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SILWERRAND PRIMARY APPLICATION
APPLICATION
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EMAIL
*
Your answer
SECTION 1
Learner Information
1.1 Full names
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Your answer
1.2 Surname
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Your answer
1.3 Nickname
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Your answer
1.4 Date of birth
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MM
/
DD
/
YYYY
1.5 ID Number
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Your answer
1.6 Nationality
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RSA
Other:
1.7 Church affiliation
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Your answer
1.8 Gender
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Male
Female
1.9 Population group / Race
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Your answer
1.10 Home Language
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Afrikaans
English
Other
1.11 Other siblings in Silwerrand
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Yes
No
1.12 Language preference
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Afrikaans
English
1.13 Learner cellphone number
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Your answer
1.14 Method of transport
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Private
Lift
Public Transport
Bus
1.15 Year you are applying for
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Your answer
1.16 Grade you are applying for
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Grade R
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
1.17 Years in grade
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1
2
1.18 Years in phase
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1
2
1.19 Preschool education attended
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Formal
Informal
Other
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