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ADMISSION

Online Application

Previous School
Name of Previous School
Telephone Number
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent / Guardian / Sponsor Information
Information of person responsible for account
Relationship to learner*
Full Names*
Prefix Name(s) Surname
I.D. No.*
Home Telephone Number
Cellphone Number*
Work Telephone Number
Fax Number
Email Address*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Postal Address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation*
Name of Employer*
Work Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer's Telephone Number*
Marital status of parents*

Parent / Guardian / Sponsor Information
Information relating to 2nd parent or other person responsible for learner
Relationship to learner*
Full Names*
Prefix Name(s) Surname
I.D. No.*
Home Telephone Number
Cellphone Number*
Work Telephone Number
Fax Number
Email Address*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Postal Address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation*
Name of Employer*
Work Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer's Telephone Number*
Marital status of parents*
Names of other children (siblings) in this school
Please supply full name, surname and grade below:
Name and Surname Grade

Click on the "plus" icon next to the grade to add more siblings.
Medical Information
Name of Medical Fund
Membership number
Name of Principal member of medical fund
I.D. No. of Principal member of Medical Fund
Does your child have any allergy, including allergy to medication, tendency towards abnormal bleeding, epilepsy, etc.
- No
- Yes
Please state
If the learner is not on a Medical Aid, please complete the following information:
Name (in full) of Parent or Guardian responsible for account
I.D. Number
Marital status*
Annual family income
Number of persons in household
Father
Please enter a number from 1 to 20.
Mother
Please enter a number from 1 to 20.
Children
Please enter a number from 1 to 20.

Church Information
Is the learner a baptized member of the Seventh-Day Adventist church?*
Is the parent/guardian a baptized member of the Seventh-Day Adventist church?*
If “no”, which religious denomination does the parent/guardian belong to?
Declaration*
I hereby declare that to the best of my knowledge, the above information as supplied is accurate and correct.
Name of Parent / Guardian
Name Surname

Documentation Upload
Please upload the following documentation. Allowed formats are PDF and jpg. Maximum file size is 2MB per upload.
Application fee proof of payment*
Accepted file types: jpg, pdf.
Certified copy of ID or Birth Certificate*
Accepted file types: jpg, pdf.
Certified copy of ID for parent / guardian*
Accepted file types: jpg, pdf.
Parent / sponsor & learner contract*
Accepted file types: jpg, pdf.
Transfer Letter
Accepted file types: jpg, pdf.
Testimonial form
Accepted file types: jpg, pdf.
Copy of Medical Aid Card (if applicable)
Accepted file types: jpg, pdf.
Comments
This field is for validation purposes and should be left unchanged.

Name and Surname	Grade