Details of Learner

 

Medical History

 

Name and address of previous school attended by applicant (if applicable)

 

Details of Parents / Guardians

 

The Following Must Accompany This Application

  • On receipt of this form the applicant's name will be placed on file. Acceptance of this application does not imply final acceptance of applicant
 

Declaration Agreement

 

Banking Details

  • (Please use your child's name and surname as a reference) ACCOUNT NAME: The Grassroots Preparatory BANK: Standard Bank ACCOUNT NUMBER: 271 799 145 BRANCH: Kenilworth Centre BRANCH CODE (ELECTRONIC PAYMENTS): 051001 BRANCH CODE: 026209 ACCOUNT TYPE: Current Account
 

Verification