Application Form 2018 - royalschools.co.za

1 B.) LEARNER S EDUCATIONAL DETAILC urrent school: Previous school:Telephone no: Telephone no: Last grade passed: Year: Grade/s repeated:Has admission to any other school/s ever been refused? If yes, please state reason. Have you as parent/guardian been called to school for discipline issues? If yes, please state reason (current school) (previous school) (if any)A.) LEARNER S DETAILA dmin numberSurnameFirst names(in full)Name to be calledID/Passport cell and classHome languageReligionCountry of birthEthnic group Signature - FatherSignature - Mother (office use) (applied for) (if not SA)Postal codePostal codeIni alsPostal codeSurnameFirst namesPostal addressEmployerOccupa onWork addressSurnameFirst namesPostal addressEmployerOccupa onWork addressTitleID/Passport numberHome addressPhone: HomeWorkCellEmail addressRela on to learnerTitleID/Passport numberHome addressPhone: HomeWorkCellEmail addressRela on to learnerFather / GuardianMother / GuardianPostal codePostal codeIni alsC.

2 FAMILY DETAILP ostal codeMotor vehicle Bus Taxi Bicycle Walk Means of transport to/from school:Royal SchoolsAPPLICATION FORADMISSION Grade:Year:20 Royal Schools Alberton - Cnr. JG Strijdom & Kliprivier, Albertsdal Royal Schools Sky City - Cnr. Lemon Shark & King sh, Watervalspruit Tel: 011 100 5840 | email: 076 341 5013 | email: Schools Princess Park - 614 Pretorius Str, Arcadia Tel: 012 324 1069 | email: Schools Queens Private - 310 WF Nkomo Str, Pretoria West Tel: 012 327 6714 | email: Transfer document once available Proof of household income Two recent colour photos of learner Copy of learner s final progress report once available Proof of registra on fee payment Copy of learner s latest progress report Completed debit order form (if applicable) (ID size) Copy of birth cer ficate / ID document Subject choice form (FET Phase: Gr 10-12) Copy of learner s vaccina on records (if available)Sec ons 1-14 completedand signed Copy of learner s residence / study permit (if foreign)A ercare applica on (if applicable) Copy of parent s / legal guardian s ID documentOther DOCUMENTS / INFORMATION REQUIREDP lease ck which school you applying forGerman measlesMeaslesChicken poxMumpsDiphtheriaHAS THE LEARNER EVER HAD ANY OF THE FOLLOWING DISEASES?

3 TBAsthmaDiabetesEpilepsyUlcerMigraineTon silsHeart diseaseHAS THE LEARNER EVER BEEN TREATED FOR THE FOLLOWING?Postal codeMedical aid:Medical aid number:Main member s name:Main member s ID no:Main Membership Postal address:Main member s Work number:Main member s Cell number:LEARNER S DETAILS urname: Full names:F.) DETAILS OF ANY OTHER CONTACT IN THE CASE OF AN EMERGENCYRela on to learner:Tel (h): Tel (w): Cell:Email address (please write legibly): IS THE LEARNER ON ANY CHRONIC MEDICATION? PLEASE THE LEARNER HAVE ANY ALLERGIES? PLEASE THE LEARNER EVER HAD ANY OPERATIONS? PLEASE alsPostal codeSurnameFirst namesPostal addressWork addressID/Passport numberTitleHome addressPhone: HomeWorkCellEmail addressD.

4 PERSON RESPONSIBLE FOR ACCOUNT E.) LEARNER MEDICAL INFORMATIONPLEASE SUBMIT A COPY OF YOUR MEDICAL AID CARD (FRONT AND BACK)Signature _____ Main Member DATER eceiptNumberRAMOUNT PAID/ / 20 DATE:SignatureAUTHORISED BYSTUDENT NUMBERGRADE & CLASSYEARS IN GRADE ABOVEACCEPTEDACCEPTEDREMARKSOFFICE USEName123 Date of BirthAgeGradeName of School or Ins tu onG.) BROTHERS AND SISTERSM otherFatheror BothDivorcedWidowerMarried but live apartH.) MARITAL STATUS OF PARENTSM arriedWidowIf Divorced - Children in custody ofPlease note that registra on is only confirmed when the applica on has been authorised by the applicant will receive a le er if they have not been accepted for final admission to Royal ) AGREEMENT BETWEEN ROYAL SCHOOLS AND THE UNDERSIGNEDD eclara on and UndertakingI declare that the par culars furnished on this form are true and correct, and I undertake to comply with the rules, regula ons and decisions of the school, and any amendments thereto, which may be applicable to students and parents in general.

5 I declare that I have perused the applicable school rules and policies and understand the contents thereof and accept it as binding on myself and the learner FeesI have read, understood and accept the financial policy of the school. I accept full responsibility for all amounts due to the school and I agree to pay the school fees strictly according to due dates, failing which the account will be handed over to debt collectors (90 days overdue).The Registra on fee is hereby grant permission for my child to be photographed par cipa ng in class projects and events and for the photographs to be included on the school s website, Facebook and other electronic and social hereby give permission that he/she may a end any excursion organised by the school with the permission of the principal. I understand that he/she will some mes have to travel by bus or taxi to different venues of educa onal value.

6 These trips will have to be paid for when organised. The school will use the best transport available at the lowest cost. I accept that the school will take the necessary precau ons to ensure the safety of my child. I will however, not hold the school responsible in case of an accident, loss of limb or life, or any other damages to her/his person or property. I also understand that this arrangement is necessary because it is some mes difficult to get hold of parents to sign a le er of consent before a trip can take place. In such instances the child is unfairly prevented from a ending a trip. Royal Schools ValuesI undertake to uphold the values of Royal Schools whenever I am involved in school related func ons or ac vi es. I will also be available to a end parents' mee ngs and func ons to support the educa on of my child. I will respond meously to le ers, e-mails, SMS's and calls made by the Schools hereby undertakes to offer quality teaching and other services of a high standard to the best of our / Legal GuardianMother / Legal Royal Schools DATE DATE DATES urnameFirst names(in full)ID/Passport namesGenderGrade and classPERSON RESPONSIBLE FOR ACCOUNT: LEARNER INFO:5.

7 Workplace Work tel no: E-mail address: ..6. Are you a home owner?7. Do you live in your own home?8. If not, do you rent a living space?9. Physical address of where you ..10. How long have you lived at this address? if shorter than 6 months give previous address ..12. Are you insolvent or have you ever been insolvent?13. Have you ever been blacklisted?Office use:Full credit check done by: ren ng a living space, give contact details of and Surname:..Address:..Contact no:..HouseFlatSecurity estateOtherPhysical address of your home: ..DYesNoYesNoYesNoYesNoYesNoDMMYYYYC redit CheckDate:Royal SchoolsPlease supply us with the following informa on. This informa on will be handled confiden ally, and will only be usedfor Royal Schools make sure this informa on reaches the school by either a aching it to this document, sending it electronically,faxing it to the school or sending it by post.

8 The informa on must be clearly marked to be able to be iden fied by the school. The applica on cannot be processed without this informa following informa on will be:A achedMailedFaxedPosted1. Salary advice (latest)2. 1 x month bank statements (latest)3. 1 x credit reference (provide copy of latest statement) eg. Edgars, motorcar, credit card4. Water and lights account (latest)MONTHLY HOUSEHOLD INCOME BEFORE TAXLess than R50 000R50 001R100 000R100 001R150 000R150 001R200 000R200 001R250 000R250 001R300 000R300 001R350 000 R350 001R400 000R400 001 R423 000R423 001R500 000 More than R500 000 Royal Schools Alberton - Cnr. JG Strijdom & Kliprivier, Albertsdal Royal Schools Sky City - Cnr. Lemon Shark & King sh, Watervalspruit Tel: 011 100 5840 | email: 076 341 5013 | email: Schools Princess Park - 614 Pretorius Str, Arcadia Tel: 012 324 1069 | email: Schools Queens Private - 310 WF Nkomo Str, Pretoria West Tel: 012 327 6714 | email: ck which school you applying for