2015 Advanced Programmes Entry Form: (Please tick √) AP A P English AP
Afrikaans Mathematics
If you are registering for Advanced Programme Mathematics: Please indicate (√) the Module:
Statistics Finance and Modelling Matrices and Graphs
Entry Form for School Candidates
Name of School :
Personal details of a learner
Surname :
First Names :
Language Gender (Tick appropriate block)
A E (Tick appropriate block) F M
: :
Cellular Number :
E-mail address :
Race :
Date Of Birth : YYYYMMDD
Identity Number :
Identity Type : (i.e RSA, Botswana)
Immigrant : YES NO (Tick appropriate block)
ADDRESS TO WHICH RESULTS AND CERTIFICATE MUST BE SENT:
CODE:
This entry form must be completed and returned to the IEB before 31 March 2015. The registration fee of R710 (inc)
per subject must accompany this form. Please note that the fee is non-refundable. Use your school name as
reference when making payment.
Name of Account Holder: IEB
Applications must be addressed to: Name of Bank: Standard Bank
Branch Name: Parktown
Manager: Entry and Resulting Branch Code: 00 03 55
Account Number: 200 831 313
IEB
P O Box 875
HIGHLANDS NORTH
AP
2037
___________________ ___________ __________________ _____________
Signature of candidate Date Signature of Principal Date
AP