WESTERFORD HIGH SCHOOL • 220 Main Road, Rondebosch, 7700
Tel: (021) 689-9154 • Fax: (021) 685-5675 • E-mail: firstname.lastname@example.org
STUDENT APPLICANT PERSONAL INFORMATION
APPLICATION FOR ADMISSIONGrade 9Grade 10Grade 11
Are there any siblings (brothers or sisters) at WesterfordYesNo
PARTICULARS REGARDING PARENTS OR GUARDIAN
• If there are two sets of parents or guardians, both are entitled to vote at an election of the Board of Governors. • The information below should therefore be given in respect of each parent or guardian.
• A copy of an UNABRIDGED BIRTH CERTIFICATE is required.
Parent/guardian with whom pupil lives: (please indicate by selecting the checkbox next to Mother, father or guardian or both)
MOTHER OF STUDENT
Parent/guardian with whom pupil lives: (Please Check if Father)
FATHER OF STUDENT
Parent/guardian with whom pupil lives: (Please Check if Guardian)
GUARDIAN OF STUDENT
Please indicate illness(es) pupil has had by selecting checkboxes that apply
MeaslesGerman MeaslesWhooping CoughChicken-poxMumpsNone of the Above
Other important illness(es) or disabilities from which the pupil is suffering or has suffered
Operation(s) pupil has had
Please indicate illness(es) pupil has been immunised against by selecting the checkboxes that apply
Tuberculosis (BCG)DiphtheriaWhooping CoughChicken-poxMumpsTetanusPoliomyelitisNone of the Above
Pupils should have been immunised against ALL the above illnesses before school attendance. Immunisation against Poliomyelitis is legally compulsory
If there are two sets of parents or guardians, both are entitled to vote at an election of the Board of Governors. The information above should therefore be given in respect of each parent or guardian.
SIGNATURE: State whether father, mother or guardian*
PLEASE NOTE: ALL APPLICATIONS WILL BE PLACED ON A WAITING LIST
Please attach the following for admission to Grade 9, 10 or 11
• Copy of final report for 2020 (Previous grade)
• Mid-year report (June 2021) (Current Grade)
• Copy of Unabridged Birth Certificate
• Copy of either rates account or lease agreement as confirmation of permanent residential address
• Citizenship: If non SA – a copy of your residency permit and a copy of your child’s study permit must be attached
Please Complete Current Subjects. Please enter only the Number Values. No percentages(%).
PLEASE ATTACH ANY RELEVANT DOCUMENTS HERE:
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Telephone: 021 689 9154 • Email: email@example.com
Address: Mount Road, Rondebosch, Cape Town, 7700