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Registration Form 2024

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63 views4 pages

Registration Form 2024

Uploaded by

momomajola956
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMIS: 700400752

HIGH SCHOOL
GRADE R - 12
REFUSE TO BE ORDINARY
ADDRESS: 27 CLINTON ROAD,NEW REDRUTH ALBERTION 1449
TEL: 011 869 6387
EMAIL: [email protected]
WEBSITE: www.centralcollegehigh.co.za

PRIMARY SCHOOL

REGISTRATION FORM
COMPULSORY
DOCUMENTS
FOR REGISTRATION

REFUSE TO BE ORDINARY

1. Annual levy fees payment and receipt.


2. Birth certificate / Passport or affidavit if you lost
your document.
3.ID / Passport copies for both parents/guardians.
4.Proof of income of the persons responsible for the
payment of fees.
5. Proof of residence address.
6.Signed:
a. Application form
b. Contract agreement for school fees.
c. Learner code of conduct.
d. Bank approved stop order form.
7. Documents from your previous school:
a. Report
b. Transfer card
c. Learner profile

Please note! For your registration to be approved,


all compulsory documents must be attached to your
application form.
REGISTRATION INFORMATION Year

Note: This form must be completed in full.


All changes to be initialed or signed by parent / guardian.

Learner Tracking No: Admission No: Date:


Additional support needs (ASN) Status:

Learner entered this school in:


Current grade: Learner progressed to this grade: Year in grade:
Class: Phase:

LEARNERS INFORMATION
Surname:
Name: Initials:
Second Name: Nick Name:

IDENTIFICATION DETAILS
Date of birth: Year: Month: Day:
Gender: Male: Female: Religion:
Race: Citizenship Identification/ Passport No:
Country of residence: Province of residence for SA:

CONTACT DETAILS
Physical address: City / Suburb:
Code: Home Telephone: Emergency Telephone:
Learner cell no: Learner email address:

OTHER INFORMATION
Home Language:
Deceased Parent: Mother: Father: Both: Mode of transport:

PREVIOUS SCHOOL INFORMATION


Previous School Name: Province:
Country: Code:

MEDICAL INFORMATION
Medical aid number: Medical aid Name: Medical aid Member:
Doctor Name: Doctor Address:
Doctor’s Telephone: Medical Condition:
Special problems requiring counseling:
Dexterity of learner; Right handed Left handed: Ambidextrous:

The following learner documents must be submited to the school: DOCUMENTS


1. Copy of Immunisation records. 2. Copy of birth certificate
3. Progress report from previous school. PRIMARY SCHOOL
4. Transfar letter from pervious school.

Reg. Social Grant: Yes No

REGISTRATION FORM CCHS


PARENT DETAILS
Title: Surname: Name: Initials:
Surname of spouse: Name: Initials:
Gender: Male Female

CONTACT DETAILS
Physical Address: City/Suburb: Code:
Home Telephone: Work Telephone: Cell Number:
Spouse cell Number: Spouse work Telephone Number:
Email address: Spouse email address:
Gender: Male Female

IDENTIFICATION DETAILS
Identification or Passport No: Spouse ID No:
Marital Status of Parent:

OCCUPATION DETAILS
Occupation: Employer: First Name:
Occupation of spouse: Employer: First Name:

Account Payer: Yes No

Relationship to Learner

I hereby declare that the above information furnished above is true, complete
and correct to the best of my knowledege.

Name of Parent / Guardian ( Please print ):


Signature of Parent / Guardian:
Date:

Office use only:

1. Date 2. Accepted:

3. Rejected: 4. Reason for Rejection:

5.Documentation Received 6a. Immunisation Record: 6b. Birth Certificate:

6c. Progress Report from previous School: 6d. Transfer Letter from previous School

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