APPLICATION FOR ADMISSION ECD CENTRE 2022

5 Piercy Avenue,Parkhill Gardens, Germiston,1401

+27 11827 8289 / admin@dkids.co.za / www.dkids.co.za
APPLICATION FOR ADMISSION ECD CENTRE 2022

Please complete where applicable
New ChildReadmission
Date on which admission required *

MonthDayYear
Date
Baby Care CentrePre-School CentreGrade R
DETAILS OF CHILD/REN
Name*

SurnameName
Nickname
Gender/Nationality *

Gender Nationality
Age *
Birth date *

MonthDayYear
M/D/Y
ID Number
Passport Number
Home language
Previous School
Period at previous School
PARTICULARE OF PARENTS /GAURDIAN

FATHER
Names*

Surname Name
ID Number
Passport Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work contact details *
Please enter a valid phone number.
Home contact details
Please enter a valid phone number.
Cellphone *
Please enter a valid phone number.
Email address *
example@example.com
Occupation *
Name of employer*
Contact number *
Please enter a valid phone number.
MOTHER
Name*

Surname Name
ID Number
Passport Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Occupation *
Name of employer *
Contact Number of employer *
Please enter a valid phone number.
TICK WHERE APPLICABLE
Own FatherStep FatherWidowerGuardianForster CareDivorced stay with FatherSingle ParentStay with grand mom/dadStay with uncle/auntChildren's Home
Own MotherStep MotherWidowGuardianForster CareDivorced stay with MotherSingle ParentStay with grand mom/dadStay with uncle/auntChildren's Home
MEDICAL INFORMATION
Medical Doctor
Contact No:
Please enter a valid phone number.
Medical Aid
Medical No:
Previous Sickness*
Allergies*
Chronic Medication *
PERSON RESPONSIBLE FOR SCHOOL FEES
Name*

Surname Name
ID Number
Passport Number
Email address *
example@example.com
IN CASE OF EMERGENCY
Name of next of kin *
Surname *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Number*
Please enter a valid phone number.
Cellphone Number*
Please enter a valid phone number.
Relationship *
An application that is not successful will not be carried over to the next year
The following must accompany the application:
▪ Copy of identity document for new applicant/s
▪ Copy of Identity document for person responsible for school fees

I, the undersigned, declare that: -
▪ I have read and understand the policies and procedures manual and I will fully comply and submit
to the policy and procedures as set out in such document.
▪ The authority reserves the right to verify the information given on this form
▪ Any offer of a place will be on the basis that the information supplied is accurate

Photographic waiver: I hereby give / don’t give (circle) permission to allow Dynamic Kids and
DIFC Education Centre to load and display decent and appropriate photos of my child on the
Institute’s Website, Facebook page or other print or online marketing media for the Institute and brand.
This will also include photos taken on special days and events
GiveDon't give
To complete your application forms please send the following attachments to admin@dkids.co.za

admin@dkids.co.za
1.IDENTITY DOCUMENT
2.CHILD'S BIRTH CERTIFICATE
3.CHILD'S CLINIC CARD
4.PROOF OF REGISTRATION FEE
Parent/ Guardian Signature

Clear
Date of application

MonthDayYear
Date
DIFC Education Centre

Clear
Date

MonthDayYear
Date
OFFICE USE ONLY
Place can be offered _____________________

Place cannot be offered: _____________________

On waiting list _____________________

Date of admission: _____________________

Office:_____________________

Date:_____________________
YESNO
Should be Empty:

5 Piercy Avenue,Parkhill Gardens, Germiston,1401

APPLICATION FOR ADMISSION ECD CENTRE 2022

DETAILS OF CHILD/REN

PARTICULARE OF PARENTS /GAURDIAN

MOTHER

TICK WHERE APPLICABLE

MEDICAL INFORMATION

PERSON RESPONSIBLE FOR SCHOOL FEES

IN CASE OF EMERGENCY

An application that is not successful will not be carried over to the next year

To complete your application forms please send the following attachments to admin@dkids.co.za

OFFICE USE ONLY