REQUIREMENTS FOR ADMISSIONS TO NORTHERN PARK PRIMARY SCHOOL 2025

School fees for 2024: R21 000.00

Thank you for applying to Northern Park Primary School and we trust that your application will meet with success. The
following documents should be submitted together with your application form; regrettably no application will be processed
if any of the following are not submitted. False information or fraudulent documents will declare this application null and
void. Incomplete forms will not be accepted.

a. A duly completed Application for Enrolment.

b. A duly completed Enrolment Agreement.

c. Transfer Card from previous school (if this is not the first school the learner is attending).
*Must include all marks for tasks completed if learner started the school year at another school.

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d. Copy of Unabridged Birth Certificate

e. Recent proof of address for fica. Letter from councillor will not be accepted as proof of
residence.

f. Proof of last Grade attained (latest Report)

g. Copy of child’s immunisation card

h. Two identity photographs of child (passport size) only if invited to submit original application
forms.

i. Certified copies of Parent/s ID Document/s

j. Financial clearance certificate.

k. Recent salary slips: Father and Mother

l. Three Months bank statements / If self-employed 6 months bank statement.

m. Foreign applicants: Study / residence permit.

n. Grant documentation if receiving.

o. Certified Copy of Death Certificate in the event of a parent/parent’s being deceased.

p. Certified Copy of Adoption/Foster Papers (if applicable)

q. Affidavit if single parent / spouse where about unknown

The procedure for admission is as follows:

• Applications will be processed in the second or third term of the year preceding the child’s admission to Northern Park Primary School.
• Parents may be invited to an interview regarding the admission criteria.
• Parents will be notified of acceptance by telephone and in writing after the interview.
• In the event of this application being successful, one month’s school fees is payable in advance for the year preceding the child’s
admission. This serves as a commitment on the part of the applicant to uphold this application. Please email proof of payment to
[email protected]

PLEASE NOTE: No child will be accepted into the school if the required forms are not received. If this application is successful, you
are kindly requested to have your child undergo an eye test and a hearing test, and to submit proof of such upon your child
entering the school.

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APPLICATION FOR ADMISSION TO SCHOOL

NORTHERN PARK PRIMARY SCHOOL

25 Allan Hirst Drive Telephone: 033 - 3423222

Pietermaritzburg E-mail: [email protected]

3201 Year: 2025

Note: This form must be completed in full. All changes to be initialled or signed by parent / guardian. Completing the form does not necessarily mean that the
learner has been accepted into the school.

Grade Applied for: __________ Highest Grade Passed: ________ Year When Grade was passed: ________ Accession No:_________

Surname: ____________________________________________

First Name: ___________________________________________

Date of Birth: YYYY ______________MM ________DD________

Race: ____________________________________

Country of Residence: __________________________________

If SA, indicate province of residence: _____________________

Physical Address: ______________________________________________________ Home Telephone: _____________________________________

__________________________________________________ Emergency Telephone: _______________________________

City/Suburb: _________________________________________ Learner Cell:____________________________________

Code:________________ Learner Email Address:______________________________________________________________________________

Home Language: ______________________ Preferred Language of Instruction: _______________________

Boarder: Yes_____ No______
Deceased Parent: Mother________ Father _________ Both ________ Mode of transport:____________________________

Is the family unit complete? (state whether parents are together / separated / divorced / widowed) ________________________________
For Grade 1 only: Indicate pre-primary education:
Religion:______________________________ None _______Non Formal _________ Formal __________

Previous School Information

Name of Previous School: ______________________________________________________________________________________________

Previous School Address: ______________________________________________________________________________________________

_________________________________________________________________________________________________________________

Code: _____________ Province:_____________________ Country: ______________________________________

Learner Medical Information

Medical Aid Number: ___________________ Medical Aid Name: ________________________________________________

Medical Aid Main Member: ___________________________________________ _ Doctor Name: ______________________________

Doctor's Address:______________________________________________________________________ Doctor Telephone Number: _____________________

Medical Condition: ____________________________________________________________________________________________________
NB. In case of an emergency, when the family doctor of our choice is not available, we undertake to accept the school’s choice.
Please initial here:____________________

Special problem requiring councelling:_________________________________________________________________________________

Dexterity of learner: Right Hand _____ Left Hand _____ Ambidextrous__________

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 Siblings

Number of other Children at NPPS currently: ___________

Please supply full names below of all your children (brothers / sisters)

Name: Grade:

Name: Grade:

Name: Grade:

School Sport’s House of brothers / sisters / cousins at Northern Park Primary _____________________________________

Has your child ever been refused admission or been expelled from any school? Yes No

If so, give name(s) of the school(s): _______________________________________________________________________

Has your child any disability: Yes No If so, which: ______________________________________________

Upon signature of this Application for Admission, I/We grant consent for the immunisation of My/Our aforementioned child
against any disease/allergies for which immunisation is compulsory.

NB: Alternative Emergency name and telephone number in the event of parents/guardians being unavailable:

Name: _______________________________________________ Tel Work: _______________________________________

Tel Home: ____________________________________________ Cell No: ________________________________________

Relationship to learner: __________________________________________________________________________________

I hereby declare that to the best of my/our knowledge, the information as supplied is accurate and correct.

Name of Father Parent/Guardian (Please Print):

_________________________________________________________________

Name of Mother Parent/Guardian (Please Print):

________________________________________________________________

Date: ___________/_____________/_________________
DD MM YYYY

This Application signed at _____________________________________________________on _______ / _______ / _____

DD MM YYYY

_______________________________________ __________________________________________
FATHER / GUARDIAN MOTHER / GUARDIAN

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PARENT/GUARDIAN INFORMATION:

FATHER/GUARDIAN MOTHER/GUARDIAN
Surname: _______________________________ Surname: __________________________________

First Names: ____________________________ First Names: _______________________________

I.D. Number: ___________________________ I.D. Number: ______________________________

Copy of picture page of ID book (to be attached) Copy of picture page of ID book (to be attached)
Marital Status: __________________________ Marital Status: _____________________________

Married in or out of Community of Property IN  OUT  Married in or out of Community of Property IN  OUT 
Married by customary union? Yes  No  Married by customary union? Yes  No 

Residential address (not postal): _______________ Residential address (not postal): ________________
_________________________________________ __________________________________________
______________________________Code: _____ ___________________________Code: __________

Tel no (H): ______________________________ Tel no(H): _________________________________

Cell no: ________________________________ Cell no: ___________________________________

Postal Address (for all accounts/reports/letters) Postal Address (for all accounts/reports/letters)
_______________________________________ _________________________________________
____________________________Code: ______ _____________________________Code: _______

OCCUPATION DETAILS
Profession: _____________________________ Profession: ________________________________
Name & Address of Employer: _____________ Name & Address of Employer: ________________
______________________________________ __________________________________________
______________________________________ __________________________________________
Employee /Clock / Persal No: ______________ Employee / Clock /Persal/ No: _________________
If self-employed, name of business: ___________ If self-employed, name of business: _____________
_______________________________________ __________________________________________
Nature of business: _______________________ Nature of business: __________________________
_______________________________________ __________________________________________
Address (postal): _________________________ Address (postal): ____________________________
_______________________________________ __________________________________________
Address (physical): _______________________ Address (physical): __________________________
Tel no: _________________________________ Tel no: _____________________________________
E-mail: _________________________________ E-mail: ____________________________________

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 ADMISSION AGREEMENT

DECLARATION & UNDERTAKING BY PARENTS

I/We the undersigned:

Father/Guardian: _______________________________________________________________________________________

ID Number: ___________________________________________________________________________________________

and

Mother/Guardian: _______________________________________________________________________________________

ID Number: ___________________________________________________________________________________________

being the Parents/Guardians of: ____________________________________________________________________________

ID Number: ____________________________________________ Date of Birth: ______________________

hereby declare that I/We have read and fully understand the contents of this document and accept My/Our responsibilities as laid out herein. I/We confirm
that all the particulars in this Application are true and correct. I / We acknowledge that Northern Park Primary School has not been declared as a “No fee
School”.

I/We undertake to:

• Immediately inform the school in writing of any change to My/Our personal details.

• Immediately inform the school in writing of any cases of infectious disease/s or illness within My/Our household.
I acknowledge receipt of the Requirements and Quarantine periods for illnesses and childhood diseases.

• Ensure that My/Our child regularly attends School.

• Ensure that My/Our child fully complies with all current School Rules and Regulations, or as amended from time to time.

• I/We acknowledge receipt of a copy of the School's Code of Conduct for Learners and have acquainted Myself/Ourselves with its contents. I/We
understand that in terms of the South African Schools’ Act (No. 84 0f 1996), I am/We are fully responsible for My/Our child’s behaviour and
conduct while he/she is at school, on route to or from school, or while on a School Excursion. I/We undertake to ensure that My/Our child has
and wears all the prescribed school uniforms, and I/We undertake to ensure that My/Our child’s School Uniforms are neat and well maintained at
all times.

• I/We agree to co-operate fully with the School Authorities should it be brought to My/Our attention that My/Our child’s behaviour/conduct is in
conflict with the school Rules and/or Regulations.

• I/We acknowledge that in terms of the South African Schools Act (No.84 of 1996), the payment of the school’s annual fees which are determined
by the School's Governing Body and duly approved by the parents, is compulsory. (Unless an application for a partial/full exemption has been
successful.)

• In accordance with the provisions of the South African Schools’ Act (No. 84 0f 1996), I/We undertake to pay the annual school fees as follows
(please tick appropriate block):

A once-off instalment before 28 February; 

Ten (10) equal instalments from before 31 January to before 31 October and before the end of
each month in between:

• Quarterly instalments

• I/We undertake to make payment of My/Our child’s school fees directly into the school’s banking account, being.

Northern Park Primary School

Nedbank
Branch Code – Taj Centre – 198765
Account number – 1130582779
NB: Please ensure that you put your account code/s which will be supplied to you by the school on the deposit slip as a reference to your account.

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I/We acknowledge that in the event of there being any outstanding school fees I/We undertake and/or hold Myself/Ourselves bound
to:

1.1 the payment of all legal costs incurred by the school’s attorneys, which shall be on the attorney and client scale, any value
added tax (VAT) at the standard rate, together with any stamp or other duties payable under the circumstances.

1.2 the signing of an “Acknowledgement of Debt” form and/or a “Section 58 Consent to Judgment” form, should the school or its
attorneys require this.

1.3 the payment of any costs incurred by My/Our child in respect to any damages, or to the loss of any property owned by, or in
the custody of the school.

Furthermore:

2. I/We acknowledge that upon My/Our failure to pay any amount by a due date, the full and total balance due to the school
becomes due and payable by the end of the month after I/We have defaulted.

3. I/We undertake to give the school a terms notice, in writing, should it become necessary to withdraw My/Our child/children
from the school, alternatively, one month's school fees shall be paid if notice is not given as stated.

4. I/We understand that I am/We are jointly and severally liable for the payment of all amounts owed to the school, or which may
become due in respect of My/Our child’s education and/or otherwise.

5. I/We choose My/Our residential address, alternatively, My/Our postal address, alternatively, My/Our business address to be
the address where I/We shall accept the servicing of any notices, documents or correspondence which may need to be
delivered/served on Me/Us.

6. I/We consent to My/Our child taking part in all school activities, whether conducted on the school premises or extramurally,
including, but not limited to, games, athletics, tours and excursions of general, vocational, educational, historical and/or
scientific interest. I/We understand and accept that all such activities shall be undertaken at My/Our child's own risk. On
behalf of Myself/Ourselves, my spouse, My/Our executors and My/Our aforesaid child do hereby indemnify, hold harmless
and absolve the KwaZulu-Natal Department of Education, the School Headmaster, Staff and any delegated authority against,
or from any claims whatsoever, which may arise in connection with any loss or damage to the person or property of My/Our
child in the course of such activities.

7. I/We hereby give consent for My/Our child to be transported in the school bus/es or any hired transport, or by any private
transport as may be required by the school in order to facilitate the transportation of learners wherein My/Our child may be
participating as a participant, a spectator or in whatever other capacity he/she may be required to participate. I/We fully
understand and accept that any conveyance of My/Our child in terms hereof, shall be undertaken at My/Our child's own risk
and on behalf of Myself/Ourselves, My/Our executors, my spouse and My/Our child, I/We indemnify and will keep
indemnified, the KwaZulu-Natal Department of Education, the School Headmaster, its Staff and any other designated
authority, against all actions, proceedings, claims, liabilities, damages, costs and/or expenses of whatsoever nature, that may
arise in connection with, or the loss of, or the damage to property, or injury to My/Our child which may occur in the course of
such transportation. I/We further understand that the vehicle used in the transportation of My/Our child shall be driven by a
member of the School Staff, a parent or any other person delegated the duty, subject to him/her being lawfully authorized to
drive the vehicle and this indemnity, therefore, extends to all such drivers of the vehicle.

8. I /We understand and accept that, in addition to the school’s fees further charges may be incurred and that such charges may
include the cost of aftercare, uniform, stationery, excursions, books, etc.

9. The school, Governing body and staff shall not be responsible at any time for the loss, theft or damage of any items belonging
to the parent or child. It is the duty of the parent to adequately insure against – such loss.

10. I / We shall incur cost for damages done or losses caused by my / our child to the school or state property / equipment.

11. The Headmaster or his / her designate reserves the right to search learners’ bags / desks should it be deemed necessary in the
event of school security being compromised.

12. I/We agree that the School Headmaster and/or all staff attached to the school may act in loco parentis (as the child's parents in
My/Our absence) in the event of any accident / injury involving My/Our child.

13. Notwithstanding My/Our signature hereto, the acceptance and admission of My/Our child to attend Northern Park Primary
School is subject to the approval of this application, by the Headmaster.

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 14. I/We acknowledge that failure to fully complete this form, or alternatively, to return this form to the school fully completed
within 14 days of receipt thereof, may lead to My/Our child not being admitted to the school.

15. We understand that this application for admission WILL NOT be processed unless all the documents listed below, together
with a transfer card from the applicant learner’s previous school, have been received by Northern Park Primary School.

a. A duly completed Application for Enrolment.

b. A duly completed Enrolment Agreement.
c. Transfer Card from previous school (if this is not the first school the learner is attending).
*Must include all marks for tasks completed if learner started the school year at another school.
Ori
d. Copy of Unabridged Birth Certificate
e. Recent proof of address for fica. Letter from councillor will not be accepted as proof of
residence.
f. Proof of last Grade attained (latest Report)
g. Copy of child’s immunisation card
h. Two identity photographs of child (passport size) only if invited to submit original application
forms.
i. Certified copies of Parent/s ID Document/s
j. Financial clearance certificate.
k. Recent salary slips: Father and mother
l. Three months bank statements / If self employed 6 months bank statement
m. Foreign applicants: Study / residence permit.
n. Grant documentation if receiving.
o. Certified Copy of Death Certificate in the event of a parent/parent’s being deceased
p. Certified Copy of Adoption/Foster Papers (if applicable)
q. Affidavit if single parent / spouse where about unknown

SIGNED at______________________________ on___________________________________________

___________________________________________ ________________________________________
Father/Guardian Mother/Guardian

__________________________________________ ________________________________________
Witness Witness

Office use only:

Date: __________________ Accepted: ________________ Accession No: _________________________

Rejected: _____________

Reason for Rejection: ___________________________________________________________________________

SIGNED at ________________________________ on _____________________________________

___________________________________
HEADMASTER

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 APPLICATION FOR ENROLMENT OF LEARNER (TERMS AND CONDITIONS)
entered into between:

THE GOVERNING BODY: NORTHERN PARK PRIMARY SCHOOL

and

__________________________________________________________________________________________________
FULL NAMES OF FATHER/GUARDIAN

and

___________________________________________________________________________________________________
FULL NAMES OF MOTHER/GUARDIAN

RESIDENTIAL ADDRESS FATHER/GUARDIAN (DOMICILIUM CITANDI ET EXECUTANDI):

________________________________________________________________________________________________________
______________________________________________

RESIDENTIAL ADDRESS MOTHER/GUARDIAN (DOMICILIUM CITANDI ET EXECUTANDI):

________________________________________________________________________________________________________
______________________________________________

TELEPHONE NUMBERS:
FATHER/GUARDIAN: _________________________________________________________
MOTHER/GUARDIAN: ________________________________________________________

EMAIL ADDRESS:
FATHER/GUARDIAN: _________________________________________________________
MOTHER/GUARDIAN: ________________________________________________________

EMPLOYMENT ADDRESS (FATHER/GUARDIAN):

________________________________________________________________________________________________________
______________________________________________
EMPLOYMENT ADDRESS (MOTHER/GUARDIAN):
________________________________________________________________________________________________________
________________________________________________________________________________________________________

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NAME AND ADDRESS OF A FAMILY MEMBER WHO DOES NOT RESIDE WITH
YOU:__________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________

NAMES OF LEARNER(S):
________________________________________________________________________________________________________
________________________________________________________________________________________________________

1. APPLICATION FOR ENROLMENT

1.1 This application for enrolment, on signed and accepted by the Governing Body of the School, will become an
agreement dealing with the terms and conditions for enrolment to the school.

2.1 The terms and conditions set out herein is primarily intended to govern the financial obligations of the parents
and do not limit or detract from any other rights of obligations the parties have between and towards each other.

2. SCHOOL FEES:

2.1 School fees are payable annually in advance on or before 28 February of each year.

2.2 Notwithstanding clause 2.1 above, Parents may sign an annual Agreement to pay School Fees that entitles them
to pay school fees in monthly or quarterly instalments or such other terms of payment offered by the Governing
Body, from time to time.

2.3 Should Parents elect to sign an annual Agreement to pay School Fees in terms of clause 2.2 above, each years’
signed Agreement to pay School Fees must be returned to the school before 28 February of every year, or in
the event of the admission of a learner after 28 February of any given year, within ten (10) days of admission,
failing which the Parents will be obliged to settle the school fees in full on or before 28 February of every year
or within ten (10) days admission, as the case may be.

2.4 Should an attorney be instructed to collect any amount due as a result of any breach of this Agreement or of the
Agreement to pay School Fees, then the Parents will be jointly and severally liable for the payment of school
fees and the school may recover its costs on the scale as between attorney and client, including collection
commission and tracing fees.

2.5 I/We hereby authorise the Governing Body of the School, or its duly authorised representative, to conduct a
full credit investigation in and to my/our affairs and to report me/us to any Credit Bureau upon non-payment
or late payment of any amount due and payable.

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3. APPLICATION FOR EXEMPTION

3.1 Parents who wish to apply for Exemption from payment of School Fees must do so annually, using the
prescribed from to be obtained from the Finance Office of the School.

3.2 Parents who successfully apply for Exemption from payment of School Fees will receive either a full
exemption, partial exemption or a conditional full or partial exemption on terms approved by the Governing
Body.

3.2 Should no application for exemption from or reduced in school fees on the prescribed form be received before
28 February of every year, I/we will be ipso facto barred from applying for an exemption from or reduction in
school fees, and the school fees determined at the annual meeting contemplated in terms of Section 38 and 39
of the South African Schools Act 84 of 1996, as amended, will be due and payable, regardless of whether I/we
would otherwise have quailed for an exemption from or reduced in school fees.

3.2 A single Parent/Custodian parent may apply for exemption from or reduction in school fees, without the consent
of the other biological Parent/Non-custodian parent, subject to the following conditions:

3.2.1 That the single Parent/Custodian so applying, must complete and sign the prescribed affidavit setting
out the grounds why application is made without the consent of the other biological Parent/Non-
custodian parent.

3.2.2 The full contact details of the other biological Parent/Non-custodian parent must be provided in the
prescribed affidavit and a copy of the child/children’s unabridged birth certificate(s) must be
submitted with the prescribed affidavit.

3.2.3 That the duly completed and signed prescribed affidavit must be submitted to the School Fee
Secretary/Bursar before an application for exemption from or reduction in school fees may be
submitted.

3.2.4 That a single Parent/Custodian parent may not apply for exemption from or reduction in school fees
until the prescribed affidavit has been submitted to the school; and

3.2.5 That both the prescribed affidavit and applications for Exemption from or reduction in School Fees
must be submitted to the School Fee Secretary/Bursar of the School on or before 28 February each
year, or within 60 days of change of circumstances.

3.3 Interviews may be conducted to verify information given by a Parent(s) in respect of any aspect of the
application for exemption from or reduction in school fees and the prescribed affidavit before an exemption is
granted.

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 3.4 A Parent(s) may appeal to the Head of Department of the Department of Education against the decision of the
Governing Body of the School regarding exemption from or reduction in school fees.

3.5 Subject to paragraph 3.2 above, the Governing Body of the School will consider the combined gross income of
the Parents as defined in the Regulations for Exemption of Parents from Payment of School Fees (as per
Government Gazette R1052 published on 18 October 2006), when processing all application for Exemption
from or reduction in School Fees.

3.6 The Governing Body may delegate the handling of all applications for Exemption from or reduction in School
Fees to the School Fee Secretary/Bursar.

3.7 Should no application for exemption from and reduction in school fees on the prescribed form be received on
or before 28 February each year, or within 60 days of change of circumstances, a Parent(s) shall be ipso facto
barred from them later applying for an Exemption from or reduction in School Fees.

4. PROTECTION OF PERSONAL INFORMATION ACT (“POPIA”)

4.1 I/We are hereby informed and accordingly consent to the processing of our personal information as set out in
this agreement and any other agreement, form, document or application we complete and give to the School
and the Governing Body for the duration of the enrolment of our child/ward at the school. The extent of the
personal information relates to the personal, identifying, contact, residential, financial, correspondence,
educational and behavioural information, as well as any assessments, evaluations and interpretations in respect
of any of the aforesaid [hereinafter referred to as “Personal Information” as read with and otherwise
contemplated in terms of the Protection of Personal Information Act 4 of 2013 (“POPIA”)] and which Personal
Information, subject to clause 4.5 the school and the Governing Body may collect, store, delete, outsource,
transfer or otherwise process, as the context and circumstances may require from time to time, as contemplated
in terms of POPIA.

4.2 I/We are hereby further informed and accordingly consent(s) that Personal Information shall be collected for
purposes relating to the relationship that will be formed between the School, the Governing Body and I/us upon
the enrolment of the learner(s) at the School, and that will continue to exist for as long as the learner(s) is
enrolled at the School (“relationship”) and all Personal Information required for processing incidental to the
formation and continuation of this relationship. Such Personal Information shall only be processed by the
School and the Governing Body or an authorised third-party operator for purposes relating to the aforesaid
relationship, or any other third party where required in terms of applicable law, or where any additional
information not incidental to the aforesaid relationship (if applicable) is processed by the School and the
Governing Body in accordance with the circumstances, upon receiving prior consent from me/us.

4.3 I/We hereby acknowledge and accordingly consent that the School and Governing Body may outsource the
processing of my/our Personal Information to third party operators from time to time as the relevant
circumstances incidental to the relationship may require, in accordance with the relevant provisions of POPIA.
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 4.4 I/We undertake to inform the School and Governing Body of any change in my/our Personal Information during
the duration of the relationship.

4.5 I/We shall be entitled to request reasonable access to the Personal Information held by the School and
Governing Body, in accordance with sections 23 and 24 of POPIA, as well as the correction, reduction or
deletion thereof, as the relevant circumstances may require.

5. DURATION

5.1 The liability of the signatories to pay annual school fees arises upon the admission of the learner to Northern
Park Primary School and the terms and conditions set out in this agreement will apply to the signatories hereto
for the duration of the learner’s admission at Northern Park Primary School.

5.2 Each signatory to this agreement is deemed to be a “parent” as defined by the South African Schools Act 84 of
1996, as amended.

DATED at _____________________ on this __________ day of ________________ 20____

______________________________ ___________________________
FATHER/GUARDIAN HEADMASTER/SGB

______________________________
MOTHER/GUARDIAN

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 NORTHERN PARK PRIMARY
25 Allan Hirst Drive
Chase Valley, Pietermaritzburg 3201
Telephone 033 342 3222 Website:
www.npps.co.za
Email: [email protected]

FINANCIAL CLEARANCE CERTIFICATE

TO BE SUBMITTED BY THE COMPLETING SCHOOL
Name of learner:
Grade of learner:
Lurits Number:
Name of School:
Name of Parent:
ID Number of Parent:

Physical Address ofSchool:

Annual School Fees: R

Fees paid to date: R
Fees in arrears: R
Have the parents met their school fee obligation? YES NO
If no, please give brief details:

This is to certify that the above parent has paid school fees as indicated.

Signature of Headmaster / Bursar Date

SCHOOL STAMP Please return to the Admission’s

Officer of Northern Park
Primary School at
[email protected]

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