Docstoc

Reg No

Document Sample
Reg No Powered By Docstoc
					                                                                                     Reg No.2008/010403/08

 LOMPEC PRE-SCHOOL AND DAY CARE CENTRE
                                           ( LOMPEC EDUCATION CENTRE )
                                  ( ASSOCIATION INCORPORATED UNDER SECTION 21 )



10935 Ledwaba Street                                                    P. O. Box 77139
P.O. Rethabile                                                          Mamelodi
Mamelodi East                                                           0101
0122

TEL : (012) 801 - 1015 “Registered with the Gauteng Department of Social Development”
FAX : (012) 801 - 1015                   Ref No.:7/8/2/2/736/2
e-mail:lompec@icon.co.za                  NPO No.: 063-306
=========================================================================


ADMISSION 2010
Your application to study at the above school from January 2010 has been
successful.

You are now required to submit the following:

      1.        Application Form

      2.        Registration Fee

      3.        Birth Certificate

      4.        Clinic Card (Immunization Card)


      Our first term commences on the 12th January 2010


      Yours Faithfully


      .........................
      S.M Ntuli
      Registrar




     DIRECTORS: S.B. LETSOALO, S.N. MOHATLI, H.S. ANDERSON, A. LUNGU, M.J. MASHAPA, W.K. MASHIANE
APPLICATION FORMS PRE - SCHOOL 2010
                               INFORMATION OF THE CHILD
                                             CHILD INFORMATION
 SURNAME :
 FIRST NAMES :
 DATE OF BIRTH :
 GENDER :                     MALE [         ]      FEMALE [             ]             AGE [     ]
 HOME LANGUAGE :
 ALLERGIES :
 GENERAL :


 DESEACED: MOTHER [.....]                         FATHER [....]        BOTH [....]
 SOCIAL GRANT: YES [.....]                       NO [.....]
                                            RESIDENTIAL ADDRESS
 RESIDENTIAL ADDRESS:


 AREA CODE :
 CONTACT NUMBER :
 CONTACT PERSON / EMERGENCY NUMBER :
                          PREVIOUS PRE-SCHOOL INFORMATION
 NAME OF PRE-SCHOOL ATTENDED:
 PROVINCE:                                                    YEAR:
 REFERENCE:                                                   TELEPHONE No:

I hereby acknowledge that the above information is to the best of my knowledge and believe true and
correct.

I also believe that no monies will be refunded for any reason whatsoever and that all fees shall be paid
before the 1st of every month.

NB. :   This application form will not be valid without payment of registration fee.

        .................................                       ..............................
        Signature Of Parent                                                  Date


                                                                                                           1
                             PARENTS INFORMATION
                             MOTHER’S INFORMATION
SURNAME :
FIRST NAMES :
ID/ PASSPORT NUMBER :
MARRIED [      ]       SINGLE [       ]   DIVORCED [          ]      WIDOW [     ]
RELATIONSHIP WITH CHILD:          PARENT [     ]    GUARDIAN [        ]   FORSTER CARE [         ]
ADOPTED [ ]

                             CONTACT INFORMATION
POSTAL ADDRESS :


                                                              POSTAL CODE :
WORK TEL NO. [         ]                           HOME TEL NO. [          ]
CELLPHONE NO. :                                    E-mail :

                              MEDICAL INFORMATION
MEDICAL AID :
MEDICAL AID NUMBER :
FAMILY DOCTOR :
DOCTORS CONTACT NUMBER :

                               WORK INFORMATION
NAME OF COMPANY :
POSITION/DESIGNATION :                                             SALARY :
CONTACT NUMBER : [.........]                       CONTACT PERSON :
WORK ADDRESS:
                                                                  AREA CODE:
NUMBER OF YEARS IN COMPANY :

                             FATHER’S INFORMATION
SURNAME :
FIRST NAMES :
ID NUMBER :
MARRIED [          ]       SINGLE [       ]    DIVORCED [             ] WIDOW        [   ]
RELATIONSHIP WITH CHILD : PARENT [            ] GUARDIAN [          ] FORSTER CARE [         ]
ADOPTED [    ]
                                                                                                 2
                            MEDICAL INFORMATION
MEDICAL AID :
MEDICAL AID NUMBER :
FAMILY DOCTOR :
DOCTOR’S CONTACT NUMBER :
                             WORK INFORMATION
NAME OF COMPANY :
POSITION/DESIGNATION :                                          SALARY :
CONTACT NUMBER :[            ]                   CONTACT PERSON :
WORK ADDRESS:
                                                                 AREA CODE:
NUMBER OF YEARS IN COMPANY :
                            CONTACT INFORMATION
POSTAL ADDRESS:




                                                        POSTAL CODE :
WORK TEL NO.: [         ]                      HOME TEL NO.: [           ]
CELLPHONE NO.:                                            E-Mail :

    Note:

    1.      All children must wear the prescribed school uniform.
    2.      Monthly fees should be paid on or before the 1st of every month.
    3.      All children must report at 7:00am daily (see overleaf for after care school
            details)
    4.      Sick pupils must not attend classes.
    5.      Unfortunately we are unable to admit disabled children.
    6.      Swipe your debit/credit card at our offices or pay your monthly fees at the
            college or deposit it in the college’s bank account




                                                                                           3
P       R    E           S      C       H        O      O       L         F          E   E   S
Grade 0 (o up to 2yrs)

Registration Fee                            :         R 300- 00
Class Photos                                :         R 60 - 00
Educational copies & worksheets             :         R 200 - 00
Monthly Fees                                :         R 400 - 00 x 11 months (January to November)
Total Fees                                  :         R 4950 - 00
NB:     10% discount from total fees of two or more learners from the same family.
=============================================================
Grade 0 (3 - 4 yrs old’s)
Registration Fee                            :         R 300 - 00
Class Photos                                :         R 60 - 00
Educational copies & worksheets             :         R 200 - 00
Monthly Fees                                 :        R 350 - 00 x 11 months (January to November)
Total Fees                                  :         R 4410 - 00
NB:     10% discount from total fees of two or more learners from the same family.
=============================================================
Grade R (5 - 6 yrs old’s)
Registration Fee                            :         R 300 - 00
Class Photos                                :         R 60 - 00
Educational copies & worksheets             :         R 200 - 00
Monthly Fees                                :         R 350 - 00 x 11 months (January to November)
Total Fees                                  :         R 4410 - 00
NB:     10% discount from total fees of two or more learners from the same family.
=============================================================
                                                     UNIFORM
Boys             :        Navy Blue Trousers (Long or Short)
                          White T-Shit
                          Maroon Jersey / Fleece Jackets
                          Navy Blue Track Suit

Girls            :        Navy Blue Trouser (Long or Short)
                          White T-Shirt
                          Maroon Jersey / Fleece Jackets
                          Navy Blue Track Suit

Uniform should be worn fully from Monday to Friday except on civics day.

AFTER CARE
Time             :      4pm - 6pm
Grades :         All Grades
Fees             :      R 200 - 00 per month
.

NB:    R 50.00 per hour will be charged for children not fetched from 4pm.
NOTE :        To all Grade R Parents and Guardians you are urged to buy a Grade R Classroom
              Book called Bridging with a Smile
  Purchase Price :Confirm in Admin Office                                                 4

				
DOCUMENT INFO