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Application Form

Please note that as of 1 Jan 2016, you will be required to include proof of payment of the registration fee when submitting the application form.  This fee will be R50 and payment can be made to these banking details.

Child Information

Full Name of Child (required)

Date of Birth

Gender
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Parents Names (and Surnames)

Contact Information

Home Address

Please complete the table below with as much information as possible. Please note that we do require at least 1 contact.

Contact Name Tel Number Email

Final Information

Religion

Have elder siblings attended St. Elizabeths?

Desired Date of Enrolment : Please ensure this is after 1 Jan 2015

Other Info

How did you hear about St. Elizabeths ?

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