EDEN SEVENTH – DAY ADVENTIST ACADEMY

First Names

Surname

Date of Birth

Age

Gender

Home Language

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Grade Applied For

Previous School

Siblings at School

Passport Photo

Doctor's Name

Doctor's Telephone

Allergies

Disabilities

Additional Medical Information

Other Important Child Information

Father Details

Father's Full Name

Father's ID Number

Father's Passport Number

Father's Cell Number

Father's Work Number

Father's Email

Father's Employer

Father's Denomination

Mother Details

Mother's Full Name

Mother's ID Number

Mother's Passport Number

Mother's Cell Number

Mother's Work Number

Mother's Email

Mother's Employer

Mother's Denomination

Guardian Details (if applicable)

Guardian's Full Name

Guardian's ID Number

Guardian's Passport Number

Guardian's Cell Number

Guardian's Email

Guardian's Employer

Guardian's Denomination

Residential Address

Postal Address

Proof of Residence

Account Holder Name

Preferred Email Address

Primary Contact Person

Birth Certificate Copy

Parent's ID Copies

Proof of Residence Document

Registration Fee Paid

Application Fee Paid

I Accept the Contract

Contract Start Date

Place

Signature

Date Signed

Outing Consent

I Accept the Indemnity

Parent/Guardian Signature

Witness Name

Witness Signature

Date Signed

Place Signed

I Accept the Financial Obligation

Parent Full Name

Parent ID Number

Learner Name

Learner Grade

Signature

Date Signed

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EDEN SEVENTH – DAY ADVENTIST ACADEMY

110 John Meirnet Street, Windhoek West

PO Box: 27461 Windhoek

0

admin@edensdaacademy.com

Father Details

Mother Details

Guardian Details (if applicable)

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EDEN SEVENTH – DAY ADVENTIST ACADEMY

110 John Meirnet Street, Windhoek West

PO Box: 27461 Windhoek

0

admin@edensdaacademy.com

Application Form

Learner (Pupil) Details

Medical Information

Parent / Guardian Details

Father Details

Mother Details

Guardian Details (if applicable)

Contact & Address Information

Account & Communication

Required Documents

Contractual Agreement

Indemnity & Consent

Financial Obligation

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Incomplete Application

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