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New Exemption Form 2025

Noordwyk Primary School provides an application form for parents seeking exemption from paying school fees under the South African Schools Act. The document outlines required documentation, guidelines for submission, and stipulations regarding the financial status of parents or guardians. Applications must be returned by a specified date and include a declaration of financial need signed by a commissioner of oaths.

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Wesley Patsika
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28 views4 pages

New Exemption Form 2025

Noordwyk Primary School provides an application form for parents seeking exemption from paying school fees under the South African Schools Act. The document outlines required documentation, guidelines for submission, and stipulations regarding the financial status of parents or guardians. Applications must be returned by a specified date and include a declaration of financial need signed by a commissioner of oaths.

Uploaded by

Wesley Patsika
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NOORDWYK PRIMARY SCHOOL

TH
115, 9 Road, Noordwyk, 010 590 4742, [email protected]
SOUTH AFRICAN SCHOOLS ACT NO 84/1996 (AS AMENDED)
REGULATIONS FOR THE EXEMPTION OF PARENTS FROM PAYING SCHOOL FEES
APPLICATION FOR EXEMPTION (Grade R – Grade 7)
FOR OFFICE USE ONLY

DATE COLLECTED FROM SCHOOL


DATE RETURNED TO SCHOOL
APPLICATION NUMBER
COMBINED GROSS INCOME
COMMENTS/CALCULATIONS BY FINANCE OFFICE

APPLICATION APPROVED
APPLICATION NOT APPROVED
STIPULATIONS
FULL EXEMPTION GRANTED
PARTIAL AMOUNT GRANTED
TOTAL FEES DUE AFTER EXEMPTION
FEE EXEMPTION APPLICATION — CHECKLIST AND REQUEST FOR DOCUMENTS
Dear Parent
To process your application for exemption from paying school fees please provide certified copies of the
documents as required by your status.

Unabridged birth certificate of the learner/s


Identity document of parent/s applying.
Three months bank statements (latest)
Latest salary slip/proof of income (No affidavit will be accepted)
Affidavit if parent/s whereabouts are unknown. (Please supply full details.)
Pensioner letter — letter from the Government stating that you receive a pension and how much
per month?
Social grant — if the child receives a social grant, then supply a latter from SASSA showing the
amount you receive.
Foster parent/ Guardian — supply court order
Death certificate for deceased parent/s
Guidelines:
1. Biological parents / adoptive parents / legal guardians are jointly and severally liable for the payment
of the School Fees irrespective of their marital status.
2. Unless one parent is deceased or the whereabouts of a parent is unknown, the information and
documents supplied are always for both biological parents / adoptive parents / legal guardians
3. If you are divorced also supply certified copy of your divorce and/or maintenance agreement.
4. If you are a single parent, then you must supply an affidavit stating where the other parent is and if
he/she supports you and the child.
5. Where you cannot supply any of the above you must supply an affidavit stating why you cannot
provide these documents.
6. Every applicable portion must be completed properly, or your application will not be considered.
7. Application forms must be signed and stamped by a commissioner of oaths.
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PLEASE RETURN THIS COMPLETED FORM AND ATTACHMENTS BY 17/02/2025. IF THE FORM IS NOT RETURNED IT IS DEEMED YOU
DO NOT REQUIRE AN EXEMPTION.

PLEASE USE CAPITAL/BLOCK LETTERS TO COMPLETE THESE FORMS. TICK/CROSS WHERE REQUIRED.

LEARNER’S NAME AND SURNAME GRADE


1. PARTICULARS OF THE SCHOOL: AS ABOVE
2. PERSONAL PARTICULARS OF PARENT:

FATHER/LEGAL GUARDIAN 1 MOTHER/LEGAL GUARDIAN 2


NAME AND SURNAME
Identity number
CELL PHONE NUMBER
EMPLOYMENT STATUS EMPLOYED EMPLOYED
UNEMPLOYED UNEMPLOYED
MARITAL STATUS SINGLE SINGLE
MARRIED MARRIED
LIVING TOGETHER LIVING TOGETHER
DIVORCED DIVORCED
WIDOWED WIDOWED
PARENTAL STATUS FATHER MOTHER
(WHAT IS YOUR RELATIONSHIP TO THE UNCLE AUNT
CHILD?) GRANDFATHER GRANDMOTHER
SIBLING SIBLING
LEGAL GUARDIAN LEGAL GUARDIAN
DETAILS OF ALL LEARNERS AT THIS SCHOOL FOR WHOM APPLICATION IS MADE

NAME AND SURNAME GRADE ORPHAN FOSTER CARE RECEIVING GRANT

NAME(S) OF LEARNER(S) AT THE SAME PUBLIC SCHOOL OR AT ANOTHER PUBLIC SCHOOL THAT HAS NOT
BEEN DECLARED A NO FEE SCHOOL.

NAME AND SURNAME ID. NO GR AMOUNT OF ADDITIONAL NAME OF SCHOOL TEL. NO OF


SCHOOL FEES MONETARY SCHOOL
CONTRIBUTION

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3. FINANCIAL PARTICULARS OF PARENT: Parents must, where applicable, supply the required
documents:

3.1 Combined gross income: (Attach salary advice/s) R

3.2 Money received from investment: (Please provide proof) R

3.3 Profit gained from any type of business: (Please provide R


proof)
3.4 School fees for each child at this school: R R 9 000.00
3.5 Additional monetary contributions paid by a parent in relation to a R
learner’s attendance of, or participation in any programme of, a public
school:

4. ADDITIONAL INFORMATION: Any other relevant information supplied by the applicant, indicating the
inability to pay school fees owing to personal circumstances, that may lead to conditional exemption:

VOLUNTARY CONTRIBUTION: If you are able to make part contribution to the school fees, please
indicate an amount that you think you can afford to pay per month. (If this amount is lower than what
is prescribed by the exemptions table, the exemption table takes precedence.)

5. MANNER OF DELIVERY OF THE APPLICATION FORM: This application form and accompanying
documents must be sealed in an envelope addressed to the Chairperson of the Governing Body and
must be delivered to the school concerned by hand or by registered post.

NAME AND SURNAME OF PARENT SIGNATURE DATE


1.
2.

NAME AND SURNAME OF SGB CHAIRPERSON SIGNATURE DATE

SCHOOL STAMP

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DECLARATION BY PARENT/GUARDIAN
I/we, the below mentioned hereby certify that I/we am/are not able to provide for the educational needs of
the children in this application without the assistance applied for. I/we have not withheld any information
concerning my/our circumstances and all information furnished by me/us is correct and true. I/we understand
that if, at any stage, it is ascertained that this information is incorrect in any way, the exemption will be
cancelled leaving me/us responsible for the full school fees.
Signed by parents/guardians (in the presence of a Commissioner of Oaths)

FULL NAME AND SURNAME OF PARENT SIGNATURE DATE

1.

2.

SIGNATURE OF COMMISSIONER OF OATHS


FULL NAME AND SURNAME
OFFICE
WORK ADDRESS
DATE

OFFICIAL STAMP

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