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Applicant Details

Student details
Incase your visa is expaired enter the last expired visa number.
Permanent Resident Permit Certificate Number
Please note that if your application is approved, your child must have a valid Asylum Visa at the time of starting of School.

11, 12, 13 are required by the Department of Education

14: Previous Education (School Institution)
Name
Tel
From
To
 
Any achievements of applicant
you will have to upload supporting document at the end of the form.
17: Enter Name of Child / Children
Name
Grade
 

Parent / Guardian Details

1: Parent / Guardian 1*
5: Residential Address*
6: Postal Address same as Residential Address?*
Postal Address*
PO Box
Postal Code
City
Province
9: Parent / Guardian 1 | Contact Details
Home Tel:
Business Tel:
Cell:
 
Email*
11: Parent / Guardian 1 | Correspondence Address*
12. Emergency Contact*
Relative Name
Tel No.
Relationship With Learner
 
Please provide at least 2 relatives.
1: Parent / Guardian 2*
5: Residential Address*
6: Postal Address same as Residential Address?*
Postal Address*
PO Box
Postal Code
City
Province
 
9: Parent / Guardian 2 | Contact Details
Home Tel:
Business Tel:
Cell:
 
Email
10: Are you a former Central Islamic School Learner?*
Parent / Guardian 2
11: Parent / Guardian 1 | Correspondence Address*
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    Accepted file types: pdf, Max. file size: 2 MB.
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    Accepted file types: pdf, Max. file size: 5 MB.
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    Drop files here or
    Accepted file types: pdf, jpg, jpeg, Max. file size: 8 MB, Max. files: 2.
      Please upload a copy of your payslip. If you own a business please upload your bank statement.
      Accepted file types: pdf, Max. file size: 5 MB.
      Accepted file types: pdf, Max. file size: 5 MB.
      Accepted file types: pdf, Max. file size: 5 MB.
      Accepted file types: pdf, Max. file size: 5 MB.
      Accepted file types: pdf, Max. file size: 5 MB.
      Accepted file types: pdf, Max. file size: 5 MB.
      Consent*
      1: acknowledge and accept that the information in this application is complete and accurate.

      Should this application be successful:
      2: I/ We agree that CIS acceptance of this application Is conditional on my I our timeous completion of the "Rules and Conditions of Admission to CIS'' documentation, including but not limited to the Code of Conduct, Indemnity Form(s) and Conditions of Admission.

      3: I/ we agree that should the applicant be accepted that I/we will be able to pay the yearly school fees and will pay the School fees in 11 monthly Instalments on or before the 15th day of each month beginning the month of January of each school year.

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      You have selected "No" for a valid visa. Due to Department of Home Affairs South Africa regulation, all students applying to study in South Africa must have a valid study permit. You will not be able to continue submitting the application, You may exit this page.

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      Contact Info:

      • Phone: 012 374 4647
      • Email: info@centralislamicschool.co.za
      • Address: 330 Turquoise St, Laudium,
        Centurion, 0037

       

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