Enrollment Form - Step 1 of 5Student Information:Name *FirstLastBirthday *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *MaleFemaleCurrent GradeNoneGrade RRGrade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade Applying For (RR to 9): Grade RRGrade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9NextParent/Guardian Information:Name *FirstLastRelationship to Learner *PhoneEmail *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeNextAcademic Information:Current School Name:Special Educational Needs (If any):Previous Academic Performance (Optional):NextEmergency Contact Information:Name *FirstLastRelationship to Learner *Phone *NextAdditional Information:How did you hear about us? *Comments or Questions:ConsentConsent: *I confirm that the information provided is accurate and complete.I consent to the Institute of Excellence processing my personal data in accordance with its privacy policy.PhoneSubmit Info Contact or Visit Us Email Address info@institudeofexcellence.org.za Location 83 Hospital Hill Road, Tongaat Phone Number Admissions: (010) 030 0080 Admissions Student Portal Staff Directory
