APPLICATION FOR ADMISSION TO SCHOOL

APPLICATION FOR ADMISSION TO SCHOOL

APPLICATION FOR ADMISSION TO SCHOOL

YEAR: 2026
Birdswood Secondary School Admissions Application

Bulbul Bend, Birdswood

Tel: 076-393-3387

Note: This form must be completed in full. Completing the form does not necessarily mean that the learner has been accepted into the school.
STUDENT INFORMATION
Grade Applied For:*
Highest Standard Passed:*
Year When Grade was passed:*

MonthDayYear
Date
Accession No:
Office use only
Student Name & Surname*

TitleFirst NameMiddle NameLast NameInitials
Date of Birth*

MonthDayYear
Date
Identification or Passport No:*
Gender*
Race*
Country of Residence*
Citizenship:*
If SA, indicate province of residence:*
Cell Phone Number*
Emergency Telephone:*
Home Phone Number*
Physical Address*

Street Address

Street Address Line 2

City/SuburbState / Province

Postal / Zip Code
Learner Email Address:*
example@example.com
Home Language*

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Language*

Street Address Line 2

CityState / Province

Postal / Zip Code
Deceased Parent:*
Religion*
Mode of Transport*

Street Address Line 2

CityState / Province

Postal / Zip Code

PREVIOUS SCHOOL INFORMATION
Name of the Previous School*

Previous School Address

CityState / Province

Postal / Zip Code
LEARNER MEDICAL INFORMATION
Medical Aid Number*
Medical Aid Name*
Medical Aid Main Member*
Doctor Name*
Doctor Address:*

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip Code
Doctor Phone Number*
Please enter a valid phone number.
Dexterity of Learner:*
Special Problems Requiring Counseling*
Medical Condition*

Street Address Line 2

CityState / Province

Postal / Zip Code
Reg. Social Grant:*
Rec. Social Grant*
SIBLINGS
Number of other Children at this School*
Position in the family (e.g first)*
PLEASE SUPPLY FULL NAMES BELOW
NameSurnameGrade
NameSurnameGrade
NameSurnameGrade

Parent/Guardian Information
Parent/Guardian Name & Surname*

TitleFirst NameMiddle NameLast NameInitials
Gender*
Race*
Home Language*

Street Address Line 2

CityState / Province

Postal / Zip Code
Residential Street Address:*

Physical Address:

Street Address Line 2

City/SuburbState / Province

Postal / Zip Code
Identification / Passport No:*
Account Payer*
Employer*
Relationship to Learner*
Occupation *
Learner resides with this parent/s*
Marital status of parents*
Email Address:*
example@example.com
Email Validator*
Cellphone Number *
Work Telephone Number *
Spouse Name & Surname*

TitleFirst NameMiddle NameLast NameInitials
Occupation of Spouse *
Spouse ID or Passport No:*
Spouse Cellphone Number *
Spouse Email Address:*
example@example.com
Spouse Work Telephone Number *
CORRESPONDENCE DETAILS
Title*
Name*

Street Address Line 2

CityState / Province

Postal / Zip Code
Surname*
Residential Street Address:*

Postal Address:

Street Address Line 2

City/SuburbState / Province

Postal / Zip Code

PLEASE ATTACH THE FOLLOWING DOCUMENTS WITH THE APPLICATION

1. Copy of Childs Unabridged Birth Certificate or You must attach Home Affairs Receipt if you still waiting for the certificate

2. Proof of Residence

3. Copies of Both Parents/ Guardian Identity Documents (ID)

4. Latest School Report.

5. Fee Clearance Cerfificate (To be completed by the Pupil's current school)

6. Affidavit if Applicable

7. Receipt of Online Administration Fee of R70
Copy of Child Unabridged Birth Certificate or You must attach Home Affairs Receipt if you still waiting for the certificate or Affidavit.*

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Proof of Residence*

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Copies of Both Parents/Guardian Identity Documents (ID)*

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Latest School Report*

Cancelof
Fee Clearance Certificate*

Cancelof
Affidavit if applicable

Cancelof
Receipt of Online Administration Fee of R70 (Not Refundable), Banking Details: Birdswood Secondary School, Nedbank Bank, Branch Code: 130230, Acc No: 1014539641 *

Cancelof
I hereby declare that to the best of my knowledge, the above information as supplied as accurate and correct.
Name *
Surname *
Signature of Parent /Guardian*

Clear
MonthDayYear
Date
Should be Empty: