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The Future of Education

Student Details

We want to know all about your precious little one!
Student's Name:
Student's Name
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Field is required!
Student's Surname:
Student's Surname
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Field is required!
Student's Initials:
Student's Initials
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Field is required!
Nick names or other names
Nicknames
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Field is required!
Gender:
Gender according to what is stated on the official birth certificate
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Field is required!
Date of Birth
Select a date
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Field is required!
Student ID number
Student ID Number
Please insert ID numbers only.
Please insert ID numbers only.
Citizenship
Citizenship
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Field is required!
Country of Residence
  • - select a country -
  • South Africa
  • Afghanistan
  • Albania
  • Algeria
  • Andorra
  • Angola
  • Antigua and Barbuda
  • Argentina
  • Armenia
  • Australia
  • Austria
  • Azerbaijan
  • Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bhutan
  • Bolivia (Plurinational State of)
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei Darussalam
  • Bulgaria
  • Burkina Faso
  • Burundi
  • Cabo Verde
  • Cambodia
  • Cameroon
  • Canada
  • Central African Republic
  • Chad
  • Chile
  • China
  • Colombia
  • Comoros
  • Congo
  • Cook Islands
  • Costa Rica
  • Croatia
  • Cuba
  • Cyprus
  • Czechia
  • Côte d\'Ivoire
  • Democratic People\'s Republic of Korea
  • Democratic Republic of the Congo
  • Denmark
  • Djibouti
  • Dominica
  • Dominican Republic
  • Ecuador
  • Egypt
  • El Salvador
  • Equatorial Guinea
  • Eritrea
  • Estonia
  • Eswatini
  • Ethiopia
  • Faroe Islands
  • Fiji
  • Finland
  • France
  • Gabon
  • Gambia
  • Georgia
  • Germany
  • Ghana
  • Greece
  • Grenada
  • Guatemala
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran (Islamic Republic of)
  • Iraq
  • Ireland
  • Israel
  • Italy
  • Jamaica
  • Japan
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • Kuwait
  • Kyrgyzstan
  • Lao People\'s Democratic Republic
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Lithuania
  • Luxembourg
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall Islands
  • Mauritania
  • Mauritius
  • Mexico
  • Micronesia (Federated States of)
  • Monaco
  • Mongolia
  • Montenegro
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Niue
  • North Macedonia
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Poland
  • Portugal
  • Qatar
  • Republic of Korea
  • Republic of Moldova
  • Romania
  • Russian Federation
  • Rwanda
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Vincent and the Grenadines
  • Samoa
  • San Marino
  • Sao Tome and Principe
  • Saudi Arabia
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • South Sudan
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Sweden
  • Switzerland
  • Syrian Arab Republic
  • Tajikistan
  • Thailand
  • Timor-Leste
  • Togo
  • Tokelau
  • Tonga
  • Trinidad and Tobago
  • Tunisia
  • Turkey
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom of Great Britain and Northern Ireland
  • United Republic of Tanzania
  • United States of America
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Venezuela (Bolivarian Republic of)
  • Viet Nam
  • Yemen
  • Zambia
  • Zimbabwe
- select a country -
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Field is required!
Province of Residence:
Province of Residence:
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Field is required!
Physical Address
Your Address
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Field is required!
Medical Condition
Medical Condition
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Field is required!
Special Problems Requiring Counseling
Special Problems Requiring Counseling
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Field is required!
Dexterity of Learner
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Field is required!
Ages and Grades of Siblings
Ages and Grades of Siblings
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Field is required!
Home Language
Home Language
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Field is required!
LURITS number (If Applicable):
LURITS number
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Field is required!
Grade Applied for:
  • - select a option -
  • Creche
  • Grade R
  • Grade 1
  • Grade 2
  • Grade 3
  • Grade 4
  • Grade 5
  • Grade 6
  • Grade 7
  • Grade 8
  • Grade 9
  • Grade 10
- select a option -
Field is required!
Field is required!
Highest Grade Passed
  • - select a option -
  • Grade R
  • Grade 1
  • Grade 2
  • Grade 3
  • Grade 4
  • Grade 5
  • Grade 6
  • Grade 7
  • Grade 8
  • Grade 9
  • Grade 10
- select a option -
Field is required!
Field is required!
Year Grade was Passed:
Year Grade was Passed:
Field is required!
Field is required!
Previous School:
Previous School:
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Field is required!

Guardian Details of the Child

Please select the most applicable option
Field is required!
Field is required!

Details of Father and Mother

Details of Mother

Mother's Initials
Mother's Initials
Field is required!
Field is required!
Mother's Surname:
Mother's Surname:
Field is required!
Field is required!
Mother's First Name:
Your Full Name
Field is required!
Field is required!
Mother's ID Number:
Mother's ID Number:
Field is required!
Field is required!
Mother's Home Language:
Mother's Home Language:
Field is required!
Field is required!
Mother's Race:
Mother's Race:
Field is required!
Field is required!
Mother's Occupation:
Mother's Occupation:
Field is required!
Field is required!
Employer:
Employer:
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Field is required!
Responsible for accounts?
Field is required!
Field is required!
Your Address
Field is required!
Field is required!
Home Telephone:
Home Telephone:
Field is required!
Field is required!
Work Telephone:
Work Telephone:
Field is required!
Field is required!
Mother's E-mail address:
Your E-mail Address
Field is required!
Field is required!

Details of Father

Father's Initials
Father's Initials
Field is required!
Field is required!
Father's Surname
Father's Surname
Field is required!
Field is required!
Father's First Name
Father's First Name
Field is required!
Field is required!
Father's ID Number:
Father's ID Number:
Field is required!
Field is required!
Father's Home Language:
Father's Home Language:
Field is required!
Field is required!
Father's Race:
Father's Race:
Field is required!
Field is required!
Father's Occupation:
Father's Occupation:
Field is required!
Field is required!
Father's Employer
Father's Employer
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Field is required!
Responsible for Account?
Field is required!
Field is required!
Physical Address
Your Address
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Field is required!
Home Telephone:
Home Telephone:
Field is required!
Field is required!
Work Telephone:
Work Telephone:
Field is required!
Field is required!
Cellphone Number
Cellphone Number
Field is required!
Field is required!
E-mail address:
Your E-mail Address
Field is required!
Field is required!

Details of Single Parent

Relationship to Child
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Field is required!
Initials
Initials
Field is required!
Field is required!
Surname:
Surname:
Field is required!
Field is required!
First Name:
Your Full Name
Field is required!
Field is required!
ID Number:
ID Number:
Field is required!
Field is required!
Home Language:
Home Language:
Field is required!
Field is required!
Race:
Race:
Field is required!
Field is required!
Occupation:
Occupation:
Field is required!
Field is required!
Employer:
Employer:
Field is required!
Field is required!
Responsible for accounts?
Field is required!
Field is required!
Your Address
Field is required!
Field is required!
Home Telephone:
Home Telephone:
Field is required!
Field is required!
Work Telephone:
Work Telephone:
Field is required!
Field is required!
Cell Telephone:
Cell Telephone:
Field is required!
Field is required!
E-mail address:
E-mail Address
Field is required!
Field is required!

Details of Caregiver

Relationship to student:
Relationship to student:
Field is required!
Field is required!
Title:
Title:
Field is required!
Field is required!
Initials
Initials
Field is required!
Field is required!
Surname:
Surname:
Field is required!
Field is required!
First Name:
Your Full Name
Field is required!
Field is required!
ID Number:
ID Number:
Field is required!
Field is required!
Home Language:
Home Language:
Field is required!
Field is required!
Race:
Race:
Field is required!
Field is required!
Occupation:
Occupation:
Field is required!
Field is required!
Employer:
Employer:
Field is required!
Field is required!
Responsible for accounts?
Field is required!
Field is required!
Your Address
Field is required!
Field is required!
Home Telephone:
Home Telephone:
Field is required!
Field is required!
Work Telephone:
Work Telephone:
Field is required!
Field is required!
Cell Telephone:
Cell Telephone:
Field is required!
Field is required!
E-mail address:
E-mail Address
Field is required!
Field is required!
Marital Status:
  • - select a option -
  • Married
  • Single
  • Widowed
  • Other
- select a option -
Field is required!
Field is required!

Marketing Information

Please enter a cell number to contact you on:
Your Phone number
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Please enter your email address:
Your E-mail Address
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Preferred method of communication:
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Other
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Where did you hear from us?
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Other
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