Online Application

Child Details

Name of Learner

Date of Birth

Child's ID number

Year applying for

Year of entry to grade One (the year they turn 7 years old)

Population Group
(required by the Western Cape Education department for CEMIS)

Gender
BoyGirl

Proposed Primary School

SA Citizenship
YesNo

[group group-nationality]
Nationality

[/group]

Religion

Home Language

Place in family

of

Name of Current School

Parent/Guardian Details

Parent 1 (person completing form)
MotherFatherGuardian

Surname

First Names

ID Number

Place of Residence/Address

Home Telephone Number

Work Telephone Number

Cell Phone Number

Email Address

Occupation

Employer

Marital Status

Parent 2
MotherFatherGuardianN/A

[group group-Parent-2-details]

Surname

First Names

ID Number

Place of Residence/Address

Home Telephone Number

Work Telephone Number

Cell Phone Number

Email Address

Occupation

Employer

Marital Status

[/group]

Title (Honorific)

Next of Kin (emergency contact other than parents)

Name

Contact Number

Relationship to child

School Correspondence

Please indicate who is to receive:

School Report
Parent 1Parent 2Guardian
School Account
Parent 1Parent 2Guardian
Email Communication
Parent 1Parent 2Guardian

Kildare Information (if applicable)

Name of siblings/past who attended Kildare

Year

Supporting Documents

Please make use of the upload function to submit all supporting files/documents with your application. Applications WILL NOT be processed if these documents are not received.
Upload 1: Photo of learner (JPEG, JPG)

Upload 2: Copy of learners ID or South African Passport | Copy of parent(s) ID | Proof of residence (JPEG, JPG, PDF)

Registration Fee

A R200 non-refundable registration fee is payable within 2 working days of submitting your application. Please note that applications will not be processed if this fee has been received within the specified time frame

Acceptance

Parent 1 Name and Surname

Parent 2 Name and Surname

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