Learner details:
Reporting Teacher
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Please Select
TEST
Alison Button
Buhle Sithole
Caleb Probert
Charmaine Riddles
Dimpho Mdletshe
Karabo Thembe
Kylie Davids
Maritza De Vries
Michelle Thomas
Naylin Smith
Nomashaka Muhauli
Nompumelelo Mchunu
Patience Kabudza
Samkelo Bhengu
Sanelisiwe Khumalo
Shaida Hamid
Shriley Davison
Sibongile Mthembu
Siliswe Ncube
Sinead Serra
Sonya Naidoo
Telayne Ollier
Teshaan Snyders
Thando Ntshangase
Tshepang Selebogo
Tymeka Naicker
Xhandileigh Julius
Yulenda Bulacho
Zeenat Mohamed
Date:
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Day
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Month
Year
Date
Time of occurrence:
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Hour Minutes
Learners Involved
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Area of occurrence:
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The Senior Field
The Junior Field
In Class
Quad
Bathrooms
Jungle Gym
Other
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Please describe the incident in detail:
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Describe any injuries (if applicable):
Accompanying Evidence (pictures, videos & voice-notes)
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Signature of reporting teacher
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Action taken by HOD of Discipline:
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Meeting with Parent
Detention
Break Detention
Therapy Referral
Meeting with Learner
Principal/Deputy Principal Office
Suspension
Expulsion
Action Plan by HOD of Discipline:
Signature of HOD of Discipline
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