School Admission Form

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

School Admission Form

School Admission Form

School Letterhead

{{school_name}}

{{school_address}}

Phone: {{school_phone}}

Email: {{school_email}}

Website: {{school_website}}

APPLICATION FOR ADMISSION - ACADEMIC YEAR {{academic_year}}

Please complete all sections of this form accurately and legibly. Incomplete forms may delay the admission process. Attach certified copies of all required supporting documents as listed in Section 6.

1. STUDENT DETAILS

Surname: {{student_surname}}

First Name(s): {{student_first_names}}

Date of Birth (DD/MM/YYYY): {{student_dob}}

Gender: {{student_gender}}

Nationality: {{student_nationality}}

ID/Passport Number: {{student_id_passport}}

Home Language: {{student_home_language}}

Proposed Grade/Year of Entry: {{proposed_grade}}

Previous School (if applicable): {{previous_school_name}}

Reason for leaving previous school: {{reason_for_leaving}}

2. PARENT/GUARDIAN DETAILS

**Parent/Guardian 1:**

Title: {{parent1_title}} Surname: {{parent1_surname}} First Name(s): {{parent1_first_names}}

Relationship to Student: {{parent1_relationship}}

ID/Passport Number: {{parent1_id_passport}}

Contact Number (Mobile): {{parent1_mobile}} (Work): {{parent1_work_phone}}

Email Address: {{parent1_email}}

Occupation: {{parent1_occupation}}

Employer: {{parent1_employer}}

**Parent/Guardian 2 (Optional):**

Title: {{parent2_title}} Surname: {{parent2_surname}} First Name(s): {{parent2_first_names}}

Relationship to Student: {{parent2_relationship}}

ID/Passport Number: {{parent2_id_passport}}

Contact Number (Mobile): {{parent2_mobile}} (Work): {{parent2_work_phone}}

Email Address: {{parent2_email}}

Occupation: {{parent2_occupation}}

Employer: {{parent2_employer}}

Residential Address: {{residential_address}}

Postal Address (if different): {{postal_address}}

Emergency Contact Person (other than parents): {{emergency_contact_name}}

Emergency Contact Number: {{emergency_contact_phone}}

Relationship to Student: {{emergency_contact_relationship}}

3. MEDICAL INFORMATION

Does the student have any allergies (e.g., food, medication, insect bites)? (Yes/No): {{has_allergies}}

If Yes, please specify: {{allergies_details}}

Does the student have any chronic medical conditions (e.g., asthma, epilepsy, diabetes)? (Yes/No): {{has_chronic_conditions}}

If Yes, please specify: {{chronic_conditions_details}}

Any regular medication? (Yes/No): {{on_medication}}

If Yes, please specify medication and dosage: {{medication_details}}

Doctor's Name: {{doctor_name}}

Doctor's Contact Number: {{doctor_phone}}

Medical Aid Name: {{medical_aid_name}}

Medical Aid Number: {{medical_aid_number}}

Main Member Name: {{medical_aid_main_member}}

4. DECLARATION AND CONSENT

I/We, the undersigned, declare that the information provided in this application form is true and correct to the best of my/our knowledge. I/We understand that any false information may lead to the refusal or cancellation of admission.

I/We consent to the school obtaining necessary medical treatment for my/our child in case of an emergency, where I/we cannot be reached.

I/We consent to the processing of personal information provided herein for the purposes of student admission, administration, and communication, in accordance with applicable data protection laws.

I/We agree to abide by the rules and regulations of {{school_name}} should our child be admitted.

5. REQUIRED SUPPORTING DOCUMENTS (Certified Copies to be Attached)

1. Student's Birth Certificate or Passport

2. Student's Latest School Report (if applicable)

3. Parent(s)/Guardian(s) ID/Passport Copies

4. Proof of Residential Address (e.g., utility bill)

5. Immunisation Card/Record

6. Transfer Certificate from previous school (if applicable)

7. Application Fee Proof of Payment (if applicable)

6. FOR OFFICE USE ONLY

Date Received: {{date_received}}

Application Number: {{application_number}}

Documents Checked By: {{documents_checked_by}}

Interview Date: {{interview_date}}

Interviewed By: {{interviewed_by}}

Admission Decision: {{admission_decision}} (Accepted/Rejected/Waitlisted)

Decision Date: {{decision_date}}

Reason for Decision (if applicable): {{reason_for_decision}}

Signature Block

_____________________________

Signature of Parent/Guardian 1

Name: {{parent1_full_name}}

Date: {{signature_date_1}}

_____________________________

Signature of Parent/Guardian 2 (if applicable)

Name: {{parent2_full_name}}

Date: {{signature_date_2}}

_____________________________

Signature of School Official (for office use)

Name: {{school_official_name}}

Position: {{school_official_position}}

Date: {{school_official_date}}