Wierda Park Learner StatusCurrentWaitlistLeftLearner Full Names Learner Surname Learner Nickname Learner Initials Learner GradeGrade RRRRGrade RRRGrade RRGrade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Registration Class Learner GenderMaleFemaleLearner Birthdate YYYY slash MM slash DD Learner Id Number(Required)Learner Passport NumberLearner Ethnic GroupAfrican/BlackAsianColouredIndianOtherWhiteLearner Cell Phone Number Learner ReligionApostolicAnglicanBuddhismCatholicChristianHinduIslamJudaismLutheranMethodistProtestantLearner Nationality Learner Home LanguageAfrikaansDutchEnglishGermanNdebele (isiNdebele)North Sotho (Sepedi)OtherPortugueseSA Sign LanguageSouth Sotho (Sesotho)Swazi (siSwati)Tsonga (Xitsonga)Tswana (Setswana)Venda (Tshivenḓa)Xhosa (isiXhosa)Zulu (isiZulu)Learner Tuition LanguageEnglishAfrikaansLearner Preferred LangueAfrikaansDutchEnglishGermanNdebele (isiNdebele)North Sotho (Sepedi)OtherPortugueseSA Sign LanguageSouth Sotho (Sesotho)Swazi (siSwati)Tsonga (Xitsonga)Tswana (Setswana)Venda (Tshivenḓa)Xhosa (isiXhosa)Zulu (isiZulu)Learner DexterityAmbidexterousLeft handedRight handedLearner Medical Aid Learner Medical Aid Member NumberLearner Medical Aid Head Member Learner Sport Team Learner After School Center Learner HostelYesNoLearner BillableYesNoLearner Begin Date To Pay Schoolfees YYYY slash MM slash DD Learner Admission Date In School YYYY slash MM slash DD Learner Date Left YYYY slash MM slash DD Learner Date Registered YYYY slash MM slash DD Learner Sne StatusMainstreamSNE (Separate class)SNE (As part of Mainstream)SNE SchoolSID learnerSID multigrade classLearner Lsen Number Learner Years In GradeLearner Years In PhaseLearner Previous School(Required) Learner Registered Social GrantYesNoLearner Receive Social GrantYesNoLearner Benefit From Nutrition ProgramYesNoLearner Email Address Learner Distance From School Parent1 Title Parent1 Surname Parent1 Fullnames Parent1 Nic Name Parent1 Initials Parent1 Marital StatusDivorcedMarriedSingleWidowedParent1 Id NumberParent1 Passport NumberParent1 Nationality Parent1 Ethnic GroupAfrican/BlackAsianColouredIndianOtherWhiteParent1 GenderMaleFemaleParent1 Home Telephone Number Parent1 Work Telephone Number Parent1 Cellphone Number Parent1 Fax Number Parent1 Email Address Parent1 Physical Address Parent1 Postal Address Parent1 Home LanguageAfrikaansDutchEnglishGermanNdebele (isiNdebele)North Sotho (Sepedi)OtherPortugueseSA Sign LanguageSouth Sotho (Sesotho)Swazi (siSwati)Tsonga (Xitsonga)Tswana (Setswana)Venda (Tshivenḓa)Xhosa (isiXhosa)Zulu (isiZulu)Parent1 Correspondence LanguageAfrikaansEnglishParent1 Communication MethodSMSE-mailPostBy HandParent1 Employment SectorOtherAgricultureArmed ForcesCatering & EntertainmentCivil ServiceConstructionEducationFinanceHealthIndustryLegal ProfessionMediaNature ResourcesScience/ComputingSecuritySellingTransportationWelfareParent1 Occupation Parent1 Employer Parent1 Employer Address Parent1 Guardian TypeFatherMotherStepfatherStepmotherFoster ParentFamily MemberOtherParent1 Lives WithYesNoParent1 Is Preferred CommunicationYesNoParent1 StatusActiveInactiveFamily StatusBoth parentsSingle parent (Divorced)Single parent (Widow / Widower)Single parent (Never Married)Foster careFoster homeOtherRecomposed familyParents Deceased TypeNoneMotherFatherBothWho Pays Parent1 Or Parent2Parent1Parent2OtherHas Parent2YesNoParent2 Title Parent2 Surname Parent2 Fullnames Parent2 Nic Name Parent2 Initials Parent2 Marital StatusDevorcedMarriedSingleWidowedParent2 Id NumberParent2 Passport NumberParent2 Nationality Parent2 Ethnic GroupAfrican/BlackAsianColouredIndianOtherWhiteParent2 GenderMaleFemaleParent2 Home Telephone Number Parent2 Work Telephone Number Parent2 Cellphone Number Parent2 Fax Number Parent2 Email Address Parent2 Physical Address Parent2 Postal Address Parent2 Home LanguageAfrikaansDutchEnglishGermanNdebele (isiNdebele)North Sotho (Sepedi)OtherPortugueseSA Sign LanguageSouth Sotho (Sesotho)Swazi (siSwati)Tsonga (Xitsonga)Tswana (Setswana)Venda (Tshivenḓa)Xhosa (isiXhosa)Zulu (isiZulu)Parent2 Correspondence LanguageAfrikaansEnglishParent2 Communication MethodSMSE-MailPostBy HandParent2 Employment SectorOtherAgricultureArmed ForcesCatering & EntertainmentCivil ServiceConstructionEducationFinanceHealthIndustryLegal ProfessionMediaNature ResourcesScience/ComputingSecuritySellingTransportationWelfareParent2 Occupation Parent2 Employer Parent2 Employer Address Parent2 Guardian TypeFatherMotherStepfatherStepmotherFoster ParentFamily MemberOtherParent2 Lives WithYesNoParent2 Is Preferred CommunicationYesNoParent2 StatusActiveInactiveNext Of Kin Name Next Of Kin Contact Number Next Of Kin Alternative Phone Number Next Of Kin RelationOtherFamily memberFamily friendDoctor Doctor Telephone Pays Title Pays Company Pays Company Reg Pays Initials Pays Full Name Pays Pref Name Pays Surname Pays Nationality Pays Id NumberPays Passport NumberPays Ethnic GroupAfrican/BlackAsianColouredIndianOtherWhitePays GenderFemaleMalePays Home LanguageAfrikaansDutchEnglishGermanNdebele (isiNdebele)North Sotho (Sepedi)OtherPortugueseSA Sign LanguageSouth Sotho (Sesotho)Swazi (siSwati)Tsonga (Xitsonga)Tswana (Setswana)Venda (Tshivenḓa)Xhosa (isiXhosa)Zulu (isiZulu)Pays Corr LanguageAfrikaansDutchEnglishGermanNdebele (isiNdebele)North Sotho (Sepedi)OtherPortugueseSA Sign LanguageSouth Sotho (Sesotho)Swazi (siSwati)Tsonga (Xitsonga)Tswana (Setswana)Venda (Tshivenḓa)Xhosa (isiXhosa)Zulu (isiZulu)Pays Comm MethodSMSE-MailPostBy HandPays Cell Number Pays Contact Number Pays Home Telephone Number Pays Fax Number Pays Email Address Pays Physical Address Pays Business Address Pays Residential Address Pays Postal Address ID Document of Student(Required)Max. file size: 32 MB.ID Document of Parent 1Max. file size: 32 MB.ID Document of Parent 2Max. file size: 32 MB.Proof of residenceMax. file size: 32 MB.Student medical cardMax. file size: 32 MB.
