2018 Information Form

Rosebank primary School 2018 Information form SCHOOL DETAILS: Gauteng registration (EMIS) number: 700151456 Type of School: Sectional 21 DATE OF APPLICATION: _____ GRADE APPLYING FOR: _____ DETAILS OF LEARNER: Gender (Boy or Girl): _____ Date of Birth: _____ Surname: _____ First Names: _____ Identity Number: _____ Nationality: _____ Home Language: _____ Passport Number: _____ Name of Previous School: _____ Tel No of Previous School:_____ Address of Previous School: _____ Fax No of Previous School: _____ First Additional Language Choice (Grade 4 7 only): _____ (Afrikaans or Zulu) SIBLING Information : (cousins are not siblings) Name of Brother/Sister at Rosebank: _____ Grade: _____ Sports House: _____ ADDITIONAL Information : Deceased parent: Mother: _____ Father: _____ Both: _____ With whom does your child reside (parents, mother, father, grandparent, guardian)? _____ Mode of Transport: _____ ( Taxi, Public, Private, Walk) Any Information that you feel the school should be made aware of?

Rosebank Primary School 2018 Information Form SCHOOL DETAILS: Gauteng registration (EMIS) number: 700151456 Type of School: Sectional 21 DATE OF APPLICATION: _____ GRADE APPLYING FOR: _____

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