Admission – Phambanisa Primary School

How to apply

Should you wish to apply, please complete the fields below

Application for school admission

Note

This form must be completed in full. Completing the form does not necessarily mean that the learner has been accepted into the school.
Make sure you have the following documents ready:
- Copy of Immunisation Records.
- Progress Report from Previous School
- Copy of Birth Certificate/ID
- Transfer Letter from Previous School

Grade Applying For

Year

Highest Grade Passed

Year when grade was passed

Accession No

Surname

Initials

Nickname

First name

Other Names

Date Of Birth

Gender

Race

Identification or Passport No

Country of Residence

Province

Citizenship

Physical address

City/Suburb

Code

Learner Email Address

Home Language

Preferred Language of Instruction

Boarder

Deceased Parent

Mode of transport

Religion

Grade 1 only

Indicate pre-primary education

None Non Formal Formal

Name of Previous School

Previous School Address

Code

Province

Country

Medical Aid Number

Medical Aid Name

Medical Condition

Special Problems Requiring Counseling:

Dexterity of Learner

Reg. Social Grant

Rec. Social Grant

Doctor's Details

Name

Surname

Doctor's Specialty

Clinic/Hospital Name

Clinic/Hospital Address

City

Code

Country

Province

Phone Number

Email Address

Number of other Children at this school

Please supply full names below:

Name and grade

Title

Initials

Surname

First Name

Gender

Home Language

Race

Identification Number

Account Payer

Residential Address

City

Code

Occupation

Employer

Surname of Spouse

Occupation of Spouse

Learner resides with this parent/s

Spouse ID Number

Relationship to Learner

Marital status of parent

Do parents live together?

Yes No

Physical address

City

Code

Occupation

Employer

Learner reside with parent/s

Relationship to learner

Home Telephone

Work Telephone

Fax Number

Cell Number

Spouse Work Telephone Number

Spouse Cell Number:

E-Mail Address

Spouse E-Mail Address

Please upload the following documents

1. Copy of Immunisation Records.

2. Copy of Birth Certificate

3. Progress Report from Previous School.

4. Transfer Letter from Previous School.

I hereby declare that to the best of my knowledge, the above information as supplied is accurate and correct.

Name of Parent / Guardian

Date

Application Form

Click the download button to get your form to fill as a hard copy that can be submitted back to the school. Thank you for applying, and we look forward to reviewing your application!

Should you wish to apply, please complete the fields below

Application for school admission

Application Form

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