Apply Online | AfriDawn College

1Learner Information

Full Name *Full names and surname according to learner's IDPreferred NameName the learner prefers to be called in class

Gender *

FemaleMale

Year Applying For *Grade Applying For *Current AgeDate of Birth *Country and Place of BirthNationality *ID / Passport Number *Home LanguageFirst Additional LanguageReligion & DenominationLearner Telephone NoHome Address — Street Address Line 1 *Street Address Line 2City *Province *Postal / Zip CodePresent School NamePresent School Telephone NoPresent School Email AddressPresent School Principal's NamePresent School Teacher's NamePresent Grade

Has the learner repeated any grade?

YesNo

If so, which grade/s?

Are any parents previous Afridawnians?

YesNo

How did you hear about AfriDawn College?Names and grades of siblings/relatives currently enrolled at AfriDawn

2Learner's Medical Information

Medical conditions the College should be aware of (incl. allergies)Blood Group (if known)

Has the learner received any vaccinations?

YesNo

Medical Aid NameMedical Aid NumberMedical Aid Main Member's NameID Number of Main MemberFamily Doctor NameFamily Doctor Contact Number

3Additional Learner Information

Previous Academic AchievementsPrevious Sport/Culture AchievementsLeadership Positions HeldOther Achievements Outside of School

4Parent / Guardian Information

Parent / Guardian 1

TitleFull Name & Surname *Contact Number (Mobile) *Contact Number (Home)Contact Number (Work)E-mail *Physical Home AddressLeave blank if the same as the learner'sPostal AddressPopulation GroupOccupationEmployerPositionType of Industry

Parent / Guardian 2(optional)

TitleFull Name & SurnameContact Number (Mobile)Contact Number (Home)Contact Number (Work)E-mailPhysical Home AddressLeave blank if the same as the learner'sPostal AddressPopulation GroupOccupationEmployerPositionType of Industry

Marital Status

SingleMarriedSeparatedDivorced

Who has custody? (Full name of parent/guardian)Who may collect the learner from Dawn Park Campus?With whom does the learner reside?Who will be responsible for fees?

If parents are divorced, must copies of reports also be sent to the non-custodian parent/guardian/fee payer?

YesNo

Non-custodian parent/guardian/fee payer — Full NameNon-custodian parent/guardian/fee payer — E-mailAny other pertinent information for our attention

5Emergency Contact (Not Parents/Guardians)

Full Name & Surname of Contact *Contact Number (Mobile) *Email AddressRelationship to LearnerE.g. grandparent, aunt, sibling

6Person Responsible for Payment of College Accounts

TitleFull Names & Surname (according to ID) *ID / Passport Number *Phone Number (Mobile) *Phone Number (Home)Phone Number (Work)Email for Invoices/Statements *Physical Home AddressPostal AddressProvinceOccupationPositionEmployer

7Supporting Documents

PDF or photos, up to 8 MB per file and 25 MB in total. You can select more than one file per item.

Certified Birth Certificate of Learner *Previous School's ReportAll 4 terms of the previous year & term report for the current yearReference for LearnerFrom the current school teacher, principal or religious leaderVaccination CertificateCertified ID Copies of Parents/Guardians *Both parentsProof of ResidenceBoth parentsProof of EmploymentBoth parents3 Months Stamped or Verified Bank StatementsBoth parentsStamped or Verified Bank Statements of Fee PayerIf different from parents

8Consent & Signatures

By completing this form, you consent to AfriDawn College collecting and processing your and your family's personal information for the purpose of processing your application to AfriDawn College. Your information will be used only for the purpose for which it was collected and will be handled in accordance with the Protection of Personal Information Act (POPIA). We will not share your information without your permission unless required by law.

I consent to AfriDawn College processing this personal information. *

Signature — Parent / Guardian 1 *

Sign above using your mouse, finger or stylus.

Signature — Parent / Guardian 2 (optional)

Sign above using your mouse, finger or stylus.

After submitting you’ll be able to pay the R450 application fee online.

Learner Application

1Learner Information

2Learner's Medical Information

3Additional Learner Information

4Parent / Guardian Information

Parent / Guardian 1

Parent / Guardian 2(optional)

5Emergency Contact (Not Parents/Guardians)

6Person Responsible for Payment of College Accounts

7Supporting Documents

8Consent & Signatures