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 (If unable to attach the documents below, please email them to

  • 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. Scheduled interviews with parents and learners form part of the application process.

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