Admission

Click here to download the Application for Admission Form

 
Personal Details of Applicant/Learner
Learners Surname:
First Name/s:
Date of birth:
Learners ID No:
Residential Address:
Postal Address:
Present school:
Tel No:
Present Grade:
Grade applied for:
Course (Grade 10-12) eg. S7, G48, etc:
Name
of brother / sister
At
Orient
Grade
Other
School
Grade

Yes/No

Yes/No

Yes/No
Particulars of Father/Guardian
Prof/Dr/Mr
Surname:
Full First Names:
Occupation: (If unemployed state “Unemployed”)
Work Address:
Name of Firm/Employer:
Address of Firm/Employer:
Period Employed:
Work Tel No.:
Permanent Home Address:
Home Tel No.:
Period living at this Address:
Rented/Owned:
Relationship To Pupil:
Cell No.:
E-mail:
Does the Pupil Reside at the Address given above?
Yes/No
If the Pupil does not reside with
the responsible parent at the address given above the followin particulars
of the person with whom the pupil resides must be completed:
Person’s Surname:
Tel No.:
Relationship to pupil:
Cell No.:
Particulars
of Mother/Guardian
Prof/Dr/Mrs/Miss/Ms
Surname:
Full First Names:
Occupation: (If unemployed state “Unemployed”)
Work Address:
Name of Firm/Employer:
Address of Firm/Employer:
Period Employed:
Work Tel No.:
Permanent Home Address:
Home Tel No.:
Period living at this Address:
Rented/Owned:
Relationship To Pupil:
Cell No.:
E-mail:
If
Parents are Divorced please Complete the Following
Date of Final Order of Divorce:
Name of Parent who has Custody:
Name of Parent who has Legal Guardianship:
Name of Parent with whom Pupil Resides:
Should the other Parent have Contact with the Child?
Is a duplicate Report required?
Yes/ No
Address to which Duplicate Report to be sent:
Health
Particulars
Doctor’s Name:
Telephone:
In the event of an emergency when
the particular doctor or dentist of my choice is not available,
I undertake to accept the School’s choice.
Previous Illnesses: (Nature and Seriousness)
Has the Pupil Been Immunised Against:  
– Tuberculosis
Yes/No
– Poliomyelitis
Yes/No
– Lockjaw and Diphtheria
Yes/No
Has The Pupil any Defects which affects Him/Her?
(e.g. Hearing, Eye, etc.)
If Yes, Please State which:
How Does this Affect Him/Her?
What Medication is Required?
Does the Pupil take any Prescribed long Term Medication?
Yes/No
If Yes, Please State Which