AAC CHRISTRIAN BOARDING SCHOOL

Email:meghamconsult@yahoo.com
Farm number 49 Nyakapupu,Guruve
Tel: (04) 570710/ 0772402604

ENROLMENT FORM
THE COMPLETION OF THIS FORM IS NOT A GUARANTEE OF ACCEPTANCE OF THE PUPIL.
Please attach:
$ . application fee (nonrefundable)
Certified copy of child`s birth certificate
Copy of child`s previous two school reports
One current passport size photo of the child

A. PUPIL DETAILS

Surname:.................................................. Official Forenames.

Date of Birth. Birth Certificate no.
Gender Form applied for Date of entry..
Race: African/Asian/Coloured/European
Name of previous school:
Any other information you feel we should know?...................................................................................

B. MEDICAL INFORMATION
Name of Family Doctor:.. Telephone No..
Medical Aid Society :. Medical Aid No Suffix No
Mars Cover? Yes/No
Any allergies or medical problems:.

C. FAMILY DETAILS
Marital Status of mother and father: Married/Separated/Widowed/Single/Engaged/Other
(Specify):.