Applications – School

Administrative Information

Grade Applied For

Highest Grade Passed

Year When Grade Was Passed

Accession No

Year of Application

Learner Personal Information

Surname

First Name

Initials

Nick Name

Other Names

Date of Birth

Gender MaleFemale

Race

Identification or Passport No

Country of Residence

Citizenship

If SA, Indicate Province of Residence

Learner Contact & Address Details

Physical Address

City/Suburb

Postal Code

Home Telephone

Emergency Telephone

Learner Cell

Learner Email Address

Learner Background Information

Home Language

Preferred Language of Instruction

Boarder YesNo

Deceased Parent MotherFatherBoth

Mode of Transport

Religion

Pre-Primary Education (Grade 1 Only) NoneNon FormalFormal

Previous School Information

Name of Previous School

Previous School Address

Postal Code

Province

Country

Previous School Information

Name of Previous School

Previous School Address

Postal Code

Province

Country

Learner Medical Information

Medical Aid Number

Medical Aid Name

Medical Aid Main Member

Doctor Name

Doctor's Address

Doctor Telephone Number

Medical Condition

Special Problems Requiring Counseling

Dexterity of Learner Right HandedLeft HandedAmbidextrous

Reg. Social Grant YesNo

Rec. Social Grant YesNo

Siblings Information

Number of Other Children at This School [number siblings-count placeholder "Number of Children" min:0]

Position in the Family (e.g. First)

Sibling 1 Name Sibling 1 Grade

Sibling 2 Name Sibling 2 Grade

Sibling 3 Name Sibling 3 Grade

Parent / Guardian Information

Please complete a separate parent form for each parent living at a different physical address.

Title

Initials

Surname

First Name

Gender MaleFemale

Home Language

Race

Identification Number

Passport Number

Account Payer YesNo

Residential Street Address

City/Suburb

Postal Code

Occupation

Employer

Surname of Spouse

First Name of Spouse

Occupation of Spouse

Learner Resides with This Parent YesNo

Spouse ID Number

Relationship to Learner

Marital Status of Parent

Correspondence Details

Title

Surname

Postal Address

City/Suburb

Postal Code

Other Contact Details

Home Telephone

Work Telephone

Fax Number

Cell Number

Spouse Work Telephone Number

Spouse Cell Number

E-Mail Address

Spouse E-Mail Address

Required Document Uploads

Please upload the following documents to complete your application. All documents are required upon acceptance.

1. Copy of Immunisation Records

2. Copy of Birth Certificate

3. Progress Report from Previous School

4. Transfer Letter from Previous School

Declaration & Signature

I hereby declare that to the best of my knowledge, the above information as supplied is accurate and correct.

Name of Parent / Guardian (Please Print)

Signature of Parent / Guardian

Date

I hereby confirm that all the information provided in this application form is accurate and correct to the best of my knowledge.

POPIA Consent: I hereby consent to Grace and Favour Christian Academy collecting, storing, and processing my personal information and that of the learner as provided in this application form, in accordance with the Protection of Personal Information Act (POPIA), Act 4 of 2013. I understand that this information will be used solely for the purposes of the learner's application, enrollment, and administration, and will not be shared with any third parties without my consent, except where required by law. I acknowledge that I have the right to access, correct, or request the deletion of my personal information at any time by contacting the school's Information Officer.

Grace & Favour

ACADEMY

ADMISSIONS

Administrative Information

Learner Personal Information

Learner Contact & Address Details

Learner Background Information

Previous School Information

Previous School Information

Learner Medical Information

Siblings Information

Parent / Guardian Information

Correspondence Details

Other Contact Details

Required Document Uploads

Declaration & Signature