Junior-School Admission

Submitted by administrator on Sun, 2009-11-22 13:42

Pupil Information

Surname:

First Name/S:

Birth Date:

I.D.No:

Home Language:

Religion:

Place Of Birth:

Baptism:

First Communion:

Confirmation:

If Catholic, To Which Parish Do You Belong?:

Name And Address Of Present School:

Tel No:

Present Class:

Parent Information

Mother

First Names:

Title (Mrs/Dr/Prof Etc):

Surname:

Home Address:

Occupation:

I.D. No:

Marital Status:

Postal Address:

Code:

Business Name:

Business Address:

Business Code:

Home Telephone:

Business Telephone:

Cellular Telephone:

Email:

Father

First Names:

Title (Mrs/Dr/Prof Etc):

Surname:

Home Address:

Code:

Occupation:

I.D. No:

Marital Status:

Postal Address:

Postal Code:

Business Name:

Business Address:

Postal Code:

Home Telephone:

Business Telephone:

Cellular Telephone:

Email:

Number Of Children In Family:

1 St , 2 Nd , Etc In Family?:

Are Any Siblings Or Family Members Already At Springfield Or Intending To Apply? If So, State Whether Sister, Cousin Etc:

When?:

Former Family Association With Springfield (E.G. Mother, Past Pupil):

If A Past Pupil, State Maiden Name:

Years Attended Springfield:

House (Dominic, Maccy, Thomas):

References: (Two Contactable Names Of People Who Know You As A Family)

Name:

Tel. No:

Name:

Tel. No:

Declaration:

I acknowledge and accept that Springfield supports the religious and educational policies of the South African Catholic Bishops Conference and that instruction at the School takes place in accordance with this ethos.

I certify that the above particulars are correct. I acknowledge that school rules will be observed. I also acknowledge that all fees are payable in advance and that a term’s notice of withdrawal or nonattendance of pupil or discontinuation of optional extra subjects, shall be given in writing, or alternatively, a full term’s fees shall be paid. I hereby agree that in the event of my account being handed over for collection, I will be liable to the School for payment of all legal costs pertaining thereto.

Signed(Father):

Signed(Mother):

Date:

Nonrefundable

Application Fee: R:

Placement Fee: R:

On Acceptance

Banking Details

Beneficiary: Springfield Convent School
Bank: First National Bank
Account No: 501 600 36635
Branch Code: 201109
Branch: Plumstead
Please Attach Confirmation Of The Nonrefundable Application Fee To The Application And Either Return By Post Or Hand In At The Admissions Office.
Applications Must Include A Copy Of A Birth Certificate And Baptism Certificate.

Remarks:

(Please Give Any Other Information You Wish To Have Recorded)

Top School Menu

Junior-School Admission

Left Side School Menu

Contact