Bright Beginnings Admission Form
Pupil's Name
First Name
Last Name
Pupils Date of Birth
-
Month
-
Day
Year
Date
Place of Birth
Nationality
Gender
Please Select
Male
Female
Preferred Language
Please Select
English
Afrikaans
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Corrospondent Address (fill up only if different from Residential Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Local Guardian Name
First Name
Last Name
Local Guardian Occupation
Local Guardian Email
example@example.com
Local Guardian Phone Number
Please enter a valid phone number.
Attach Scan copy of Birth Certificate
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Attach Scan copy of Road to Health Card
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Application
Should be Empty: