Online Application

Complete the form below

NB: The application process takes about 8 minutes to complete. There is no auto-save function on this application, once you exit the application portal from the browser the application process wil restart. Ensure you have all the necessary documents and all the required information.

The application consists of 7 steps below –

14% – General Information
28% – Learner Information
42% – Previous School Information
57% – Learner Medical Information
71% – Siblings
85% – Parent/Guardian Information
100% – Correspondence details

Application year

Grade applying for

Highest Grade Passed

Year Passed

Accession No

Surname

First Name (s)

Initials

Nickname (If applicable)

Date of birth

Gender

Identification or Passport No

Race

Citizenship

Country of Residence

Other Country

If SA, indicate province of residence

Religion

Physical Address

City/Town/Suburb

Code

Home Tel

Learner Cell

Learner Email (@gmail/@outlook)

Home Language

Preferred Lang of Instruction

Boarder

Mode of transport

Deseased Parent

Name of previous school

Previous school address

Code

Province

Country

Other Country

Medical Aid Name

Medical Aid No

Doctor's Name

Doctor's Address

Doctor's Tel

Medical Condition

Special Problems Requiring Counseling

Dexterity of Learner

Reg. Social Grant

No of other children at this school

Position in the family

Full name(s) and surname (A)

Full name(s) and surname (B)

Full name(s) and surname (C)

Title

Initials

Gender

Full name(s)

Surname

Home Language

Race

Identification or Passport No

Account Payer

Physical Address

City/Town/Suburb

Code

Occupation

Employer

Surname of Spouse

Full name(s)

Occupation of Spouse

Spouse Idenfication No

Learner resides with this parent/s

Relationship to learner

Marital status of parent

Title

Surname

Postal Address

City/Town/Suburb

Code

Home Tel

Fax No

Work Tel No

Spouse work Tel No

Cell No

Spouse E-mail

I hereby declare that to the best of my knowledge, the above information as supplied is accurate and correct.

Name of Parent/Guardian (In full)