Sedaven Primary School Local Application Form - Sedaven Primary School

Local Admissions

Begin the application process below or download and fill in the form manually

This application will not be processed without all the relevant documentation. Please keep the form until you have all the documentation before you submit it.

1. A non-refundable application fee of R605.00 for Day Scholars and R1 485.00 for Boarders. (*After pay when you have been accepted and instructed to pay by the school*)

2. Copy of the Department of Health’s Clinic Card

3. 1 Recent photos of learner (ID Size).

4. Copy of Medical card

5. Latest School report

6. Completed Testimonial Form (to be handed, by you, to present school for completion).

7. A Copy of the school account covering at least 12 months payments of school fees.

8. Copy of ID or Birth Certificate of learner

9. Copy of ID of Parents responsible for payment

10. Copy of 2 months Bank statements

11. Copy of 3 month’s Pay slips.

12. Proof of residence

Banking details:
ABSA, Heidelberg: Cheque Account
Branch Code: 632 005
Account Number: 4056828870
Reference: Child’s Name and Grade (Please attach copy of deposit slip).

PLEASE NOTE: Study the School Fees brochure and make sure that you understand the contents thereof.

A. Learner Information

1. Surname*

2. Names (as on birth certificate)*

3. Nickname (known as)*

4. Date of Birth*

5. I.D. or Passport number*

6. Gender*

7. When would you like to come to Sedaven?

Year*

Quater*

8. Grade applied for*

Highest Grade Passed*

Year Passed*

9. Has learner ever repeated a grade?*

If yes, which grade?

10. Previous School*

Address*

Postal Code*

Telephone no.*

Province and/or Country*

11. Mode of transport to school*

12. Race*

13. Language of Instruction: English

Preferred Language of Instruction

14. Home Language*

15. Residential Area

16. Citizenship*

17. Expiry Date of Study Permit

18. Is the learner a member of the Seventh-day Adventist Church?

18.1. If yes, is the learner a baptised member?

18.2. If yes to question 18.1, give the name of Congregation and Conference

18.3. If “no”, to which religious denomination does the learner belong?

19. Special problems requiring counselling

20. Dexterity of learner*

21. Does the learner receive a social grant?*

22. If “yes” Grant Card No.

23. Number of children in the family*

24. Position of learner in the family: (e.g. first = 1)*

25. Does learner have any deceased parents?*

26. Learner’s cell phone number*

27. Will learner be a boarder (If “yes” Please complete form for Boarders)

B. Parent/Guardian/Sponsor Information

Information of person responsible for account

Information relating to 2nd parent or
other person responsible for learner

1. Relationship to learner:*

1. Relationship to learner:

2. Surname*

2. Surname

3. Full Names*

3. Full Names

4. Title*

4. Title

5. I.D. No.*

5. I.D. No.

6.1. Home Number*

6.1. Home Number

6.2. Cell Number*

6.2. Cell Number

6.3. Work Number*

6.3. Work Number

6.4. Fax Number*

6.4. Fax Number

7. E-Mail Address*

7. E-Mail Address

8. Home Address*

Code*

8. Home Address

Code

9. Postal Address*

Code*

9. Postal Address

Code

10. Occupation*

10. Occupation

11. Name of Employer*

11. Name of Employer

12. Work Address*

12. Work Address

13. Employer’s Tel. no*

13. Employer’s Tel. no

15. Number of other children (siblings) in this school: (Please supply full name and surname below)

Full Name

Grade

Full Name

Grade

Full Name

Grade

Agreement*

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

Todays Date*

Agreement*

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

Please supply us with the information requested on the form below as this learner is in the process of applying to Sedaven Primary School. Upon completion this form will be sent to Sedaven Primary. Thank you.

Present School Name*

School Number*

School Fax*

Date of Birth*

Present Grade*

School Information: (To be supplied by responsible educator/s)

The learner started attending this school from

The learner stopped attending this school from

Which Grade did the learner start attending this school*

Which Grade did the learner stop attending this school*

Please select the appropriate option below

Academic achievement*

Sport participation*

Cultural participation*

Acceptance of School Discipline*

Level of parental involvement*

Payment of School Fees*

Any amount still owing?

Mention special achievements, concerns or other information that need to be shared with Sedaven Primary School:

Agreement*

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

DECLARATION OF PARENTS/GUARDIAN LIABLE FOR THE PAYMENT OF SCHOOL FEES

Full name/s of learner/s

Learner A.*

Grade Next Year*

Learner B.*

Grade Next Year*

Learner C.*

Grade Next Year*

1. I/We confirm that we are fully acquainted with the fee requirements. I/we declare that I/we am/are currently in a financial position to pay the prescribed fees.

2. I/We accept that the payment of school fees at Sedaven Primary School is compulsory and that as parents/guardians we/I are/am jointly responsible for the payment thereof.

3. All outstanding fees due after the 3rd of a month are considered arrears. Interest will be added on arrears.

4. Sedaven Primary School services are suspended if the fees are not paid before 60 days.

5. In the event of legal action being instituted, I/we hereby agree to pay the costs thereof on the attorney and client scale

ACCOUNT PAYEE 1 (1st person responsible for the payment of the account.)

Name in full*

Physical address*

Postal address*

Work Number*

Home Number*

Cell Number*

I.D. Number*

Agreement*

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

Attached hereto

Proof of Residence

2 Months Bank statements

3 Months pay slips

Copy ID