Grade: Year: LAERSKOOL NELSPRUIT

1 Grade: Year: YesNoYesNoTitleInitialsDoctor Emergency contact numberEmergency contact personMedical aid nameMain member detailsMedical DetailsTelephone numberMedical aid numberOther brother(s) and/or sister(s) in LAERSKOOL NELSPRUIT who share the same account numberFirst NamesSurnameAdmission numberGradeHome telephone numberOther contact person at a different addressRelation to the childSurnameCellphone numberE-mail addressE-mail addressPhysical address: Domicilium citandi Postal addressCellphone numberWork telephone numberCellphone numberEmployerEmployerWork telephone numberHome telephone numberPassport numberRelation to childOccupationOccupationFirst NameTitleRelation to childSurnameID NumberTitleInitialsSurnameID NumberPassport numberSurnameIs the father responsible for the account?Previous schoolSexFull Names LAERSKOOL NELSPRUIT Application for admissionInitialsNickname ID numberParent marital statusGeneral details of the childHome languageDate of enrollmentPassport numberContact numberInitialsFather / Guardian (person with whom the child resides) Mother / Guardian (person with whom the child resides)First NameEthnic groupReport card languageReligionIs the mother responsible for the account?

2 Date of birth Parents with a combined annual gross income of between ten and thirty times the school fees will qualify for conditional exemption based on a scale provided by the is only awarded for the current year . Parents are compelled by law to apply personally for the exemption of school fees at the beginning of each new completion and submission of the application form does not guarantee acceptance into LAERSKOOL application from must be completed in full and all relevant documents must be attached. This is a legal and binding document. No areas must be left open or Schoolfees for 2016 amount to R9995 per child per annum. School fees for 2017 are determined at the annual budget meeting that will be held in October 2016. LAERSKOOL NELSPRUIT is NOT a NO-FEE school and parents will be expected to pay the applicable school fees. Failure to make payment will result in the Governing Body1.

3 That the Governing Body / Principal has informed me of the yearly school fees that are payable per learner. 2. The Governing Body / Principal has informed me that I am obligated to pay school fees, unless I have applied for full and/or parcial exemption of school That the Governing Body / Principal has informed me that I am entitled to apply for exemption of payment of school I accept that it is my responsibility to apply for exemption of school fees every year , timeously and in by the undersigned:If the combined annual gross income of both parents is less than ten times the annual school fees per learner, the parent qualifies for full exemption of the Parents whose combined annual gross income is more than thirty times the annual school fees, do not qualify for exemption. crossed out . No tippex is fees are calculated pro-rata and is payable in 10 equal payments commencing within the first month of attending school.

4 Instituting the necessary legal action with of education is Afrikaans or English as indicated on the application Preference will be given to brothers and sisters of children already enrolled at LAERSKOOL Learners who's parents are permanently employed within the natural feeding area of LAERSKOOL NELSPRUIT and who's mother tongue is Afrikaans or Learners permanently residing with their biological parents as prescribed by the SASA within the natural feeding area of LAERSKOOL NELSPRUIT . The chosen 5. Learners who's parents are permanently employed within the natural feeding area of LAERSKOOL NELSPRUIT and the chosen medium of education is Afrikaans or6. Learners who reside outside the natural feeding area of LAERSKOOL NELSPRUIT who's mother tongue or chosen medium of education is Afrikaans or English, with the English as indicated on the application School's admission criteria is as follows : The information captured on this form will be regarded as true and correct.

5 By giving any false information on this form, this application will become null and that the application be accepted on merit and not on a first come first served school AGREEMENTThe application will not be processed if all the documents are not attached to the application - NB!5. I agree that all formal communication and legal writings or pleadings may be done via my email as stated That I will inform the school in writing should I not have access to electronic Over and above my mentioned e-mail adress, my physicall address will serve as the Domicilium citandi. I will inform the school in writing should my address NAME AND SURNAME OF PARENT/GUARDIAN2. Preference will be given to children who permanently reside with their parents within the feeder area of the school and who's mother tongue is Afrikaans or OF PRINCIPALSIGNATURE : PARENT / GUARDIANE-MAIL ADRESS : PARENT / GUARDIANI mmunisation record / cardFor office use onlyClassDate of enrollmentSASPACB irth certificateTransfer cardID - ParentsLast reportProof of residenceLearner profile receivedID photo (Only applicable to Gr 1 and new applications)Learner profile sentPAYMENT OF SCHOOL FEESSOUTH AFRICAN SCHOOLS ACT, NO.

6 84 OF 1996 - REGULATIONS FOR THE EXEMPTION OF PARENTS FROM