7/31/2019 Application Form Prep Mar 2011

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7/31/2019 Application Form Prep Mar 2011

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Attach ID Photograph

of Applicant

School

Campus

Date of Application

Lurits Number

Crawford Preparatory

I / We the Parents / Legal Guardians of:-

Full Name of Applicant

Applicant Signature Date

Parent/

Guardian 2 Signature Date

Date

Parent/

Guardian 1 Signature

hereby apply for his / her admission to Crawford Schools.I/We confirm that the information contained in this application is complete and accurate.

Should this application be successful:-

I / We acknowledge and accept that a securing deposit as per school policy, will be required on completion of the

Rules and Conditions for Admission to Crawford Schools. This deposit will be repaid free of interest when the pupil leaves

Crawford on written request, provided that no outstanding fees or other outstanding amounts are due. If no such request is received

within 12 months of leaving, the deposit will be transferred into the Uthongathi Trust Account to aid deserving students to attend Crawford.

I / We agree that Crawford Schools acceptance of this application is conditional on my/our timeous completion of the

Rules and Conditions of Admission to Crawford Schools documentation, including but not limited to the Code of Conduct,

Indemnity Form(s) and Conditions of Admission.

Please submit the following with this application form:

1. Copies of the applicants 3 most recent reports

2. A recent passport sized photograph

3. A copy of the applicants ID or Birth Certifcate

4. Copies of both Parents/Guardians IDs

5. A non refundable Application Fee of R700

6. Deposit

7. Foreign Nationals: Work/Study Permit

8. Lurits Number if previously registered in a school in SA.

Applicant Details

1. First Name(s)

PLEASE PRINT CLEARLY

2. Surname

3. Date of Birth 4. GenderYY Y Y M M D D Male Female Indicate with an X

5. ID or Passport No. 6. Nationality

7. Home Language 8. Applicant Cell No.

11, 12 and 13 required by the Department of Education

11. Religion 12. Race Classification

9. Application for Grade Term Year 10. Starting Date YY Y Y M M D D

17. Siblings

Name School Grade

15.Achievements

16. Health

Preferred Name

14. Previous Education

From ToSchool / Institution

From To

From To

Tel:

Tel:

Tel:

18. Term Address

20. Telephone No.

18,19 and 20 apply to applicant not living at home during school terms

Code

19. Local ContactPerson

22. Date of Entry into SA. YY Y Y M M D D

21. Immigrant YES NO (22 and 23 only apply if YES)

23. Country of Origin

Medication

Disabilities

ColAfr Ind Whi Other

13.P l ease indica te wi th an X if ei ther of the app li cant s biol og ical parent s i s deceased. Father Mother

Documentation Attached YES NO

Details of Parents / Guardians

1. Marital Status

2. Relationship to Applicant

3. Title & Surname

4. First Name(s)

ID/Passport No.

5. IdentityDocument

6. ResidentialAddress

Code

Parent / Guardian 1

Title Surname

Nationality

7. Postal Address

Code

8. Occupation

9. Business /Employer

10. Home Tel.

Business Tel.

Cell.

Fax

E-Mail

13. Correspondence Addressed to:-

Residential Address 1General Postal Address 1

Indicate with an X

Residential Address 1Reports Postal Address 1

Residential Address 1Accounts Postal Address 1

X both 1 and 2 if separate copies should be sent to both parties

R es id en ti al Ad dr es s 2 P os ta l A dd re ss 2

R es id en ti al Ad dr es s 2 P os ta l A dd re ss 2

R es id en ti al Ad dr es s 2 P os ta l A dd re ss 2

Other

Other

Other

Parent / Guardian 2

Title Surname

Code

Code

ID/Passport No.

12. Old Crawfordian YES NO YES NO

Married Divorced Other

11. AlternateContact Person

Name

Relationship Tel No.

Name

Relationship Tel No.

Marital Status Married Divorced Other

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