Online Application Form: Or click here to download the application form Step 1 of 7 14% Learners Details:Learner's*FirstLastGender*MaleFemaleDate of Birth (dd/mm/yyyy)*DDMMYYYYNationality*Learner's ID Number*Home Language*General Health Status?*Number of Children in Family?*Position in family?*Grade applying for?*Grade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Has the learner repeated a Grade*YesNoRepeated Grade?*Year?*Reasons for repeating the grade*Aftercare*YesNoParent Surname*Parent Marital Status*MarriedSingleDivorcedEngagedWiddowMedical Details:Doctor's NameTelephone NumberMedical AidMedical Aid Contact Number Father's Details:Title*MrDrInitials*Father's*FirstLastCellphone Number*Telephone NumberEmailID/Passport Number*OccupationCompany you work forCongregationConference Mother's Details:Title*MisMsInitials*Mother's*FirstLastCellphone Number*Telephone NumberEmailID/Passport Number*OccupationCompany you work forCongregationConference Alternative GuardianGuardian 1FirstLastRelationship to ChildContact NumberGuardian 2FirstLastRelationship to ChildContact Number Other DetailsResidential Address*Street AddressAddress Line 2CityZIP / Postal CodeResidential address same as Postal?*YesNoPostal AddressStreet AddressAddress Line 2CityZIP / Postal Code Finances:Payment Agreement*MonthlyPer TermAnnuallyPerson responsible for school fees?*FatherMotherOtherNameFirstLastAddressStreet AddressCityZIP / Postal CodeEmailContact Number File Uploads:How do you wich to send the required files?*Per Email?Upload on this form?If you select 'Per Email' you will have to email the required documentation to firstname.lastname@example.org. You can also upload all the required files on this form. Just select 'Upload on this form'.FileDrop files here or Only 10 Files allowed. If the upload fails please email reguired files to email@example.com.Are you human?