APPLICATION FORM 2021 Gr. R-7 Grade Applying for€¦ · 33333333333333333333333333333373 Debit...

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33333333333333333333333333333373 Debit Order APPLICATION FORM 2021 Gr. R-7 Grade Applying for _ ___ _____ MOST IMPORTANT This Application for Admission will only be processed if ALL fields are completed legibly, are signed and ALL relevant supporting documents are attached. JANUARY’S SCHOOL FEES MUST BE PAID BY NO LATER 1 ST November 2021. SUBMISSION WILL NOT BE ACCEPTED IF A PAYMENT HAS NOT BEEN MADE. ADMISSION CRITERIA Completion in full of this Application Form A positive credit rating Previous school report indicating correct grade for admission Learners are not more than 1 year out of the age norm, for the application grade. Registration / re-enrolment fee and first month school fees, Annual development fee, book fees are paid. Signed debit order STUDENT INFORMATION: SURNAME: _____________________________________ FULL NAMES: _____________________________________ DATE TODAY: _____________________________________ DATE OF ENTRY REQUESTED: _________________________________ P.O. Box 480 Cnr De Wet & Diemeer Drive Thornhill Plaza Bendor 0882 Polokwane Cell: 076 931 0542 [email protected] (CEO) Fax: 086 600 2130 [email protected] (Finance) EMIS: 972205519 [email protected] (Principal) An Enrollment fee of R500.00 for School and R500 for Boarding is payable when submitting this form. (This fee is not refundable) REG NO: REC NO: BANK DETAILS: NEDBANK ACC NAME: BET-SHALOM CHRISTIAN SCHOOL ACC NO: 116 002 1384 BRANCH NO: 198 765

Transcript of APPLICATION FORM 2021 Gr. R-7 Grade Applying for€¦ · 33333333333333333333333333333373 Debit...

Page 1: APPLICATION FORM 2021 Gr. R-7 Grade Applying for€¦ · 33333333333333333333333333333373 Debit Order APPLICATION FORM 2021 Gr. R-7 Grade Applying for _ ___ _____ MOST IMPORTANT This

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APPLICATION FORM 2021

Gr. R-7

Grade Applying for _ ___ _____ MOST IMPORTANT This Application for Admission will only be processed if ALL fields are completed legibly, are signed and ALL relevant supporting documents are attached. JANUARY’S SCHOOL FEES MUST BE PAID BY NO LATER 1ST November 2021. SUBMISSION WILL NOT BE ACCEPTED IF A PAYMENT HAS NOT BEEN MADE.

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ADMISSION CRITERIA • Completion in full of this Application Form

• A positive credit rating • Previous school report indicating correct grade for admission

• Learners are not more than 1 year out of the age norm, for the application grade. • Registration / re-enrolment fee and first month school fees, Annual development fee, book

fees are paid.

• Signed debit order

STUDENT INFORMATION: SURNAME: _____________________________________ FULL NAMES: _____________________________________ DATE TODAY: _____________________________________ DATE OF ENTRY REQUESTED: _________________________________

P.O. Box 480 Cnr De Wet & Diemeer Drive Thornhill Plaza Bendor 0882 Polokwane Cell: 076 931 0542 [email protected] (CEO) Fax: 086 600 2130 [email protected] (Finance) EMIS: 972205519 [email protected] (Principal)

An Enrollment fee of R500.00 for School and R500 for Boarding is payable when submitting this

form. (This fee is not refundable)

REG NO: REC NO:

BANK DETAILS:

NEDBANK

ACC NAME: BET-SHALOM CHRISTIAN SCHOOL

ACC NO: 116 002 1384

BRANCH NO: 198 765

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Successful Applications In order to secure your child’s space at Bet Shalom Christian school, the following must be fully

completed and signed. 1. The Application Form. 2. Debit order form.

3. All admission fees and deposits are paid in full by the specific date.

If all conditions to ensure acceptance are not met and the completed forms are not received within 14 days of the acceptance being granted, the offer of acceptance may be cancelled. This is to assist the large number of applications on the admissions waiting list.

By accepting the space in the school and signing the Enrolment Contract a parent/guardian agrees to adhere to and enforce all academic, sporting, cultural, discipline, financial and uniform

requirements and rules in their entirety as set out in the Code of conduct and the various school policies. Parents/guardians must consider all rules thoroughly, and request clarification if unsure, before accepting the space offered. Particular attention is drawn to the following:

• Promotion requirements for the various phases

• Compulsory sport from grade R – 7

• Dress code as per the Uniform Policy • Payments of school fees is compulsory and is payable strictly in advance.

Unsuccessful Applications All unsuccessful applications will be notified in writing. The school is not required to give reasons for non-acceptance and will only do so at the discretion

of the Headmaster or Deputy Head.

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Documents to accompany Enrolment Contract

Application of Admission form

2 x ID photos of the student

Copy of student’s birth certificate

Immunisation certificate

Copy of both parents’ ID’s

Proof of residence

Completed & signed debit order

Transfer letter from previous school

Latest report card

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1. LEARNER’S INFORMATION

Surname

Full Names

Preferred Name

ID/Passport number

Date of Birth

Gender Male Female

Current School

Current Grade

Race group Black White Indian Coloured Other:

Home Language Afrikaans English IsiNdebele IsiXhosa IsiZulu Sepedi Sesotho

Setswana Sign language

Siswati Tshivenda Xitsonga Other: ____________

Other siblings in school

Yes No

If Yes, complete Name: ______________________________________

Grade:_____________________

Transport Parents Taxi Taxi Driver Cell nr: ___________________

Please Indicate:

Half Day or with Aftercare:

School hours only (Half day) 07:00-14:00 (latest 14:30)

With Aftercare 07:00-17:00 (latest 17:30) R50 penalty fee will be charged for every 15min after collection times.

Living arrangements:

Child lives with

Both parents Mother Father Guardian

Boarding: Yes, I enroll my child for boarding

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2. LEARNER’S MEDICAL INFORMATION

Name of Medical Aid

Scheme:

Medical Aid No: Primary Member:

Name of Doctor: Doctor’s Telephone No:

Allergies:

Illness:

Chronic Medication:

Chronology of Medical reports (e.g. medical, occupational, speech therapist, psychologist, social worker, please attached)

Does your child have any physical challenges? If Yes, please specify.

_________________________________________________________________________________

Preferred Hospital(For emergencies and parents account)

Barriers of learning e.g. ADHD: ______________________________________________________

_________________________________________________________________________________

Emergency Contact Details: (not a person living with the child)

Relationship to the learner: Title:

First Name: Surname:

Telephone:

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3. INFORMATION – PARENTS / GUARDIAN (Person/s with whom the learner lives)

FATHER MOTHER

SURNAME SURNAME

FULL NAMES _______________________________

_______________________________

FULL NAMES _____________________________

_____________________________

*ID NUMBER *ID NUMBER

CHURCH CHURCH

RACE Black____White____Coloured____

Indian____Other:________________

RACE Black____White____Coloured____

Indian____Other:_______________

CHURCH CHURCH

OCCUPATION OCCUPATION

EMPLOYER

ADDRESS

_______________________________

_______________________________

_______________________________

EMPLOYER

ADDRESS

_____________________________

_____________________________

_____________________________

IF SELF EMPLOYED

(NAME OF BUSSINESS)

IF SELF EMPLOYED

(NAME OF BUSSINESS)

TYPE OF

BUSSINESS

TYPE OF

BUSSINESS

WORK WORK

HOME HOME

*CELL *CELL

WhatsApp no WhatsApp no

*E-MAIL

*E-MAIL

RESIDENTIAL ADDRESS

_______________________________

_______________________________

_______________________________

RESIDENTIAL ADDRESS

_____________________________

_____________________________

_____________________________

POSTAL ADDRESS

_______________________________

_______________________________

POSTAL ADDRESS

_____________________________

_____________________________

Marital Status of parent the learner is living with:

Married Never Married Divorce Widowed

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4. FINANCIAL POLICY AND COMMITMENT 1. Purpose The purpose of this policy is to standardize the procedure for the collection of outstanding debt

and has been brought in line with provisions of the Consumer Protection Act (CPA), Act 68 0f

2008, and will apply to all Parents/Guardians of a child/children who are learners at Bet-Shalom

Christian School at or from the date of implementation of this policy. All outstanding debt,

including monies outstanding prior to this policy being implemented by the Board of Directors, will

be covered by this policy.

2. Fee payment terms 2.1. Fees are charged and payable in advance no later than the 3rd of each month.

2.2. Fees may be paid annually by 31 January at a 5% discount. This percentage will be reviewed annually and may be obtained from the administrative office. 2.3. The standard requirement for collection of fees is by debit order.

2.4. Non-residents and those paying in foreign currency are not eligible to pay their fees by debit order. 3. Procedure for payment of fees

3.1. Statements will be issued between the 15th and 20th of each month. As a norm, all statements, notices and communications will be emailed or WhatsApp to the account holder unless specific arrangements are made by the parents/guardian. Please note that it is the account

holder’s responsibility to ensure that the Finance office has the correct and most recent contact information on record.

3.2. Debit orders will generally be presented for payment on the 1st of the month for amounts due in the current month and the 16th of the month for amounts due for the following month. 3.3. The school does accept debit and credit cards at the finance office.

4. Procedure for non-payment of fees 4.1. All parents/guardians who do not comply with the payment of fees are effectively in breach of contract.

4.2. In the event of an account not being settled before the 7th day of the month parents/guardians will be notified in writing. 4.2.1. The letter will give notice to the account holder that he/she is in breach of contract and that

the account needs to be rectified within 20 business days to avoid termination of the contract and possible legal action. 4.3. Should no response be received within 15 days of the 20-day period, a reminder will be

issued to the account holder. 4.3.1. This 2nd Notice will remind the account holder that he/she is in breach of contract and that if the account is not settled within the 20 business day period, the Learner/s will be excluded from

school and the contract terminated. 4.4. Non-payment will result in a final letter being issued informing the account holder that,

because the breach in contract has not been remedied, the learner has been excluded from Bet-Shalom Christian School and the contract terminated in accordance with the terms and conditions of enrolment signed on entry to BSCS. This notice will further inform the account holder

that the full outstanding amount must be settled within 15 days to avoid legal action. An amount of R800.00 will be charged should your account be handed over for debt collection. If any account goes into 60 days, it will be handed over to a debt collector for collection and we will report slow/bad paying to the I.T.C. Credit Bureau immediately. You will be expected to pay all the legal expenses incurred by yourself and Bet-Shalom Christian School 5. Termination of Contract Once the contract is terminated:

5.1. The learner will be excluded from Bet-Shalom Christian School and alternative arrangements for the learner/s education will need to be made by the Parent/Guardian.

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5.2. Parents/Guardians may reapply to Bet-Shalom Christian School after the account has been settled in full, but a learner cannot be guaranteed acceptance. A new enrolment contract will need

to be signed if a learner is readmitted. 5.3. On re-acceptance of the learner, a refundable deposit equivalent to 3 (three) months fees may be required. The account holder will be obliged to pay subsequent fees by monthly debit

order. (No enrolment fee will be required as long as the learner returns within 6 (six) months of termination). 6. Exception to Excluding a Learner from Bet-Shalom Christian School

In the event that the notice period falls within a formal exam period, grade 1 to grade 7 learners will be permitted to complete the exams. However, their results will only be available from the

Accounts office and should be collected by the account holder. 7. Making arrangements on outstanding accounts 7.1. All requests for arrangements must be submitted in writing.

7.2. No arrangement will be deemed accepted unless written approval is given by the Management. 7.3. Parents/guardians will only have an opportunity to make an arrangement during the 20-day

notice period (see 4.2.1). Thereafter no arrangements will be accepted. 7.4. Management may request an interview with the parents/guardian before any arrangement is accepted.

8. Interest and Administrative Charges 8.1. Interest on overdue accounts is charged monthly on all outstanding fees. The interest rate has been set at 5 % per month.

8.2. The following administration fees are applicable: 8.2.1. Returned Debit Order - R 150.00 8.2.2. Notice of outstanding account - R 200.00 (Letter email or WhatsApp)

8.2.3. SMS or phone call – R30 8.2.4. Notice of termination - R 250.00 No reports or transfer documents will be made available until such time as the account has been settled in full. Children of parents owing school fees will not be admitted to the school at the start of the new term.

9. Refunds on accounts and deposits

A credit balance on the account of a learner who has left the school will be refunded to the account holder within 2 months of the date of departure and a 25% handling fee will be charged.

9.1. Refunds will only be made via EFT. 9.2. Refunds will only be made into the bank account of the person/s responsible for the payment of the account, and not to any third party.

9.3. Should the banking details not correspond to those used for the debit order, banking details must be confirmed via a letter from the bank, a cancelled cheque or copy of the bank statement. Payment will only be affected after confirmation is received. 10. Resignation Should you wish to remove your child from the school, one Term notice must be given in writing. Resignation must be handed in before the 3rd of the month, no resignations are valid from 15th to 15th of a month. One calendar month resignations only. No resignations for the month of November and December will be accepted. Unless a re-location letter from your company is send to the school. You will be responsible for the payment of the school fees for this period even if the child leaves before the notice period is up. School records will not be forwarded to the new school until payment of all outstanding accounts are finalised.

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5. SCHOOL FEE STRUCTURE:

IF NOTIFICATION OF WITHDRAWL OF ENROLLMENT FOR THE FOLLOWING YEAR IS NOT GIVEN BY 1 NOVEMBER OF CURRENT YEAR, YOU WILL BE HELD LIABLE FOR JANUARY SCHOOL FEE OF THE FOLLOWING YEAR.

Parents are responsible for all stationery AND Textbooks (Gr 4 – 7) See attached stationery and Textbook list.

School fees are payable over 12 months for 2021

School Fees 2021 – Description Amount

Annual School Fee R22080

Registration fee (New Student) R500.00

Re-enrollment Fee (Current Student returning) R450.00

School fees (07:00-14:00) Per month (12 months) R1840

After care services (14:00-17:30) Per month R450.00

Book Fee (Gr.1-3 Includes all scripts, workbooks for whole year) R800.00

Annual Development fee (development & maintenance of school premises) R800.00

Special rates regarding 2 or more learners in school (EXCL. AFTER CARE SERVICES)

Amount

Child 1 R1840.00

Child 2 R1800.00

Child 3 R1760.00

Child 4 R1720.00

Boarding fees 2021 Amount

Annual Boarding Fee R23716

Registration fee (New Student) R500.00

Re-enrollment Fee (current Student returning) R450.00

Boarding fee (excluding school fees per month) R1976.00

Boarding fee (including school fees per month) R3816.00

Boarding/School fees: over 12mnths from Jan-Dec. December fees will be payable even if resignation is given in November.

13. I, the undersigned, hereby declare that I am not currently under financial administration, debt review or part of a financial rehabilitation programme. I declare therefore, that I am in a healthy financial position to enable me to fulfil my financial obligation to Bet-Shalom Christian School. 14. Financial Declaration 14.1) Are you an unrehabilitated insolvent debtor? 14.2) Are you under financial administration? 14.3) Are you under debt review? 14.4) Have you applied for any of the above in the 12 months or intend

to apply in the next 12 months.

Yes No

Yes No

Yes No

Yes No

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CONSENT CLAUSE:

The consumer/debtor consents to and authorises Bet-Shalom Christian School, the supplier, service and/or credit provider, as the case may be to:

a) contact, request and obtain information at any time from any supplier, credit or service

provider (or potential credit or service provider) or registered credit bureau relevant to an

assessment of the behaviour, profile, payment patterns, indebtedness, whereabouts, criminal history, and creditworthiness of the consumer / debtor; and

b) provide information concerning the behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness of the consumer / debtor to any registered credit bureau or to any supplier, credit or service provider (or potential credit or service provider)

seeking a trade reference regarding the consumer / debtor dealings with the supplier, service and/or credit provider.

NOTICE:

Invoice / Statement

Bet-Shalom Christian School is affiliated to TPN Credit Bureau, a registered credit bureau, all account payment profiles, patterns and behavior is recorded monthly with the credit bureau for

the purposes as per the National Credit Act.

Please note that signatures are required. If you are a guardian, please state your

relation to the applicant below.

Signed at ______________________________on the ______ of ______ 20___. Guardians relation to Applicant______________________________________.

We as parents/guardians hereby agree and acknowledge that we have read and understood the above Financial Commitment and are both liable for the payment of all school fees. Signature: Father/ Guardian Mother/Guardian ___________________________ ___________________________ Should any information change, it is the parents’ responsibility to inform the school thereof without avail?

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6. STATEMENT OF FAITH

1. We believe in the scripture of the Old and New Testament, in their original writing, as fully inspired of God and accept them as the supreme and final authority for faith and life.

2. We believe in one God, eternally existing in three Persons – Father, Son and Holy Spirit.

3. We believe that Jesus Christ was begotten of the Father, conceived by the Holy Spirit, born of the Virgin Mary and is true God and true Man.

4. We believe that God created man in His own image; that man sinned and thereby incurred the penalty of sin, which is death physically and spiritually; that all human beings inherit a sinful nature,

which issued (in the case of those who reach moral responsibility) in actual transgression involving personal guilt.

5. We believe that the Lord Jesus Christ died for our sins a substitutionary sacrifice according to the scriptures and that all who believe in Him are justified on the grounds of His shed blood.

6. We believe in the bodily resurrection of the Lord Jesus, His ascension into Heaven and His present

life as our High Priest and Advocate.

7. We believe in the personal return of the Lord Jesus Christ.

8. We believe that all who repent of their sin and receive the Lord Jesus Christ by faith are born again of the Holy Spirit and thereby become children of God.

9. We believe in the baptism in the Holy Spirit, empowering and equipping believers for service, with the accompanying supernatural gifts of the Holy Spirit and in the fellowship with the Holy Spirit.

We believe in the divinely ordained ministries of the Apostle, Prophet, Teacher, Pastor and Evangelist.

10. With regard to submission to authority, we believe in the principle of being in authority because you are under authority.

11. We believe in the resurrection of the just, and the unjust, the eternal blessedness of the redeemed,

and the eternal banishment of those who have rejected the offer of salvation.

12. We believe that the one true Church is the whole company of those who have been redeemed by Jesus Christ and regenerated by the Holy Spirit; that the local church on earth should take its character from this concept of the Church spiritual and therefore that new birth and personal

confession of Christ are essential of Ministry membership.

13. We believe that the Lord Jesus Christ appointed two ordinances – Baptism in water and the Lord’s Supper to be observed as acts of obedience and as perpetual witnesses to the cardinal facts of the Christian faith, that Baptism is the immersion of the believer in water as a confession of

identification with Christ in burial and resurrection and that the Lord’s Supper is the partaking of the emblems symbolic of the Saviour’s broken body and shed blood, in remembrance of His sacrificial death, until He comes.

14. We believe that divine healing was provided for us in the Old and New Testament and is an integral part of the Gospel.

15. We believe that the Bible teaches that without holiness no man can see the Lord. We believe in the

doctrine of sanctification as a definite, yet progressive work of grace, commencing at the time of the new birth and continuing until consummation of salvation.

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STATEMENT OF FAITH

This is to certify that we, the parent/s / guardian/s of ____________________________________

have no objection to him/her being taught according to the faith promulgated by Bet-Shalom

Christian School as set out in our Faith Statement. We have read and received a copy of the STATEMENT OF FAITH and agree with the contents therein.

SIGNED ON (DATE): _________________________ FATHER: __________________________

MOTHER: _________________________ GUARDIAN: _________________________

7. PLEDGE

I recognize that Bet-Shalom Christian School has a highly qualified and trained staff and I have confidence in their ability to perform the educational functions due to my child at their discretion. I realize that from time to time children take issue with actions that they do not agree with and

that they are prone to criticize statements out of context. This being a common problem, I pledge that should this occur with my child, I will support the school staff and call the school for full details any time I have a question concerning an incident.

I further realize that building strong relations with my child’s educator, to aid in the training of my child, is as much my responsibility as it is the schools and I will pray for the staff.

I will co-operate with them in discipline, accepting their judgement in all such matters, lay a parental foundation through Godly example in the home, support the spiritual training and follow through with any work, assignments or slips to be signed. I will see that my child reaches school

on time, send sms’s of phone the school for absence, co-operate in training my child to respect school property and pay for broken property caused by my child, attend all parent functions and assist in publicising the school and its programmes among friends.

I realise that attending this school is a privilege and not a right. It is my intention to abide by the decisions and support the discipline system of Bet-Shalom Christian School.

I have read the pledge and agree to the contents therein.

SIGNED ON (DATE): _________________________ FATHER: __________________________

MOTHER: _________________________ GUARDIAN: _________________________

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8. CONSENT AND INDEMNITY

The staff of Bet-Shalom Christian School cannot be held liable or responsible for any actions taken

by them in case of an accident or injury obtained by any student/s. They would assist the injured student in an appropriate way to the utmost of their abilities with regard to the injury. Parents would immediately be informed. Should the injury be of serious nature and it is impossible to

contact or each either of the parents, the school would then understandably have permission to admit such a student to the provincial hospital. Parents would be held responsible for the account. In the case of an extreme emergency, medical rescue/paramedics will be called. Again, the

financial liability will be the parents.

I, (full Name of parent/guardian) ___________________________________________________

of _____________________________________born on _____________________ hereby give my

consent for my child to take part in any and all extra-curricular activities of the school as advised

to myself, whether conducted on the school premises of extra-mural including, but not limited to, games, sport, tours and excursions of general, vocational, educational, historical or scientific interest.

I fully understand and accept that all such activities shall be undertaken at my child’s own risk and I undertake, on behalf of myself, my spouse, my executors and my aforesaid child to indemnify, hold harmless and absolve the school, the head and his/her staff against and from any or all

claims whatsoever which may arise in connection with any loss or damage to the person or property of my aforesaid child in the course of such activities.

*To be completed by all persons applying for enrolment of their child to Bet-Shalom Christian School. We agree to assist our child to submit to the programmed academic and disciplinary regulations and all other requirements instituted by the administration and carried out by the Head

and faculty.

SIGNED ON (DATE): _________________________ FATHER: __________________________

MOTHER: _________________________ GUARDIAN: _________________________

Permission to use Photographs

I understand and acknowledge that, from time to time, informal photographs are taken of the School's learners, and that, insofar as these photographs are placed in the possession or control of the School these photographs might be used by the School in the electronic and /

or printed media, including the Bet-Shalom Christian School website, Facebook, newspaper advertisements, magazine advertisements, brochures, flyers, posters, billboards, banners, flippers and signage on buildings and vehicles, which use will be solely for purposes of

marketing the School. As all marketing material of the School portrays excellence, the School will at all times, insofar as the use and publication of photographs are placed in the control of the School.

_________________________________________

SIGNATURE OF PARENT / LEGAL GUARDIAN

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STRATCOL USER NO: 8706___________________ STRATCOL USERNAME: Bet-Shalom Christian School STRATCOL ABBREVIATED NAME: BETSCHOOL______ (This will be the name appearing on your Bank statement)

STRATCOL USER PHYSICAL ADDRESS: 392 De Wet Drive_______________ Bendor________________________ Polokwane 0699________________

DEBIT ORDER AUTHORISATION

ACCOUNT HOLDER (DEBTOR) INFORMATION: ID Number / Registration Number: ________________________ Name & Surname / Company Name: _________________________________ Address: ____________________________________________________________________________________________Code____________ Contact Details: ___________________________ (Home) ___________________________ (Mobile) ___________________________ (Work) If Company / CC, Name of Person(s) signing this: ____________________________________________________________________________ Account Holder Name: ______________________________________________ Bank: ______________________________________________ Branch / Code: ______________________________Account Number: ___________________________________________________________ Account Type: If “Other” supply details: _______________________________ : _______________________________

COLLECTION INSTRUCTION: Interval:

Is this limited to fixed amounts, or to debits due in future that may vary? Fixed amounts:

Variable amounts:

Note: if variable, the amount(s) hereunder may be exceeded. * Once off transaction:

Collection date: dd_____ /mm _____ / 20_____ R _____________. _______ (Amount)

* Recurring transactions: CONTINUE INDEFINATELY UNTILL CANCELLED BY DEBTOR? YES NO

1st Collection date: dd_____ /mm _____ / 20_____ R _____________. _______ (Amount) Day of Month thereafter: ___________ (1-31) Annual escalation: _______ (%) Escalation month: _____________

* If not indefinitely: _____________ (number of deductions) dd_____ /mm _____ / 20_____ (Final date) * If weekly: MON / TUE / WED / THU / FRI / SAT I / We, the above mentioned and undersigned, hereby authorize StratCol to collect by debit order from the above-mentioned bank account, all amounts due in terms hereof and to pay same to the Stratcol User above. (I confirm that I / we are the person(s) with signature authority as registered with my / our bank).

SIGNATURE (1):_________________________SIGNATURE (2):_________________________ DATE: __________________

OFFICE USE ONLY EFT NAEDO Client reference number: ______________________Abbreviated Name: ______________________ NAEDO TRACKING (Please circle): `1D/ 2D/ 3D/ 4D/ 5D/ 6D/ 7D/ 8D/ 9D/ 10D/ 14D/ 21D/ 32D

CURREN

T

Once off Monthly Quarterly Biannually Annual Weekly Biweekly

SAVINGS TRANSMISSION OTHER

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STRATCOL USER NO: 8706 AGREEMENT I/we hereby authorize STRATCOL to issue and deliver payment instructions to my / our banker for collection against my/our abovementioned account at my/our abovementioned bank. The individual payment instructions so authorized to be issued, must be issued and delivered according to the abovementioned interval on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement. The payment instructions so authorized to be issued, must carry a number, which number must be included in the said payment instruction and if provided to me / us should enable me / us to identify the agreement on my / our bank statement. The said number should be added to this form on page 1 under client reference number, before the issuing of any payment instruction and communicated to me / us directly after having been completed by me / us. I/we agree that the first payment instruction will be issued and delivered as per collection instruction. If, however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I / We agree that the payment instruction may be debited against my / our account on the following or previous business day. NAEDO Allows for tracking of dates to match with flow of Credit at no additional cost to myself / ourselves. I / We authorize the originator to make use of the tracking facility as provided for in the EDO system at no additional cost to myself / ourselves. Subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the Agreement have been paid or until this authority is cancelled by me / us by giving the Stratcol User notice in writing of not less than the interval (as indicated on the Authorization) and sent by prepaid registered post or delivered to his / her / its address indicated above. MANDATE I / we acknowledge that all payment instructions issued by the Stratcol User shall be treated by my / our abovementioned bank as if the instructions had been issued by me / us personally. CANCELLATION I / we agree that although this authority and mandate may be cancelled by me / us, such cancellation will not cancel the Agreement. I / we also understand that I / we cannot reclaim amounts, which have been withdrawn from my / our account (paid) in terms of this authority and mandate if such amounts were legally owing to the Stratcol User. ASSIGNMENT I / we acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party. SIGNED AT ___________________________ON THIS ________ DAY OF _________________ 20______. SIGNATURE(S) AS USED FOR OPERATING ON THE ACCOUNT____________________________________

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UNIFORM & STATIONARY

School Uniform

Girls Summer: Grey skirt/pants White shirt White socks in summer Gr 7 Blazer and Tie available at Snappers Boys Summer: Grey short/long pants White shirt Gr 7 Blazer and Tie available at Snappers Girls & Boys Winter from 2nd Term

School tracksuits and Jersey @ Snappers 78 Market Street

School Golf Shirt / White School shirt

Black “windbreaker” jacket

Tekkies Sportswear: School Golf Shirt and Jersey @ Snappers 78 Market Street Black PT Short (Snappers) White socks Tekkies

SPORT CULTURE PAID ACTIVITIES

Athletics Baking Music

Netball Board Games Ballet

Soccer Chess Swimming

Cycling Origami Pottery

Recycled Art Computer

Choir

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Gr 1 - STATIONARY Gr 2 - STATIONARY

* 2x 12pc Colouring pencils * 12pc Colouring pencils (per term)

* 24 x Grey HB Stadler pencils * 24pc Stadler HB pencils (per term)

* 2x 12pc Retractable crayons * 1x Eraser

* 4x Eraser * 1x Sharpener

* 4x Sharpener * 1x Scissors

* 1x 48 Piece puzzle * 2x Ponal craft Glue

* 1x Scissors * 4x Pritt glue stick

* 1x Ponal craft Glue (500ml) * 12pc wax crayons

* 6x Pritt glue stick * 2x Magazines

* 2x Magazines * 1x 30cm ruler

* 1x 30cm ruler * Pencil bag

* 2x Empty Ice-cream containers * 1x Bean bag

* 1x Bean bag * 1x 50 Pocket Flip file

* 1x 20 Pocket Flip file * 1x Skipping rope

* 1x Skipping rope * Small chalk board

* White Board * 10pc coloured chalk

* 4 x White board Markers (Black) * Small chalk board eraser

* Small white board eraser * Abacus – 100

* 1 packet Unifix Blocks (100 piece) * Tennis ball

* Tennis ball * Hoola Hoop

* Hoola Hoop * Zip lock bag

* 1x Ream white paper (500 sheet) * 1 x Ream White paper (500 sheet)

* 1x Ream Different Colour papers (500 sheets) * 1 x Ream different colour paper (500 sheets)

· Tissues, Hand Sanitizer, Wet Wipes (Per Term) · Tissues, Hand Sanitizer, Wet Wipes (Per Term)

Gr 3 - STATIONARY Gr 4 - STATIONARY

* 4 x 12pc Colouring pencils * 24pc Colouring pencils

* 24pc Stadler HB pencils * 24pc Stadler HB pencils

* 2x Eraser * 2x Eraser

* 1x Sharpener * 1x Sharpener

* 1x Scissors * 1x Scissors

* 2x Ponal craft Glue * 1x Ponal craft Glue (500ml)

* 4x Pritt glue stick * 4x Pritt glue stick (43g)

* 2x Magazines * 1x 30cm ruler

* 2x 30cm ruler * Pencil bag

* Pencil bag * 1x 50 Pocket Flip file

* 1x Bean bag * Zip lock bag

* 1x Skipping rope * 24pc blue pens

* Small chalk board eraser * Colour pens (12pc)

* Abacus – 100 * Highlighters (6pc)

* Tennis ball * Mathematical sets

* Hoola Hoop * Pocket Calculator

* 10pc blue pens * Home Diary

* 1 x Ream white paper (500 sheets) * 1 x Ream white paper (500 sheets)

* 1 x Ream colour paper (500 sheets) * 1 x Ream colour paper (500 sheets)

· Tissues, Hand Sanitizer, Wet Wipes (Per Term) · Tissues, Hand Sanitizer, Wet Wipes (Per Term)

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Gr 5 - STATIONARY Gr 6 - STATIONARY

* 24pc Colorings pencils * 24pc Coloring pencils

* 24pc Steadler HB pencils * 24pc Steadler HB pencils

* 2x Eraser * 2x Eraser

* 1x Sharpener * 1x Sharpener

* 1x Scissors * 1x Scissors

* 1x Ponal craft Glue (500ml) * 1x Ponal craft Glue (500ml)

* 12pc wax crayons * 12pc wax crayons

* 4x Pritt glue stick (43g) * 4x Pritt glue stick (43g)

* 1x 30cm ruler * 1x 30cm ruler

* Pencil bag * Pencil bag

* 1x 50 Pocket Flip file * 1x 50 Pocket Flip file

* 1x Skipping rope * 1x Skipping rope

* Tennis ball * Tennis ball

* Hoola Hoop * Hoola Hoop

* Zip lock bag * Zip lock bag

* 24pc blue pens * 24pc blue pens

* Colour pens (12pc) * Colour pens (12pc)

* Highlighters (6pc) * Highlighters (6pc)

* Mathematical sets * Mathematical sets

* Pocket Calculator * Pocket Calculator

* Home Diary * Home Diary

* 1 x Ream white paper (500 sheets) * 1 x Ream white paper (500 sheets)

* 1 x Ream colour paper (500 sheets) * 1 x Ream colour paper (500 sheets)

· Tissues, Hand Sanitizer, Wet Wipes (Per Term) · Tissues, Hand Sanitizer, Wet Wipes (Per Term)

Gr 7 - STATIONARY

* 24pc Colouring pencils

* 24pc Steadler HB pencils Please do Remember to Clearly mark all

* 2x Eraser stationery and uniform.

* 1x Sharpener Also do not send all stationery to school in the first term.

* 1x Scissors Their respective teachers will request whatever

* 1x Ponal craft Glue (500ml) stationery is required for each term.

* 12pc wax crayons

* 4x Pritt glue stick (43g) * 1x 30cm ruler * Pencil bag * 1x 50 Pocket Flip file * 1x Skipping rope * Tennis ball * Hoola Hoop * Zip lock bag * 24pc blue pens * Colour pens (12pc) * Highlighters (6pc) * Mathematical sets * Pocket Calculator * Home Diary * 1 x Ream white & 1 ream colour paper (500 sheets) * Tissues, Hand Sanitizer, Wet Wipes (per Term)

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Gr R

* 4x 12pack Colouring pencils (1 pack per term)

* 12x Stadler HB pencils (3 pencils per term)

* 1x Eraser

* 1x Sharpener (2 holes with shavings holder)

* 1x 24- or 36-piece puzzle

* 1x Scissors (Blunt Nose)

* 1x Ponal craft Glue (500ml)

* 3x Pritt glue stick (43g)

* 12x wax crayons (Not Retractable)

* 2x Magazines

* 1x 30cm ruler

* 1x Empty Ice-cream containers (2L)

* 1x Bean bag

* 1x 50 Pocket Flip file

* 1x Tweezer

* 1x Skipping rope

* Small chalk board

* 10pc coloured chalk

* Small chalk board eraser

* 2 x Ream White paper (500 sheets)

* 1 x Ream different colour paper (500 Sheets)

1x box of tissues - Monthly

1x Hand Sanitizer - Monthly

1x Pack of Wet Wipes - Monthly

Textbooks

New ALL IN ONE learner book Life Skills Gr R

ISBN: 978-1-77002-996-5

New ALL IN ONE learner book Home Language Gr R

ISBN: 978-77002-992-7

New ALL IN ONE learner book Mathematics Gr R

ISBN: 978-1-77002-994-1

Scripts

1x Hard cover quad & margin p 192

1x Hard cover feint & margin p 192

4xUnruled (Soft cover) p 72

4x17mm ruling p 72

School Uniform - Gr R only: School Golf Shirt (Snappers @ 78 Marker Street) Black PT shorts (Snappers) Navy School Jerseys (Snappers)

Black “windbreaker” jacket

Jean pants for winter White socks Black Tennis Tekkies

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TEXTBOOKS – ONLY GR. 4-7

Gr 4

Textbooks ISBN: NO

* Platinum English Home Language Learner’s Book- 9780636138544

* Platinum English Home Language Reader 9780636138773

* Platinum Mathematics Learner’s Book 9780636135338

* Platinum Social Science Learner’s Book 9780636083448

* Platinum Natural Sciences and Technology Learner’s Book 9780636135512

* Platinum Life Skills Learner’s Book 9780636135727

* Oxford Afrikaans – English School Dictionary

* Afrikaans Sonder Grense Learner’s Book 9780636153332

Scripts

* 5 x 72-page Feint & Margin Soft Cover A4

* 2 x 32-page Feint & Margin Soft Cover A5

* 4 x 192-page Feint & Margin Hard Cover A4

* 2 x 288-page Quard & Margin Hard Cover A4 OR 4 x 92-page

Gr 5

Textbooks ISBN NO:

* Platinum English Home Language Learner’s Book 9780636136106

* Platinum English Home Language Reader 9780636138780

* Platinum Mathematics Learner’s Book 9780636135345

* Platinum Social Science Learner’s Book 9780636091580

* Platinum Natural Sciences and Technology Learner’s Book 9780636135536

* Platinum Life Skills Learner’s Book 9780636135734

* Oxford Afrikaans – English School Dictionary

* Afrikaans Sonder Grense Learner’s Book 9780636154155

Scripts

* 4 x 72-page Feint & Margin Soft Cover A4

* 3 x 192-page Feint & Margin Hard Cover A4

* 1 x 288-page Quard & Margin Hard Cover A4 OR 2 x 92-page

Gr 6

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Textbooks ISBN NO:

* Platinum English Home Language Learner’s Book 9780636136113

* Platinum English Home Language Reader 9780636138797

* Platinum Mathematics Learner’s Book 9780636135352

* Platinum Social Science Learner’s Book 9780636095410

* Platinum Natural Sciences and Tech Learner’s Book 9780636135567

* Platinum Life Skills Learner’s Book 9780636135741

* Oxford Afrikaans – English School Dictionary

* Afrikaans Sonder Grense Learner’s Book 9780636154162

Scripts

* 4 x 72-page Feint & Margin Soft Cover A4

* 3 x 192-page Feint & Margin Hard Cover A4

* 1 x 288-page Quard & Margin Hard Cover A4 OR 2 x 92-page

Gr 7

Textbooks ISBN NO:

* Solutions for All Learner’s English Home Language Book 9781431013982

* Solutions for All Learner’s English Home Language Reader 9781431025503

* Platinum Mathematics Learner’s Book 9780636141407

* Platinum Social Science Learner’s Book 9780636140981

* Platinum Natural Sciences Learner’s Book 9780636140899

* Platinum Technology Learner’s Book 9780636140042

* Today Life Orientation Learner’s Book 9780636115576

* Afrikaans Sonder Grense Learner’s Book 9780636154292

* Today EMS (Economic and Management Sciences) Learner’s Book 9780636140141

* Today Creative Arts Learner’s Book 9780636141155

* Afrikaans – English School Dictionary

* English Novel (You will be informed in time which novel it will be)

Scripts

* 6 x 72-page Feint & Margin Soft Cover A4

* 4 x 192-page Feint & Margin Hard Cover A4

* 1 x 288-page Quard & Margin Hard Cover A4 OR 2 x 92-page