BRIGHT STUDENT LEARNING CENTRE
2021 Application Form for new learners. Thank you for applying, to finalize your registration, a fee of R500 must be paid. You can pay cash at the school administration or deposit into our Bank Account. For reference please indicate the name and surname of the student (your child).

FNB BANK - SCHOOL ACCOUNT: 62844257148

Enter Valid Information below
Name & Surname of Learner *
Email Address
Gender *
Identity Document *
Required
Date Of Birth *
MM
/
DD
/
YYYY
Race
Clear selection
Home Address *
Previous Year School Attended *
Main Phone Number *
Alternative Phone Number *
Nationality *
ID or Passport Number *
School Branch *
Learner's Parents Deceased *
Mother's Tounge / Home Language *
Next of Kin: Name + Address + Relationship + Phone Number *
The person responsible for picking up your child from school: Name + Relationship + Phone Number *
Does the pupil have any allergies or medical conditions of which we should be aware? If yes, please supply details *
Parent Relationship To Learner *
Parent Marital Status *
Select Class *
Get Replied Via *
I hereby certify that the information I have given above is correct and true in all respects and I have not withheld or concealed any relevant details. I hereby certify that I have read and understood all the Terms and Conditions (attached at the back of this ApplicationForm.) *
Required
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