LEARNER INFORMATION. Surname: Official Name(s): Preferred Name: Date of birth Sex Commencement date: Religion Learner lives with – Mother Father Both Allergies Dietary requirements: Any special needs/learning difficulties/disabilities: Xxxxx score at birth: Medical Aid name: Medical Aid number: Main Member: Scheme: Name of Family Doctor: Contact No: 12:45pm 2pm 3pm DAYS ATTENDING PER WEEK: 3 days (under 3 only) 5 days
LEARNER INFORMATION. Age group for Pre-R (4 turning 5) Age group for Grade R (5 turning 6)
LEARNER INFORMATION. All learners are made aware of the Complaints Procedure as part of their course induction, and they are also advised of this in the Learner Handbook. The aim is to make it as easy as possible for learners to raise any concerns or dissatisfaction with Qualtec’s services, training delivery or learner supports so that matters can be dealt with promptly and courteously.
LEARNER INFORMATION. Name: Address: Postcode: Contact Telephone: Date of Birth: Parent / Carer Names(s) Address: Contact Telephone:
LEARNER INFORMATION. (as reflected on identity document or birth certificate) First Name/s in full: Preferred name: Date of Birth: Identity number: Country of birth: If not born in SA, date of entry to SA: Passport number: Study Permit / SA Qualifications Authority permit number: Religious denomination: Home language: Learner’s cell phone number (if available): Race: Name, address, telephone and fax number of present school: Present grade: Language of instruction at present school: First additional language at present school: Grade applied for: Cultural activities participated in at present school: Sports activities participated in at present school: Leadership positions at present school:
LEARNER INFORMATION. All learners are made aware of their right to appeal the results of any assessment as part of the course induction and also in the Learner Handbook.
LEARNER INFORMATION. (as reflected on identity document on birth certificate) First Name/s in full Preferred name Date of Birth Identity number Country of birth If not born in SA, date of entry to SA Passport number Study Permit / SA Qualifications Authority permit number Religious denomination Home Language Learner’s cell phone number (if available) Race Name, address, telephone and fax number of present school Present grade Language of instruction at present school First additional language at present school Grade applied for Cultural activities participated in at present school Sport activities participated in at present school Leadership positions at present school
LEARNER INFORMATION. Required Grade (The Grade you are applying for) Date of Application (YYYY / MM / DD) First-time registration in Western Cape Yes No First Name Second Name Surname Learner’s ID Number: Date of Birth Learner’s CEMIS Number: Gender Male Female Population group Black/African Coloured Indian/ Asian White SA Citizen YES NO Undocumented SA / Foreign learner YES NO Is the address the same as the primary parent’s? YES NO Home address (where learner currently resides) Address type Street Flat Farm Plot Address no. Street name Building / Complex /Apartment name Town Suburb Reason for Application Learner Not promoted Better prospects Highest Grade Reached New registration Serious Trauma or issue at Previous School (Proof required) Transfer from SNE to Public Ordinary school Name of the last school attended Year Are you relocating to the Western Cape (WC) from another province? YES NO If yes, write down the name of the province. Are you relocating to the WC from another country? YES NO If yes, write down the name of the country. Language of Learning and Teaching (LOLT) AFR ENG XHOSA SESOTHO TSWANA Do you wish to apply for learner transport? (Applicable to mainly rural areas at schools using the WCED learner transport schemes) YES NO
LEARNER INFORMATION. Surname: Official Name(s): Preferred Name: Date of birth Age Religion Commencement date: Learner lives with – Mother Father Both Allergies Dietary requirements: Any special needs/learning difficulties/disabilities: Xxxxx score at birth: Medical Aid name: Medical Aid number: Main Member: Scheme: Name of Family Doctor: Contact No: 2pm 3pm DAYS P/WEEK I.D number: E-mail: Tel Home: Tel Work: Cell no: Occupation: Name of Business: Person responsible for payment of fees Full Name: Address Residential: Postal: Occupation: ID number: Name & address of business: Tel Home: Tel work: Fax: Cell: Email address: Name: Relationship: Tel Home: Tel work: Cell: I undertake to comply with all the rules & regulations of the School and acknowledge that it is my responsibility to make myself familiar with the policies by reading the Jolly Dee’s Nursery School Parent’s Handbook. (Handbook will be handed out on acceptance at the school) I undertake to advise the School in writing of any changes to the details supplied on this agreement. I acknowledge that I will undertake to supply one full term or four months written notice upon the withdrawal of my child from the school. This notice is to be given the term preceding the term of withdrawal. Failure to do so will result in me being liable for the full terms fees in question, whether or not my child attends school during that term. Full name: Signature: Date: DATE RECEIVED: / / COMMENCEMENT DATE : AGE GROUP: REGISTRATION FEE PAID: Date:
LEARNER INFORMATION. Xxxxxxx’s Name and Surname: Proposed Grade of Entry: Proposed Year of Entry: Date of Birth: Present Age: Gender: BOY GIRL Home Language: Religion: Previous School: Tel No. Previous School: Medical Aid: Medical Aid No: Doctor’s Name: Doctor’s Tel No: Number of Children in Family: Position of Learner in Family: I/We have the following learners at: (*Provide Name and Surname and School) Arbor Pre-Primary Arbor Primary Other (specify) 1.
