LEARNER DETAILS Sample Clauses

LEARNER DETAILS. 1.1 Full name: 1.2 Identity number: 1.3 Date of birth: 1.4 Gender: Female 1.5 Race: African Indian Coloured White 1.6 Do you have a disability, as contemplated by the Employment Equity Act, 1998? Yes (specify): 1.7 Learners residential, home and birthplace addresses: 1.8 Contact telephone numbers: 1.9 Postal address (if different from residential): 1.10 E-mail address: 1.11 Are you a South African citizen? YES NO If No, (specify and attach documents indicating your status including citizenship and/or permanent residence, study permit, etc. 1.12 Were you employed by your employer before concluding this agreement? YES NO 1.13 Were you party to a workplace-based learning programme agreement at any time in the past before concluding this agreement? YES NO

LEARNER DETAILS. You acknowledge and agree that: (a) All personal details you have provided to Curtin at the time of enrolment are accurate and complete, including anything that may impact on your ability to complete a Credential. You must inform Curtin in writing within 7 days of any corrections or changes to your personal details during the Credential Term. (b) You must maintain a current email address for the Credential Term and Curtin will officially communicate with you via that email and/or through your nominated mobile number.

LEARNER DETAILS. 1.1 Full name ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ 1.2 Identity number: 9712095218088 1.3 Date of birth: 09/12/1997 1.4 Sex : Male Female 1.5 Race: African Indian 1.6 Do you have a disability, as contemplated by the Employment Equity Act, 1998 (Act 55 of 1998) Yes (specify): N/A 1.7 Learners residential, home and birth place address: ▇▇ ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇ (Company name starts with letters T - Z) Mangaung Metropolitan Municipality 1.8 Contact telephone numbers: (As many contact numbers as possible. ONE MUST be a cell number) 1.9 Postal address (if different from residential): ▇▇ ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇ (Company name starts with letters T - Z) Mangaung Metropolitan Municipality Birth address: 1.10 E-mail address: ▇▇▇▇▇▇▇@▇▇▇▇.▇▇.▇▇ 1.11 Are you a South African citizen? YES NO If No specify 1.12 Were you employed by your employer before concluding this agreement? YES NO 1.13 Were you party to a Workplace based learning programme agreement at any time in the past before concluding this agreement? YES NO

LEARNER DETAILS. Surname: First Names: Known as: Date of birth: Gender: Home language: Place of birth: Religion: Nationality: SA Citizen: Yes| No| Current learning facility: Reason for leaving: FATHER/GUARDIAN (Person responsible for School Fees Account: YES NO ) Surname: First name: ID Numbers: Occupation: Name of employer: Cell Phone No.: Work No. Email address: Physical address: Vehicle (Make & Model): Registration No.: MOTHER/GUARDIAN (Person responsible for School Fees Account: YES NO ) Surname: First name: ID Numbers: Occupation: Name of employer: Cell Phone No.: Work No. Email address: Physical address: Vehicle (Make & Model): Registration No.: Surname: First name: Contact No.: Relation to child: Who does your child reside with? Name: Contact: Relation: Medical Aid: Membership No. Main Member: ID No. Family Doctor Name: _ Contact No. Doctor Address: Does your child have any allergies? If yes, please explain Are there any food or beverages your child should avoid? If yes, please explain Child weight at birth: Feeding(breast/bottle) Any problems during pregnancy/birth? Has your child been in any serious accident or encountered any traumatic situation? If yes, please explain Is your child on any chronic medication? If yes, please explain Is your child generally healthy? Does your child have a healthy appetite? Does your child have any habits that concern you? I/We hereby confirm that the information supplied by me/us is correct and that I/we will inform the school immediately in writing should any of the said information change. Signed at on 20 FATHER/LEGAL GUARDIAN MOTHER/LEGAL GUARDIAN Initial All fees are payable on or before the 1st of the month in advance of the month attending and will be so charged until such time as written notice of cancellation is received by Umhlathuze Primary. Monthly school fees are payable even if your child is absent for any reason. Accounts that have not been paid with be handed to our attorneys for collection. Fees are billed for an 11-month year (Jan-Nov) Payments are to be made into the school account using your account reference number. All account queries must be referred to ▇▇▇@▇▇▇▇▇▇-▇▇▇▇▇▇▇.▇▇.▇▇, alternatively by calling ▇▇▇ ▇▇▇ ▇▇▇▇ from Monday-Thursday between the times of 8am – 3pm Declaration to be completed by Parents/Guardian of the child that is enrolled at Umhlathuze Primary: I, and the parents/guardians of hereby accept that the monthly fee as informed by ▇▇▇▇▇▇▇▇▇▇ Primary is payable not later than the 1st day of each...

LEARNER DETAILS. Full name: __________________________________________________________ Identity number: _____________________________________________________ Date of birth: ________________________________________________________

LEARNER DETAILS. 4.1 Full Name as per ID: 4.2 Surname: 4.3 Identity Number: 4.4 Date of Birth: 4.5 Age: 4.6 Gender 4.7 Do you have a disability: Yes No 4.7.1 If yes ,specify and attach confirmation:

LEARNER DETAILS. 2.1 Surname: 2.2 Full Names: 2.3 South African Identity Number: 2.4 Date of birth: Age (to date) 2.5 Persal number (if section 18.1 learner): 2.6 Gender: 2.7 Race: 2.8 Do you have a disability1, as contemplated by the Employment Equity Act 55 of 1998?1. Answer Yes or No. If yes, specify nature of disability: (Code)

LEARNER DETAILS. 1.1 Full name: 1.2 Identity number:

LEARNER DETAILS. 1.1 Full Name: 1.2 Identity Number: 1.3 Cell Number: 1.4 Home Number (if available): 1.5 Fax Number: 1.6 E-mail Address: 1.7 Contact Person: 1.8 Date of Birth: 1.9 District Municipality Name 1.10 Is Learner Residential Area Urban / Rural: 1.11 Highest School Qualification 1.12 Learner Highest Qualification 1.13 Employment Status before concluding this Form 1.14 Period Unemployed 1.15 Gender 1.16 Race 1.17 Disability 1.18 Residential Address 1.19 Postal Address (if different from residential)