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Please complete this form in full, fields marked with a
*
are required.
Proposed Start Date Term :
*
Please choose...
Term 1
Term 2
Term 3
Term 4
Of Year :
*
Please choose...
2024
2025
2026
2027
2028
2029
2030
2031
2032
Grade/Class Applying For
*
Please choose...
Early Childhood
Lower Elementary
Early Childhood
Lower Elementary
Upper Elementary
Upper Elementary
Upper Elementary
Pre-primary
3-6, 6-9,
9-12
Grade 7
Proposed Start Date :
STUDENT DETAILS
Student's First Name
*
Student's Last Name
*
Student's Preferred Name (optional)
Student's Mobile Number
Student's Email Address(optional)
Student's Gender
*
Male
Female
Student's Date Of Birth
*
Please choose a day...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please choose a month...
January
February
March
April
May
June
July
August
September
October
November
December
Please choose a year...
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Student's ID or Passport Number
*
Nationality
*
Please choose...
Algerian
American
Angolan
Argentine
Asian
Australian
Austrian
Bangladeshi
Barbadian
Belarus
Belgian
Bosnian
Botswanan
Brazilian
British
Bulgarian
Cameroonian
Canadian
Chilean
Chinese
Colombian
Congolese
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Dominican
Dutch
Egyptian
Eritrean
Estonian
Ethiopian
Filipino
Finnish
French
Gabonese
Gambian
German
Ghanaian
Greek
Guineenne
Hongkonger
Hungarian
Icelandic
Indian
Iranian
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Kenyan
Korean
Kuwaiti
Latvian
Lebanese
Lesotho
Liberian
Libyan
Malawian
Malaysian
Malian
Maltese
Mauritian
Mexican
Mozambican
Namibian
New Zealander
Nigerian
Norwegian
Pakistani
Polish
Portuguese
Romanian
Russian
Rwandan
Saudi
Senegalese
Seychellois
Singaporean
Slovakian
South African
Spanish
Sri Lankan
Sudanese
Swazi
Swedish
Swiss
Taiwanese
Tanzanian
Thai
Tunisian
Turkish
Ugandan
Ukrainian
Unknown
Uruguayan
Venezuelan
Vietnamese
Zambian
Zimbabwean
Right or Left Handed
Please choose...
Ambidextral
Right
Left
Unknown
Race
*
Please choose...
Asian
Black
Coloured
White
Other
Religion
Please choose...
Atheist
Bahai
Buddhist
Christian
Christian - AFM
Christian - Anglican
Christian - APK
Christian - Apostolic
Christian - Assembly of God
Christian - Baptist
Christian - Bretheren
Christian - Church of England
Christian - Church of Ireland
Christian - Congregational
Christian - Dutch Reformed
Christian - Episcopalian
Christian - Full Gospel
Christian - Greek Orthodox
Christian - Interdenominational
Christian - Korean
Christian - Lutheran
Christian - Methodist
Christian - New Apostolic
Christian - NG Kerk
Christian - Orthodox
Christian - Pentecostal
Christian - Presbyterian
Christian - Protestant
Christian - Roman Catholic
Christian - Russian Orthodox
Christian - Salvation Army
Christian - Serbian Orthodox
Christian - United Church
Christian - Zionist
Christian - Charismatic
Christian - Greek Orthodox
Confucius
Hindu
Humanist
Jehovah Witness
Jewish
Martha
Moravian
Mormon
Muslim
Nazarene
None
Other
Quaker
Sufi
Unitarian
Home Language
*
Please choose...
Afrikaans
Arabic
Bemba
Cantonese
Chichewa
Chinese
Croatian
Czech
Danish
Dutch
English
Finnish
Flemish
French
German
Greek
Gujarati
Hebrew
Hindi
Icelandic
IsiXhosa
Italian
Japanese
Kannada
Korean
Kwanyaha
Latvian
Lebanese
Losi
Mandarin
Marathi
Ndebele
Norwegian
Oshindonga
Polish
Portuguese
Russian
Sepedi
Sesotho
Setswana
Shona
Sinhalese
Slovak
Spanish
Swahili
Swedish
Tamil
Telugu
Thai
Tigrinya
Tswana
Turkish
Unknown
Urdu
Venda
Xitsonga
Yoruba
Zulu
Allergies
*
Allergy Action Required
Allergy Status
*
Please choose...
Not Applicable
Low Risk
High Risk
Compulsory Immunisations Up to date
*
Please choose...
Yes
No
Unsure
Medical Aid Scheme
Medical Aid Number
Primary Members Details
Disclose whether your child suffers from any of the following conditions:
Emotional Issues
Medical Conditions
Psychological Problems
Social Issues
Other
Please describe the condition(s)
Medicine Not To Be Administrated At School
SIBLINGS
Select Number Of Siblings
*
Please choose...
None
1
2
3
4
5
PARENT / GUARDIAN 1 DETAILS
Relationship To Student
*
Please choose...
Mother
Father
Grandmother
Grandfather
Step Mother
Step Father
Guardian
Aunt
Uncle
Title
*
Please choose...
Ms
Miss
Mrs
Mr
Dr
Prof
Rev
Lady
Sir
Capt
Col
Hon
Brgdr
Lord
Father
Canon
First Name
*
Last Name
*
Email
*
Home Phone Number
Mobile Phone Number
*
Work Number
Address
*
Did You Attend This School
Please choose...
Yes
No
If Yes What Year Did You Leave
PARENT / GUARDIAN 2 DETAILS
Would You Like To Add A Secondary Parent?
*
Please choose...
No - Parent Absent
No - Parent Deceased
Yes
OTHER CONTACTS
Doctor's Name
*
Doctor's Phone Number
*
Approved Pick Up Name
Approved Pick Up Phone Number
Their ID Number
Second Approved Pick Up Name
Second Approved Pick Up Phone Number
Their ID Number
Emergency Contact
*
Emergency Contact Phone Number
*
Second Emergency Contact
Second Emergency Contact Phone Number
Person Responsible For Account
*
Enter Their Mobile Number
*
Person Responsible Email Address
*
Upload a recent headshot of your child
Supported files : .jpg, .jpeg, .png
SUPPORTING DOCUMENTS
Student's Unabridged Birth Certificate
Supported files : .jpg, .jpeg, .png
Parent 1 ID / Passport
Supported files : .jpg, .jpeg, .png
Parent 2 ID / Passport
Supported files : .jpg, .jpeg, .png
School Report
Supported files : .jpg, .jpeg, .png, pdf, doc, docx
Proof Of Address
Supported files : .jpg, .jpeg, .png, pdf, doc, docx
Student Immunization Record
Supported files : .jpg, .jpeg, .png, pdf, doc, docx
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