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Norwood Primary School

Wisdom is Supreme

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Norwood Primary School

Wisdom is Supreme

Home
About
Contact
Admissions
Notices & Events

Apply

Complete Application

Learner Information

Grade Applied For: *

Highest Grade Passed *

Year When Grade was passed *

Accession No. *

Surname *

First Name *

Initials *

Nick Name

Other Names:

Date of Birth *

Gender *MaleFemale

Race *BlackWhiteColouredAsianOther

Identification or Passport Number *

Country of Residence *

Citizenship: *

If South African Indicate province of residence

Physical Address *

City *

Province *

Code *

Country *

Home Telephone *

Emergency Telephone *

Learner Cell *

Learner Email Address

Home Language *

Preferred language of instruction *

Boarder *YESNO

Does the child have a parent who has passed away? *YesNoBoth

For Grade 1 only: Indicate pre-primary education *FormalNon-FormalNone

Previous School Information

Name of Previous School *

Previous School Address *

City *

Province *

Code *

Country *

Learner Medical Information

Medical Aid Number

Medical Aid Name

Medical Aid Main Member

Doctor Name

Doctor Telephone Number

Doctor Address

City

Province

Code

Country

Medical Condition

Special Problems Requiring Counseling

Reg. Social GrantYESNO

Rec. Social GrantYESNO

Dexterity of LearnerRight HandedLeft HandedAmbidextrous

Supporting Documents

Copy of Immunisation Records *

No file chosen

Copy of Birth Certificate *

No file chosen

Progress Report from Previous School *

No file chosen

Transfer Letter from Previous School *

No file chosen

Copy of parent identity document *

No file chosen

Siblings at Norwood Primary School

Number of other Children at this school

Position in the family

Name

Grade

Name

Grade

Name

Grade

Guardian or Parent Information

Title *

Initials *

First Name *

Surname *

GenderMaleFemale

Home Language *

Race *BlackWhiteColouredAsian

Identification Number or Passport

Account PayerYESNO

Residential Address

City

Code

Employer Name *

Parent Occupation *

Surname of Spouse *

First Name *

Occupation of spouse *

Learner resides with this parent/s *YESNO

Spouse Identity Number *

Relationship to Learner *

Marital Status of parent *

Contact Information

Name *

Surname *

Postal Address *

City *

Postal Code *

Payer Contact Details

Home Telephone *

Work Telephone *

Spouse Work Telephone Number *

Spouse Cell Number *

Fax Number *

Spouse Email Address *

E-Mail Address

Consent

Declaration *

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

Name of Parent/Guardian

Nature of Parent/Guardian

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Made by Luntu Mbusi (Qsun Pty Ltd) Mbusiarthur@gmail.com 081 360 6599