THORNVIEW PRESTIGE COLLEGE APPLICATION FOR: Grade
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THORNVIEW PRESTIGE COLLEGE APPLICATION FOR: Grade: Year: 2 0 Block VV Ext 4, Soshanguve, 0152 4082 Mofifi Street Tel: +27 (0)10 492 3661 | Fax:+27 (0)10 492 3665 Email: registration@thornview-prestigecol.com ( ) Area code ( )
MEDICAL INFORMATION LEARNER’S DETAIL Name of Patient: Patient’s ID Number: Medical Aid: Medical Aid Number Main Member’s Name: Main Member’s ID No: Postal Address: Postal Code: Work Number: Cell Number: HAVE YOU EVER HAD ANY OF THE FOLLOWING DISEASES? HAVE YOU EVER BEEN TREATED FOR THE FOLLOWING? German measles Mumps TB Ulcer Measles Diphtheria Asthma Migraine Chicken pox Diabetes Tonsils Epilepsy Heart Disease ARE YOU ON ANY CHRONIC MEDICATION? PLEASE SPECIFY. DO YOU HAVE ANY ALLERGIES? SPECIFY. HAVE YOU EVER HAD ANY OPERATIONS? SPECIFY. PLEASE SUBMIT A COPY OF OUR MEDICAL AID CARD (FRONT AND BACK) Signature D A T E Main Member
AGREEMENT BETWEEN AGREEMENT BETWEEN THORNVIEW THORNVIEW PRESTIGE PRESTIGE COLLEGE COLLEGE AND AND THE THE UNDERSIGNED UNDERSIGNED Declaration and undertaking I declare that the particulars furnished on this form to be true and correct, and I undertake to comply with the rules, regulations and decisions of the school, and any amendments thereto, which may be applicable to students and parents in general. I declare that I have perused the applicable school rules and policies and understand the contents thereof and accept it as binding on myself and the learner concerned. School fees I have read, understood and accept the financial policy of the school. I accept full responsibility for all amounts due to the school and I agree to pay the school fees strictly according to due dates. Failure which the account will be handed over to debt collectors (90 days overdue) Indemnity I hereby give permission that he/she may attend any excursion organised by the school with the permission of the principal. I understand that he/she will sometimes have to travel by bus or taxi to different venues of educational value. These trips will have to be paid for when organised. The school will use the best transport available at lowest cost. I accept that the school will take the necessary precautions to ensure the safety of my child. I will, however, not hold the school responsible in case of an accident, loss of limb or life or any other damages to her/his person or property. I also understand that this arrangement is necessary because it is sometimes difficult to get hold of parents to sign the letter of consent before the trip can take place. In such instances the child is unfairly prevented from attending a trip. Prestige Values I undertake to uphold the values of Thornview Prestige College whenever I am involved in school related functions or activities. I will also be available to attend parents’ meetings and functions to support the education of my child. I will respond timeously to letters, SMS’s and calls made by the school. Thornview Prestige College hereby undertakes to offer quality teaching and other services of a high standard, to the best of our ability. Father / Legal Guardian: Mother: o.b.o Prestige College: Date : / / Date : / / Date : / / Please note that registration is only confirmed when the application has been authorized by the principal. The applicant will recieve a letter to confirm final admission to Thornview Prestige College. 6
THORNVIEW PRESTIGE COLLEGE APPLICATION DOCUMENTS RECEIVED Grade: CHECK LIST Year: 2 0 LEARNER’S DETAIL Name: Surname: LEARNER DOCUMENTS RECEIVED (mark with X) REMARKS 1 School application form YES NO All details checked? 2 Most recent school report YES NO AGE IN 2017: Grade: Age: Born: 3 Unabridged Birth Certificate AND Copy of ID Document >16 YES NO Age correct? Gr 000 4 2013 4 x2 recent ID photos YES NO Gr 00 5 2012 5 TPC Confidential Assessment Form completed by present school YES NO Gr 0 6 2011 Gr 1 7 2010 6 Learner questionnaire completed? YES NO Gr 2 8 2009 7 Subject Choice form completed NO Gr 3 9 2008 8 Admission test attached Please attach test to this form Gr 4 10 2007 Gr 5 11 2006 English YES NO Gr 6 12 2005 Maths YES NO Gr 7 13 2004 Gr 8 14 2003 Afrikaans YES NO Gr 9 15 2002 Tswana YES NO Gr 10 16 2001 9 Study permit needed? YES NO Gr 11 17 2000 Gr 12 19 1999 PARENT RESPONSIBLE FOR ACCOUNT INFORMATION RECEIVED (mark with X) REMARKS 1 Parents ID YES NO 2 Medical aid card YES NO 3 Salary advice or Bank statement YES NO 4 Proof of residence YES NO 5 Parent information questionnaire (Blue) YES NO Please attach completed blue form 6 Parent Contract signed YES NO PAYMENTS MADE (mark with X) DATE Proof attached? 1 Application fee: R100 YES NO DD / MM 2 Registration fee: R600 YES NO DD / MM ACCEPTED STUDENT NUMBER AUTHORISED BY: Signature of person NOT ACCEPTED ACCEPTED FOR GRADE who dealt with this application and checked all documents: Remarks to be considered for admission: DATE: / / 20
COMMUNICATION WITH APPLICANT: Date Number called/personal Person spoke to Conversation / request made Admin staff responsible Date Number called/personal Person spoke to Conversation / request made Admin staff responsible Date Number called/personal Person spoke to Conversation / request made Admin staff responsible Date Number called/personal Person spoke to Conversation / request made Admin staff responsible
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