APPLICATION FOR THE REGISTRATION OF LEARNERS FOR HOME EDUCATION AT THE DBE

Did your child attend a public or independent school ever before?*
Has your child ever attended a public or registered independent school - it must be a registered school and not a service provider like Impaq or OPSA.
2.1 Province of last public/independent school attended*
Province where the last school attended is located
2.2 Name of previous school*
Name of the last public or independent school attended
2.3 Grade completed at this school*
Last grade completed at a public or independent school
2.4 Physical address of the school*
Physical address of the public or independent school (Street, Town, Postal Code)
2.5 Contact No. of last school attended:*
PPhone number of the public or independent school (Area Code and Number)lease enter a valid phone number.

3.1 Grade for which application is being made*
Grade you wish to register your child for (in the year you are applying for)
3.2 Curriculum to be used (i.e. CAPS, Cambridge, ACE, Montessori, Waldorf or any other)*
The curriculum you will use to home educate your child (If you select CAPS, the subjects will be automatically populated based on the teaching language and grade)
3.2a Other curriculum to be used *
Other curriculum used not listed above
3.3 Subjects Offered (List all subjects, Separated by comma)*
Subjects offered during your home education (If you use CAPS, the subjects will be automatically populated based on the teaching language and grade)
3.4 Home Education site address (This should be the home address of a parent/guardian)*
Please provide the address where homeschooling will take place, including the street number, street name, city, and postal code. Note: Home Education is intended to occur primarily at your own residence; tutor centres are not permitted as the primary location.
3.5 Reasons for choosing home education (Mark Appropriate)*

Distance to schoolChildren With SpecialNomadic lifestylesDissatisfaction with public schoolReligious ConvictionsFinancial ConsiderationLack of Admission to public ordinary SchoolsOther
3.5a If other reason, specify*
Reasons for choosing home education - if other specify

Please select the option that best describes the learner's current living situation:*
Which situation best describes your child's living conditions?

4.1 Title of male*
Select the title (e.g., Mr., Dr., Prof.)
4.2 First Names*
First name of male
4.3 Surname*
Surname of male
4.4 South African Citizen*
Are you a South African citizen?
4.5 South African Identification Number*
Your South African ID Number
4.6 Passport Number:*
If you are a foreign national, please provide your passport number
4.7 Country of Origin(If not from South Africa)*
If you are a foreign national, please specify your country of origin.
4.8 Population Group*
Your population group - select
4.9 Highest Qualification Obtained*
Your highest qualification obtained
4.10 Employment Status:*
Your employment status - select
4.11 Marital Status:*
Your marital status - select
4.12 If you are a member of a Home Education Association, please provide the name: (i.e. OPSA, Pestalozzi Trust)
Are you a member of a home education association, such as OPSA, Pestalozzi Trust, or others?
4.13 Lives with the Learner*
Are you a member of a home education association, such as OPSA, Pestalozzi Trust, or others?
4.14 Relationship With Learner*
Your relationship with the learner - select
Other Specify *
If your relationship is not specified above, please specify your relationship
4.15 Telephone Number
Your landline number (code) number - if applicable
4.16 Cell Number*
Your mobile number - (code) number
4.17 Email Address*

Confirmation EmailYour email address - example@example.com
Street*
Your home address - Street name
House No.
Your home address - Street number, if applicable
Farm
If you live on a farm: Name of farm
Complex/ Building
If you live in a complex or your building has a name: Name of Complex/Building
Area Code*
Your Postal code
Town*
Town where your residence is located
5.1 Title of female*
Select the title (e.g., Miss., Mrs., Ms., Dr., Prof.)
Name*

5.2 Name of female5.3 Surname of female
5.4 South African Citizen*
Are you a South African citizen?
5.5 South African Identification Number*
Your South African ID Number
5.6 Passport Number: (if applicable)*
If you are a foreign national, please provide your passport number
5.7 Country of Origin(If not from South Africa)*
If you are a foreign national, please specify your country of origin.
5.8 Population Group*
Your population group - select
5.9 Highest Qualification Obtained*
Your highest qualification obtained
5.10 Employment Status(Please tick appropriate box)*
Your employment status - select
5.11 Marital Status:
Your marital status - select
5.12 If you are a member of a Home Education Association, please provide the name: (i.e. OPSA, Pestalozzi Trust)*
Are you a member of a home education association, such as OPSA, Pestalozzi Trust, or others?
5.13 Lives with the Learner*
Are you a member of a home education association, such as OPSA, Pestalozzi Trust, or others?
5.14 Relationship With Learner*
Your relationship with the learner - select
If other specify*
If your relationship is not specified above, please specify your relationship
5.15 Telephone Number
Your landline number (code) number - if applicable
5.16 Cell Number*
Your mobile number - (code) number
5.17 Email Address*

Confirmation EmailYour email address - example@example.com
Street*
Your home address - Street name
House No
Your home address - Street number, if applicable
Farm
If you live on a farm: Name of farm
Complex/ Building
If you live in a complex or your building has a name: Name of Complex/Building
Area Code*
Your Postal code
Town*
Town where your residence is located

Tutor Information:

As the parent, you hold full responsibility and control over your child’s education. You may use tutors for support, but they should not take over the educational role or responsibility for your child’s learning.
- Using a Tutor Centre as Daycare: If you’re using a tutor centre mainly to keep your child safe during the day while you’re at work, rather than as the primary source of education, you don’t need to fill in their details here. Since the centre’s role is to care for your child rather than lead their education, it should be seen as a daycare, not an educational centre.
- Using a Specific Tutor: If you use a specific tutor to assist with your child’s education, you can enter their name and address in this section. Alternatively, you may list your home address as the main location for your child’s education.
Do you use a tutor to assist with your child’s education?*
Tutor centres or daycare centres should not be listed, as they do not take responsibility for your child’s education. However, if you use a specific tutor to assist with your child’s education, you may include their details here. Remember, you remain fully responsible for your child’s education.
Name and Surname of the tutor*

Name of the tutorSurname of Tutor:
6.3 South African Citizen*
Is the tutor a South African citizen?
6.4 South African Identification Number*
The tutor's South African ID number
6.5 Passport Number: (if applicable)*
If the tutor is a foreign national, provide the tutor's passport number
6.6 Please State Country of Origin *
If the tutor is a foreign national, provide the country of origin
6.7 Qualification Obtained*
Tutor's highest qualification of the tutor
6.8 Cell Number*
Tutor's mobile number (code) number
6.9 Telephone Number
Tutor's landline number (Code) Number - if applicable
6.10 Email Address*

Confirmation EmailTutor's email address - example@example.com
Street*
Tutor's street name or your home street where tutoring take place
House No
Tutor's house no or your home no where tutoring take place
Farm
If situated on a farm the name of the farm
Complex/Building
If applicable, provide the name of the complex or building.
Area Code*
Area code of tutor or your home
Town*
Town of your tutor or your home

7. Declaration By Parent Or Guardian
I (name of parent/guardian) hereby declare that I have read section 3(1) and 51 of the South African Schools Act, 1996 together with the Policy on Home Education. I further declare that I understand and accept the responsibility to provide, monitor and assess the home education of my child and that I have supplied full and correct information.*
Name and Surname of parent/guardian
Initials and Surname of the Parent/Guardian
Initials and Surname of the Parent/Guardian
Date *

DayMonthYear
Date
Should be Empty:

APPLICATION FOR THE REGISTRATION OF LEARNERS FOR HOME EDUCATION WITH THE DBE