APPLICATION FORM: SECONDARY SCHOOL ADMISSION WILL NOT BE CONSIDERED WITHOUT ALL THE REQUIRED DOCUMENTATION. FOR OFFICE USE ONLY

Transcription

1 Plot 21, Brakwater, Windhoek, Namibia PO Box 86760, Eros, Windhoek, Namibia Telephone: Mail to: APPLICATION FORM: SECONDARY SCHOOL Application for Grade in 20 Kindly attach the following: 1. A certified copy of the birth certificate of the learner. 2. A certified copy of the learner s last school report. 3. Any medical and/or psychological or related reports available. 4. A recent passport photo of the learner onto the application form, in space provided. 5. A certified copy of the ID of the person responsible for the account. 6. Recommendation from current school (as per attachment). 7. A copy of the latest municipal account as proof of residence. 8. TAKE NOTE: If not born in Namibia, please submit certified proof of a study permit / residence permit / citizenship by descent / domicile certificate. PHOTO ADMISSION WILL NOT BE CONSIDERED WITHOUT ALL THE REQUIRED DOCUMENTATION. ALL APPLICANTS ARE SUBJECT TO AN INTERVIEW. FOR OFFICE USE ONLY Psychological report received YES NO Barrier(s) to learning YES NO Latest marks in: Higher/Ordinary Marks: English Higher/Ordinary Marks: Higher/Ordinary Marks: Any other language: PERSONAL DETAILS OF THE LEARNER: SURNAME: FIRST NAMES: PRESENT SCHOOL: DATE OF BIRTH: DD/MM/YY GENDER: NATIONALITY: HOME LANGUAGE:

2 NAME(S) OF BROTHER(S) AND/OR SISTER(S) IN WELWITSCHIA PRIVATE SCHOOL: BROTHER/SISTER: GRADE: BROTHER/SISTER: GRADE: BROTHER/SISTER: GRADE: EXTRA-MURAL ACTIVITIES AND ACHIEVEMENTS: ACTIVITY ACHIEVEMENT SUBJECT CHOICES FOR 2018 GRADES 8-9: The learner selects seven Two languages, two compulsory subjects and three choice subjects. If you choose Technical Drawings, you are obliged to take Technical Studies. 2 nd Llanguage Geography Group 1 Life Science Physical Science Group 2 Entrepreneurship Technical Drawings Keyboard and Word Processing Hospitality Technical Studies GRADE 10: The learner selects six Three compulsory subjects and three choice subjects 2 nd Llanguage Group 1 Physical Science Biology Geography Travel and Keyboard and Word Processing 2

3 GRADE 11: The learner selects six Three compulsory subjects and three choice subjects 2 nd Higher Grade Core / Extended Group 1 Biology Geography Travel and Office Administration and Keyboarding 2 nd GRADE 12: The learner selects six Three compulsory subjects and three choice subjects Higher Grade Ordinary/Core 2 nd Group 1 Biology Geography Travel and Office Administration and Keyboarding 2 nd Extended 3

4 PERSONAL DETAILS OF THE PARENT(S)/GUARDIAN(S): FATHER / GUARDIAN: SURNAME: FIRST NAMES: ID No: TEL. (H) (W) (C) POSTAL ADDRESS: RESIDENTIAL ADDRESS: OCCUPATION: EMPLOYER: MOTHER / GUARDIAN: SURNAME: FIRST NAMES: ID No: TEL. (H) (W) (C) POSTAL ADDRESS RESIDENTIAL ADDRESS: OCCUPATION: EMPLOYER: PERSON RESPONSIBLE FOR ACCOUNTS, WHERE APPLICABLE: NAME AND SURNAME: ID No: CELL No: ADDRESS: POSTAL ADDRESS: SCHOOL CORRESPONDENCE MUST BE SENT TO: ADDRESS: CELL NUMBER: GENERAL INORMATION: 1. Hostel accommodation is available for learners residing OUTSIDE of Windhoek. 2. The learner s history will be obtained from the learner s previous school in order to determine the learner s general behaviour and academic achievements. 3. No documentation will be returned, please keep your own copies. 4. No faxes will be accepted, only application forms. 4

5 PLEASE NOTE COMPLETION OF THIS FORM DOES NOT GUARANTEE PLACEMENT. You will be informed of an offer for placement. DECLARATION BY PARENT OR GUARDIAN: I have read and understood the content of this application and all information supplied by me is correct. My child and I undertake to submit to the rules and regulations of the School. I approve the subject choices of my child. SIGNATURE: FATHER / GUARDIAN SIGNATURE: MOTHER / GUARDIAN SIGNATURE: LEARNER DATE 5