Glen Austin House
Learner Online Application

 

Learner Info
   
Phase Application:
Proposed Entry Grade:
Proposed Entry Date:
(DD/MM/YYY)
My child will make use of the Cafeteria Services:
My child will make use of the Bus Transport Services
   
Learner Name:*
Learner Surname:*
Preferred Name:
Learner Date of Birth:*
(DD/MM/YYY)
City and Country of Birth:
Learner ID/Passport No:
Learner Dexterity:
Student Gender:
Home Language:
- if Other, please specify:
Population Group:
- if Other, please specify:
   
Sibling 1:
Full name:
Current Grade:
School:
Sibling 2:
Full name:
Current Grade:
School:
Sibling 3:
Full name:
Current Grade:
School:
   
 CURRENT/PREVIOUS SCHOOL:
Current School Name: *
Current School Address:
Principal’s Name: *
Telephone No.:
Current Grade:
Any Grades repeated?
Has admission to this or any other school been Refused?
   
 MEDICAL INFORMATION (DO NOT LEAVE BLANK):
Name of family doctor: *
Telephone Number: *
Provide medical information that the school must be aware of, e.g. Allergies, Epilepsy, Medication, Dietary, Learning disorders etc.
   
 CONTACTABLE RELATIVES / FRIENDS WHO CAN BE CONTACTED IN CASE OF AN EMERGENCY IF YOU ARE NOT AVAILABLE:
Relative 1 Full Name: *
Relative 1 Cell No: *
Relation to the Learner: *
Relative 2 Full Name:
Relative 2 Cell No:
Relation to the Learner:
   
 
Payment Info
   
 PAYMENT OPTIONS: ACKNOWLDEGEMENT OF DEBT
 AND PAYMENT AGREEMENT
MONTHLY PAYMENT PLAN
– BY DEBIT ORDER:
 
QUARTERLY PAYMENT PLAN:
  
YEARLY PAYMENT PLAN:
 

Discounts:
Termly Payment Plan: 3% Discount on Tuition Fees Only.
Annual Payment Plan: 5% Discount on Tuition Fees Only.
Sibling Discount: 5% per learner per annum on Tuition Fees Only.

Glen Austin House Bank Details:
First National Bank: Carlswald Branch
Account No: 622-780-07656
Branch No: 250-117, Business Transact Account
Reference: Name of Learner and Service/Item

   
Full Name:*
ID No:*
Parent / Guardian of:*
   
Parent 1 Info
   
 PARENT 1/GUARDIAN 1 INFORMATION:
Relation to Learner:
Marital Status:
Population Group:
- if Other, please specify:
Title:
- if Other, please specify:
Full Name:*
Surname:*
Preferred Name:
ID Number: *
Company Name (Employer):*
Length of service:
Company Physical Address:
Occupation:
Position in Company:
Email Address: *
Cell No.: *
Home No.:
Work No.:
Physical Address:
Postal Address:
 PARENT 1/ GUARDIAN 1 MEDICAL AID DETAILS:
Name of Medical Aid:
Medical Aid Membership No.:
Principal Member’s name:
Is the learner a member on this medical aid:
   
   
 
Parent 2 Info
   
 PARENT 2/GUARDIAN 2 INFORMATION:
Relation to Learner:
Marital Status:
Population Group:
- if Other, please specify:
Title:
- if Other, please specify:
Full Name:
Surname:
Preferred Name:
ID Number:
Company Name (Employer):
Length of service:
Company Physical Address:
Occupation:
Position in Company:
Email Address:
Cell No.:
Home No.:
Work No.:
Physical Address:
Postal Address:
 PARENT 2/ GUARDIAN 2MEDICAL AID DETAILS:
Name of Medical Aid:
Medical Aid Membership No.:
Principal Member’s name:
Is the learner a member on this medical aid:
   
   
 
   
 
 
Financial Terms & Conditions
1. ACCEPTANCE OF LIABILITY
1.1 The person responsible for the Account (hereafter the Account Holder) as set out in the standard Application for Admission (hereafter the Application) herewith assumes liability for the Account, alternatively binds him-/herself as co- debtor and surety for payment of all fees to the School.
1.2 The legal guardian, as described in the Application, binds him-/herself as surety and co-debtor for the payment of all fees by the Account Holder or any other payments that may arise from this Agreement.

2. TERMS OF PAYMENT
2.1 It is recorded that fees are determined at the by the third quarter of the preceding year and that the Account Holde r is informed of the result in writing.
2.2 The Account Holder shall immediately inform the School if he / she has not received an invoice at the start or during the course of the academic year.
2.3 Fees for 12 (twelve) months are payable monthly in advance by means of debit order on or before the last day of each calendar month in advance or annually in advance by 30th of January, depending on the fee payment option exercised by the Account Holder in the Application.
2.4 The School reserves the right to charge interest of 15% (fifteen percent) on all accounts that are in arrears by 30 (thirty) days or longer.
2.5 Payment of monthly fees is not subject to presentation of a statement. Payments are made in accordance with the applicable fee structure of the School.
2.6 In the event where an existing account is / has not been managed in the proper manner, no further Applications will be considered.

3. BREACH OF CONTRACT
In the event where the undersigned surety, Account Holder or legal guardian commits a breach of contract of any of the terms of this Agreement, the School may in its sole discretion:
3.1 Conduct appropriate intervention.
3.2 Claim damages from the Account Holder and / or the surety and legal guardian; or
3.3 Take whatever legal steps that may be necessary.

4. GENERAL
This Agreement constitutes the whole Agreement between the parties relating to the subject matter hereof. No amendment or consensual cancellation of this Agreement or any provision or term thereof or of any Agreement, bill of exchange or other document issued or executed pursuant to or in terms of the Agreement and no settlement of any disputes arising under this Agreement and no extension of time, waiver or relaxation or suspension of any of the provisions or terms of this Agreement or of any Agreement, bill or exchange or other document issued pursuant to or in terms of this Agreement shall be binding unless recorded in a written document signed by the parties. Any such extension, waiver or relaxation or suspension which is so given or made shall be strictly construed as relating strictly to the matter in respect whereof it was made or given.

5. JURISDICTION
This Agreement is subject to South African law.

6. CREDIT INFORMATION
The Account Holder, surety or legal guardian hereby consents to the disclosure and exchange of personal financial information to a credit bureau or financial institution in accordance with the National Credit Act.

7. DOMICILIUM
The parties choose as their Domicilia citandi et executandi the addresses set out in the Application.

8. LEGAL FEES In the event where the School takes legal action against the Account Holder, he / she will be liable for all legal fees on an attorney client scale, collection costs and commission, interest and tracing fees.

9. CANCELLATION
9.1 The Account Holder undertakes to give a full Term’s written notice of termination of the enrolment of a learner, failing which the liability be incurred for the full amount of the following term’s fees.
9.2 The School shall be entitled to terminate the enrolment of any learner under the following circumstances: Summarily, and with immediate effect, if the learner is guilty of an offence which, in the sole opinion of the School, renders his / her continued enrolment at the School impossible, in which event the Account Holder, after deduction of all amounts otherwise owing to the
School, will be refunded a pro-rata proportion of any fees already paid in advance in respect of such learner. (This is only in the case where the school terminates the enrolment)
9.3 In the event of emigration, the School requires 1 (one) full term’s written notice in advance.
   
 
 
Admission Procedure

APPLICATION REQUIREMENTS, DOCUMENTATION & ASSESSMENT TESTS

The following requirements, documentation and tests will be required in order to complete the application and forms part of the approval of applications process:

Please note: Applications that do not have a full complement of documentation will not be processed.

A. Application Requirements:
1. Every application must be agreed to electronically by applicants in the block provided.
2. Application Form must be accompanied by proof of the EFT payment of the non-refundable
application fee per application.
One application fee is payable per child. Bank details are on the application form on page.
3. All supportive documentation must be attached to or included with the application form.
4. A formal interview will be conducted with the parent(s) and student upon the application receipt on the day immediately after the assessment test is written and marked.
6. Applications will only be processed once the application fee is paid, the assessment tests written, and the school has received the completed and stamped “Learner Confidential Report” from your child’s current school.

B, Documentation Learner:
1. A copy of the child’s birth certificate/ ID document / Passport.
2. Two recent full colour ID size photos to be attached to the application form.
3. A copy of the child’s latest school report.
4. A copy of any professional or medical report where applicable e.g. occupational therapy, IQ evaluation.
5. A copy of the child’s vaccination record where applicable.
6. Full profile from previous school, if available, on transfer from another school.
7. Study permit for international students.

C. Documentation Parent(s)/Guardian(s):
1. A copy of both parent’s ID document(s) / Passport(s).
2. A copy of the parent/guardian’s latest salary slip.
3. Three months bank statement to verify salary deposit.
4. Proof of residence (e.g. electrical account).
D Assessment Tests:
1. Learner might be required to write two assessment tests, both English and Mathematics.
2. Costs of the tests included in the Application Fee.
3. The school retains the right to request learners to write English HL and Mathematics Assessment Tests.
   
 

I/we declare that all the information supplied on this is form is accurate and true. By my/our signature(s) above I/we indicate my/our understanding, acceptance and agreement to/of the terms and conditions of payment and the finance policy of the school. I/we declare that I/we fully understand that Glen Austin House Fees (all fees) are payable (paid and cleared) in advance by the last day of each month in advance by debit order and via EFT for Monthly fees; Termly (by the last day of each month in advance of the term) and Annual Payments (by the 30th of January the year in advance).

My/our signature on/to this form is completely free and voluntary. Failure to keep to the payment agreement (s) may result in my/our account being handed over to the school’s legal representatives, who in turn will be entitled, to recover all necessary fees outstanding as well as costs incurred. I/we hereby give permission that the necessary credit enquiries may to be made on all the information contained and supplied within this document for verification purposes. I/we further accept that academic and progress reports may be withheld in lieu of outstanding fees (any and all). Accounts in arrears will be handed over for collection. Overdue accounts will attract interest at the prevailing prime lending rate. I agree that my child (ren) may be allowed to attend class once I can supply proof of payment.

I/WE AGREE:

This agreement constitutes the whole agreement and includes
all of the school’s policies.

  I (Name & Surname) with I.D. number as parent / guardian
of (learner name) agree that all information completed is correct.
 
  Kindly check & confirm that the email address supplied for Parent 1 is correct as all correspondence regarding the Learner's application will be sent there.
Retype the code in the above image?

 

Acceptance/Receipt of this form by GLEN AUSTIN HOUSE does not imply acceptance into the school. An interview with both parents and the child’s assessment will be required before the child can be accepted. The child will need to write an English and Mathematical assessment test prior to acceptance. The parents/guardian will be advised of the test date and time.

 
           
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011 023 7340/1/2
38 HAMPTON ROAD, GLEN AUSTIN
MIDRAND, GAUTENG
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