TRANSPORT APPLICATION FORM

 

 

 

 

Year applying for

 

New Child Re-Admission
Homework Centre    

 

School attending Grade

 

Date on which  admission required

 

DETAILS OF CHILD/REN

Surname
Name
Preferred name
Gender          
Nationality  
Date of birth Year:   Month: Day:       
Age
ID Number
Home language
Physical address

 

PARTICULARS OF PARENTS / GUARDIAN

FATHER

Surname
First Name
ID Number
Contact Details
  H  
  Cell
Email address
Name of Employer
Contact number

MOTHER

Surname
First Name
ID Number
Contact Details
  H  
  Cell
Email address
Occupation
Name of Employer
Contact number

 

MEDICAL INFORMATION

Medical Doctor
Contact number
Medical aid
Medical No
Previous sickness
Allergies
Chronic medication

 

IN CASE OF EMERGENCY

Name of next of kin
Surname
Address
Contact Details
  Cell
Relationship
 

Select following options

Single trip (R500) Morning
Double trip (R720) Afternoon

 

PLEASE NOTE:

Transport fees are R500 for a single trip and R720 for a double trip. A 15% discount will apply if two or more children are using transport. Fees are payable monthly in advance before the 2nd of the month. Late payments will be subject to a penalty fee.

The full transport fee is payable regardless of public holidays, school holidays, absent days or any other reason your child does not partake in the transport. Failure to pay the fees this will result your child not being able to travel with the transport service. Payments are for 11 months of the year.

On cancellation 1 month’s written notice must be given. No notices will be accepted in November and January.