Registration Form

APAX - APPLICATION FOR ADMISSION

As Salaamu Alaikum/Good Day

Thank you for choosing to apply for admission at APAX. Please fill in this form as accurately as possible. We request that you avoid the use of either ALL CAPITALS or all small letters when completing this form. A copy of your form will be emailed to you. Please ensure that your email address is correct and is one that is used and accessed regularly. Please take careful note of the contents of the email as it requires further action on your part.

Shukran

Email *

Name and Surname of Person Completing Form *

Relationship to Learner *

Next Step

Learner's Details

Surname *

First Names *

Grade Applying For *

Academic Year *

Current Grade *

Sibling/s at School *

Grade of Eldest Sibling

Date of Birth *

Learner ID No - If no RSA id no is available then please use passport and permit no etc. *

Study Permit No for non SA Citizens

Study Permit Expiry Date No for non SA Citizens

Country of Birth *

Citizenship *

Gender *

Residential Address - Please include postal code *

Postal Address - Please include postal code *

Home Tel Number *

Name of Current School *

Current School Tel Number *

Home Language *

Child Lives With *

Does your child have any physical or psychological difficulties that will affect his/her learning, is your child undergoing any therapy, is your child on any medication - Please elaborate *

Previous Step

Next Step

Parents Details

If the child has no mother/father then please use N/A in the appropriate fields

Father Surname *

Father First Names *

Father Country of Birth *

Father Citizenship *

Father ID No - If no RSA id no is available then please use passport and permit no etc. *

Father Marital Status *

Father Home Address - Please include postal code *

Father Work Address - If unemployed then state unemployed Please include postal code *

Father Employer - If unemployed please state unemployed *

Father Occupation - If no occupation please state none *

Father Work Tel No

Father Mobile No *

Father Email Address *

Mother Surname *

Mother First Names *

Mother Country of Birth *

Mother Citizenship

Mother ID No - If no RSA id no is available then please use passport and permit no etc. *

Mother Marital Status *

Mother Home Address - Please include postal code *

Mother Work Address - If unemployed please state unemployed - Please include postal code *

Mother Employer - If unemployed please state unemployed *

Mother Occupation - If unemployed please state unemployed *

Mother Work Tel No

Mother Mobile No *

Mother Email Address *

Previous Step

Nest Step

Person Responsible for Fees

Fees Payer Name and Surname *

Fees Payer ID Number /Passport No *

Fees Payer Relationship to Learner *

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