St Teresa’s School

This application consists of between 5 and 7 steps depending on your selections; you will need to complete the process in one sitting as the information is not stored. You are able to navigate forwards and backwards through the steps as necessary in order to make corrections.

Before you start, please ensure that you have the following details to hand for the learner, as well as the learners mother and father and/or guardian:

1. South African ID numbers (where applicable)
2. Postal AND residential addresses

The more information you give to us up front, the faster we will be able to process your application.

Learner Father Mother Guardian

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Learners details (please enter ALL of the fields - we cannot accept applications that are incomplete):

Surname:

Official names:

Preferred name:

Date of Birth:

February 2012 Sun Mon Tue Wed Thu Fri Sat 05 29 30 31 1 2 3 4 06 5 6 7 8 9 10 11 07 12 13 14 15 16 17 18 08 19 20 21 22 23 24 25 09 26 27 28 29 1 2 3 10 4 5 6 7 8 9 10 Today Clear Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec OK Cancel

 (dd/mm/yyyy)

ID Number:

Previous school:

Current grade: - None	Grade applied for: -
Grades repeated (if any): (enter a comma separated list)

Special needs/learning difficulties/disabilities:

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Date/place of baptism:

Date/place of first holy communion:

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Residential address:

Postal Address

Tel:

Cel:

Fax:

Living with: MotherFatherBothOther

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Emergency contact:

Relationship to learner:

Tel(w):

Tel(h):

Cell:

Fathers Details (please enter ALL of the fields - we cannot accept applications that are incomplete)

Mothers Details (please enter ALL of the fields - we cannot accept applications that are incomplete)

Guardians Details (please enter ALL of the fields - we cannot accept applications that are incomplete)

Please indicate to whom, and to which address, we should send different forms of communication? Please ensure that you have filled in the necessary details previously:

Please read the following carefully (hover your mouse cursor over the relevant document title in order to view):

• Declaration by legal guardian
• Internet payments
• Fees policy

You will be required to acknowledge and sign these documents should your application be succesful.

In addition to this application form, we will require a non-refundable administration fee of R 500.00, and the following documentation from you (we will make arrangements with you once we receive your appllication):

• One identity sized photograph of the learner
• A copy of the learner’s latest school report
• A copy of the learner’s birth certificate
• copies of Baptism/First Holy Communion certificate (if applicable)