Test for form – Glenstantia Primary School

Enroll

Step 1 of 2 - Grade Selection & Learner Details

50%

Grade Selection

Applying for Grade in 2026

Learner Information

Learner Name

Full Name/s Surname

Date of Birth

MM slash DD slash YYYY

Nationality

RSA

Other

ID Number / Birth Certificate

Passport Number, Visa Type and Visa Expiry Date

Religious Denomination

Gender

Male

Female

Ethnic Group

Black African

Coloured

White

Indian/Asian

Home Language

Parent / Legal Guardian Information

Biological Parents

Biological Mother Full Name

First Name Surname

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Enrol Grade 1

"*" indicates required fields

Step 1 of 9 - General Information

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This field is for validation purposes and should be left unchanged.

Enrolment - Grade 1

This is an official application to GPS. However, it does not guarantee a space at our school.

GDE Ref No (W210120/01/------/------/----)*

Do Your Currently Have a Learner at GPS?*

Full Name*

First

Grade*

Grade 1 Learner Information

Full Name/s*

First

Initials*

Surname*

Last

Date of Birth*

DD slash MM slash YYYY

Nationality*

ID Number*

Passport Number*

Visa Type*

Visa Expiry Date*

Religious Denomination*

Dominant Hand*

Gender*

Male

Female

Ethnic Group*

Home Language*

Admission Date*

Grade in 2026*

Pre-Primary Education attended*

Formal

Informal

Other

Social Grants

Is the learner registered for a Social Grant?*

Yes

Is the learner receiving a Social Grant?*

Yes

Social Grant Number*

Glenstantia After School (Optional)

Would You Like Your Child In Glenstantia After School Centre? (ASC)*

Yes

Learner Method Of Transport

Learner's method of transport*

Name of Driver*

First

Contact Number*

Estimated Distance From School (in KM)*

Next of Kin Information

Next of Kin Full name*

First

Next of Kin Surname*

First

Relation*

Phone*

Email*

Deceased Parent

Does The Learner Have a Deceased Parent?*

Yes

Deceased parent*

Biological Mother

Biological Father

Both

Name & Surname*

First Last

Date of Death*

DD slash MM slash YYYY

Death Certification to be attached*

Drop files here or

Max. file size: 200 MB.

Name & Surname*

First Last

Date of Death*

DD slash MM slash YYYY

Death Certification to be attached*

Drop files here or

Max. file size: 200 MB.

Grade 1 Learner Health Information

Does Your Child Have Any Allergies?

Allergies*

Food Allergies

Environmental Allergies

Insect Allergies

Medication Allergies

Material & Chemical Allergies

Other

Please Specify*

Any Medical Coditions?*

Please Specify/ Decribe the Medical Condition*

Diagnosed Learning Barriers/Disabilities?*

Received Support*

Speech Therapy

Play Therapy

Occupational Therapy

Remedial Therapy

Please Provide The Necessary Proof*

Drop files here or

Max. file size: 200 MB.

Visual/Hearing Aids?*

Please Specify*

Spectacles

Hearing Aid

Chronic/Daily Medication?*

Describe Time, Dosage & Reason

Time

Please Specify Describe In Full*

Medical Information

Medical Aid?*

Medical Aid Name*

Medical Aid Number*

Main Member*

Contact Number of Medical Aid*

Family Doctor Information

Do The Learner Have a Family Doctor?*

Doctor's Name*

First

Doctor Contact Number*

Business Address*

Previous Education

First registration in Gauteng*

Yes

Attended School Last Year*

Yes

Province/Country if attended last year*

Name of Previous School/Nursery*

Address of Previous School*

Telephone Number*

Email*

Reason for Leaving*

Highest Grade in Previous School*

Has child repeated a grade?*

Yes

Which year?*

DD slash MM slash YYYY

Declaration & Consent

I/We declare that all the information supplied by me/us is true, current and without omissions. I/We am/are aware that Glenstantia Primary School is an English Medium, fee-paying school.

The personal information provided in this form is required to process Grade 1 enrolment & 2026 school fees, and for debt collection purposes. In case of failure to provide the required information, enrolment cannot be processed.

I/We hereby voluntarily provide the personal information as required and consent to the information being processed for the purpose for which it is required.

Parent 1 (signature)*

Parent 2 (signature)*

Parent/Legal Guardian Information

If Guardian 1 and 2 are NOT the learner’s parent(s), please provide proof of guardianship. Guardian 1 and 2 listed below are responsible for the child on a daily basis and will receive SMS and email correspondence from the school as necessary. Only Guardian 1 and 2 stated below will be eligible to vote in school elections and at various meetings.

Learner lives with (Can Select Multiple)*

Mother

Father

Both (Mother & Father)

Other

Learner lives with:*

Parent/Legal Guardian Information 1

Full Name/s*

First

Initials*

Surname*

Last

ID/Passport Number*

Relationship to Learner*

Gender*

Male

Female

Home Language*

Communication Preference*

SMS

Mobile Number*

Home Tel Number*

Email Address*

Residential Address

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Occupation

Choose Occupation*

Employed

Self-Employed

Temporary Worker

Contract Worker

Student

Housewife/husband

Unemployed

Pensioner

Occupation*

Name of Employer/Company*

Work Telephone Number*

Work Email Address*

Work Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is The Learner Living With This Parent?*

Yes

Do You Want To Add Another Parent/Legal Guardian?*

Parent/Legal Guardian Information

Parent/Legal Guardian Information 2

Full Name/s*

First

Initials*

Surname*

Last

ID/Passport Number*

Relationship to Learner*

Gender*

Male

Female

Home Language*

Communication Preference*

SMS

Mobile Number*

Home Tel Number*

Email Address*

Residential Address

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Occupation

Choose Occupation*

Employed

Self-Employed

Temporary Wokrer

Contract Worker

Student

Housewife/husband

Unemployed

Pensioner

Occupation*

Name of Employer/Company*

Work Telephone Number*

Work Email Address*

Work Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is The Learner Living With This Parent?*

Yes

Please Note: that, by Law, both biological parents/legal guardians remain financially responsible for the school fees.

Parent/Guardian Declaration

I/We, the parent(s)/guardian(s), declare that all the information supplied by me/us is true, current, and without omissions. I/We am/are aware that Glenstantia Primary School is an English Medium, fee-paying school.

I/We hereby voluntarily provide the personal information as required and consent to the information being processed for the purpose for which it is required.

Parent 1 (signature)*

Parent 2 (signature)*

Accountable Person's Information Payment of School Fees

Who Is Responsible for Payment of School Fees*

Biological Parent/Legal Guardian 1 (Previous)

Biological Parent/Legal Guardian 2 (Previous)

Both Parents

Other

Please Select Entity Responsible For Post*

Title*

Name of Company/Close Corporation/Trust/Person*

Registration Number*

Contact Number*

Email Address*

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Declaration

I/We hereby voluntarily provide the personal information as required and consent to the information being processed for the purpose for which it is required.

Parent 1 (signature)*

Parent 2 (signature)*

As a Legal Parent/Guardian Are You SA Citizens?*

Yes

All Non-South African Citizens are Obligated to complete this form

TO BE COMPLETED BY ALL NON-SOUTH AFRICAN CITIZENS ONLY

All supporting documents must be submitted at the time of application. Copies must be certified by a Commissioner of Oaths.

Parent/Guardian 1

Full Name and Surname*

First

Country Of Origin*

Passport / Permit Number*

Expiry Date of Passport / Permit*

Type of Visa*

Visa Reference Number*

Expiry Date of Visa*

Date Entered SA*

DD slash MM slash YYYY

Add Another Parent/Gaurdian?*

Yes

Parent/Guardian 2

Full Name and Surname*

First

Country Of Origin*

Passport / Permit Number*

Expiry Date of Passport / Permit*

Type of Visa*

Visa Reference Number*

Expiry Date of Visa*

Date Entered SA*

DD slash MM slash YYYY

UNDERTAKING BY PARENTS / LEGAL GUARDIANS TO PAY SCHOOL FEES

In terms of the Immigration Act No 13 of 2002, Immigration Regulation dated 22 May 2014 Section 12(1)(h):

I/We hereby certify that I/we are the biological / adoptive parents and that I/we have legal custody and / or legal guardianship in respect of the above child.
When the above child has provisionally been accepted at Glenstantia Primary School in Grade ________ for the 2026 academic year, the acceptance is on the condition that the above child obtains an official study visa from the Department of Home Affairs for the duration of his / her studies.
In terms of the condition of the study visa, I / we jointly and severally undertake to pay the annual compulsory school fees for the duration of the above learner’s studies.
In terms of the Immigration Act and the conditions of the study visa, I / we may not apply for the exemption of the payment of school fees.
In terms of the Immigration Act and the conditions of the study visa, I / we may not fall in arrears with the school fee account.
Should I / we fall in arrears with the payment of school fees the above learner will be in breach of the conditions of his / her study visa and the school will report it to the Department of Home Affairs.
This commitment in its entirety will be valid from the day on which I / we sign it to the day on which the learner officially leaves the school.
I / We undertake to adhere to the terms and conditions of this agreement.

Parent 1 (signature)*

Parent 2 (signature)*

Parent 1 Passport Number*

hereby acknowledge that I / we have read and understood the above terms and conditions of this undertaking.

The personal information provided in this form is required to process Grade 1 enrolment / 2026 school fees, and for debt collection purposes. In case of failure to provide the required information enrolment cannot be processed.

I/We hereby acknowledge that I/we have read and understood the above terms and conditions of this undertaking.

I/We hereby voluntarily provide the personal information as required and consent to the information being processed for the purpose for which it is required.

Date Signed*

MM slash DD slash YYYY

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