AIA Admission Form

Admissions Form

Enter your admission information below

Thank you for your interest in our Academy. Please click here to read...
Please complete ALL fields in as much detail as possible. Do no omit any detail.

NB! Details of relevant family medical history, known allergies, previous illnesses, physical or learning difficulties, including any relevant information on past or present medical treatment or therapy (occupational or psycological) must be attached hereto.

Before completing the online form, please ensure that you have the following documents online or scanned / ready to be attached to the application:

1. The learner's previous year's final report.

2. The learner's CEMIS/ISAMS transfer certificate and / or..

CONTENT OF THIS BLOCK TO BE DISCUSSED WITH AIA.
SECTION ONE

Learners Details

PERSONAL DETAILS
Name*

First NameMiddle InitialLast Name
Birth Date*

MonthDayYear
Gender

MaleFemaleDecline to Answer
Age*
Numbers only please
ID Number*
13 Digit ID number
Country of Birth
Select Province if RSA
Current Grade*
Home Language*
Number of Children in Family
Is learner 1st, 2nd, etc in family
Religion

ChristianMuslimHinduOther

SCHOLASTIC DETAILS
Last School Attended*
School Country / City*
School's Head
School Phone Number*
Please enter a valid phone number.
Last Grade Passed*
Year (Last Grade Passed)*
Grades not Passed*
Year (Grades Not Passed)*
Names of Siblings at this Academy*
School Email*
example@example.com
Special talents - academic/music/sport

MEDICAL HISTORY
Family Doctor*
Phone Number*
Please enter a valid phone number.
Family Dentist
Phone Number
Please enter a valid phone number.
Details of medical conditions & previous operations / chronic medication*
Medical Aid*
Membership Number*
Signature 1

Clear
Signature 2

Clear

Father / Guardian One
Name*

PrefixFirst NameLast Name
Home Language*
Nationality
Religion

ChristianMuslimHinduOther
Marital Status*
ID Number*
13 Digit ID number
Occupation
Current Employer*
Work Phone
Please enter a valid phone number.
Residential Address*
Postal Address
Postal Code
Mobile Phone*
Please enter a valid phone number.
Email*
example@example.com

Mother / Guardian Two
Name*

PrefixFirst NameLast Name
Home Language*
Nationality
Religion

ChristianMuslimHinduOther
Marital Status*
ID Number*
13 Digit ID number
Occupation
Current Employer*
Work Phone
Please enter a valid phone number.
Residential Address*
Postal Address
Postal Code
Mobile Phone*
Please enter a valid phone number.
Email*
example@example.com

Alternative Contact
Name

First NameLast Name
Address (Home)
Address (Business)
Telephone (Mobile)
Please enter a valid phone number.
Telephone (Business)
Please enter a valid phone number.
Email
example@example.com
Relationship to Child

Should be Empty: