordability 4.6. Expulsion

4.2. Behaviour problems 4.7. Failing grade once or more

4.3. School provided a transfer card without explanation 4.8. Disciplinary Action Problems

4.4. Repeating the grade 4.9. Relocation within Gauteng

4.5. Relocation from another Province 4.10. Relocation from another Country

Name of Province ______Name of Country ______

AGREEMENT FORM

SECTION C: MEDIUM OF INSTRUCTION

I understand and accept that English will be the medium of instruction for my daughter/ward.

SECTION D: SCHOOL FEES

PAYMENT OF SCHOOL FEES

I, ______(parent/ guardian) am responsible for the payment of all school fees.
I understand that legal action may be instituted against me for any and all arrears in such fees.
Signed: ______Date: ______

SECTION E: INDEMNITY FORM

I hereby give permission for my child to participate in the extra-curricular activities of the school and go on tours and excursions that are necessary in the course of such activities.

I accept that all reasonable precautions will be taken to ensure the safety and welfare of my child and that I shall be held responsible for the payment of medical and/ or hospital accounts, where applicable, should an injury be sustained which cannot be ascribed to negligence on the part of the staff responsible.

I cede my powers as parent/guardian to the principal of the school or his/her representative should medical treatment/surgery be deemed necessary for my child. As far as I know, she is physically capable of participating in the above activities and she is in good health.

However, the persons responsible should please note the following: (State aspects that the staff should be aware of e.g. tendency towards allergies, abnormal bleeding, epilepsy etc.)

______

______

SECTION F: CODE OF CONDUCT

I have read the enclosed Code of Conduct and Disciplinary Procedures of Waverley Girls’ High School and state that my child and I are willing to abide by the contents thereof. We understand that these may be updated from time to time and published in the school diary or newsletter.

  1. Full name & Surname of

Father/guardian ______

I.D. Number: ______

Signature of father/guardian: ______Date: ______

  1. Full name and Surname of

Mother/guardian ______

I.D. Number: ______

Signature of mother/guardian: ______Date: ______

  1. Full name and Surname of

Prospective learner ______

I.D. Number: ______

Signature Learner: ______Date: ______

NB: IT IS IMPORTANT TO NOTIFY THE SCHOOL (IN WRITING) OF ANY CHANGES IN THE ABOVE INFORMATION, DURING THE

TIME YOUR CHILD ATTENDS WAVERLEY GIRLS’ HIGH SCHOOL.

I UNDERSTAND THAT WAVERLEY GIRLS’ HIGH SCHOOL IS A PAYING SCHOOL