NEW BASIC APPLICATION FORM 2022 - dmv.gov.za

1 BASIC education NEW APPLICATIONS 2022 Closing Date:14 October to 10 December 2021 This form must be completed in full, failure to do so will result in disqualification and no further consideration for continuous education support will be allowed. All fields are compulsory Complete in CAPITAL LETTERS and black ink. Mark with X No e-mailed applications will be accepted No late forms will be accepted after the closing date Incomplete applications will be automatically disqualified Personal details First Names of Military Veteran (in full as per ID document) Surname of Military Veteran (in full as per ID document)

2 Military Veteran/Guardian Cell Number Force/ID number of Military Veteran Email Address: First Names of Learner (in full as per ID document) Surname of Learner (in full as per ID document) ID Number of Learner Alternative Cell Number Learner Disability Status (Mark X): If Yes, state Disability Disabled Yes No Learner Equity Status (Mark X).

3 Current Residential or Postal Address Post Code Name of School Type of School (Mark X): Private School is a Fee Paying/No Fee Paying (Mark X): School Physical or Postal Address in 2021: Post Code Contact number of Financial Officer: Email Address: Study Details.

4 Please indicate the Grade in 2021 Please indicate the Grade in 2022 Indicate the estimated years remaining in BASIC education from 2022 onwards ( 1-13 years) Have you ever received education Support from DMV (YES/NO) If YES, in which year and what Grade Grade: Year: Equity Status Male Female School Province Public Fee Paying No Fee Paying DECLARATION BY THE PARENT/GUARDIAN (COMPULSORY) I, the undersigned (Full Names) _____ am the Parent/Guardian of applicant whose details appear in this form; The completed content of the said form falls within my personal knowledge, unless stated otherwise and are both true and correct.

5 I further permit the department of Military Veterans to conduct verification of any information provided if required. _____ _____ DEPONENT SIGNATURE DATE IMPORTANT NOTICE ON education SUPPORT NB: Closing Date: 10 December 2021 All required documents must be certified and attached to the 2021 APPLICATION form (Certification must not be older than 3 months) Mandatory 1. Latest School results 2021 (final). Mandatory 2. Proof of acceptance/enrolment letter at the school for 2022. (Official Signed Letter) Mandatory 3. department of Military Veterans Database Verification Report (Both the Military Veteran and Dependant must be registered).

6 Mandatory 4. Unabridged birth certificate. Mandatory 5. ID document of parents/guardians. Mandatory 6. The APPLICATION form must be in original format (Not a copy of a copy) COMPLETED APPLICATION FORM AND REQUIRED DOCUMENTS SHOULD BE SUBMITTED TO THE FOLLOWING ADDRESS: Postage Only See postal address for the provincial education department below Hand Delivery Nearest department of Military Veterans provincial Office or provincial education department FOR OFFICE USE ONLY 2022 NEW APPLICANT REFERENCE NO: _____ Is APPLICATION completed in Full? Yes/No Is the form dated and Signed?

7 Yes/No Latest Educational progress report? Attached/Not Attached Letter of acceptance Into school? Attached/Not Attached Database verification Attached /Not attached Unabridged birth certificate Attached /Not attached ID copies of both parents/guardian an Attached/ Not attached APPLICATION RECEIVED AND CHECKED BY: _____ (NAME IN PRINT) _____ (SIGNATURE) DATE APPLICATION RECEIVED: _____ (DD/MM/YYYY) Compulsory Official Stamp