MCS Learner Application Form MCS Application Form for Grades RRR - 10 "*" indicates required fields Step 1 of 13 7% Application DetailsNOTE : Withholding or false declaration of information will nullify any decision of admission to this school. If we cannot contact you at the address / telephone numbers supplied, this application will be cancelled. NOTE : RRR - A child turning 4 years of age during that year for which the application is made RR - A child turning 5 years of age during the year for which the application is made R - A child turning 6 years of age during the year for which the application is madeApplying For Grade*RRRRRR12345678910Applying for which year?*Please enter a number from 2023 to 2033.Please note that all submitted documentation must be clearly legible and sent in the highest resolution possible. Failure to read any information will result in the application being delayedPlease submit the following with this application form*Please upload all documentation using the file upload box below and mark each document as completed once it is submitted. Recent passport photograph Copy of applicant's birth certificate Copy of immunization card Proof of residence - either telephone / municipal rates account Copy of updated school account of current / previous school Copy of applicant's most recent report Copy of applican't previous academic year's report Copies of any relevant assessments Copies of both parents' / guardians' ID documents File*Please upload all the required documentation Drop files here or Select files Accepted file types: jpg, gif, png, pdf, zip, rar, Max. file size: 64 MB. Learner DetailsSurname*Full Names (as per Birth Certificate)*Resides with* Mother Father Guardian Both Parents Parent Status?* Mother Deceased Father Deceased Other If "Other" - please explain*Physical Address (where learner resides)* Street Address Address Line 2 Suburb Province Postal Code Postal Address Postal Address Address Line 2 Suburb Province Postal Code Telephone NumberCurrent Age*Please enter a number from 3 to 19.Date of Birth* Day Month Year Gender* Female Male Dexterity*Right HandedLeft HandedAmbidextrousEthnic Group*African/BlackAsianColouredIndianWhiteOtherPlease provide ethnic group*ID Number*Home Language*Other LanguageAccountable Person*Person responsiblefor paying school fees Father Mother Trust Other Does Learner have Medical Aid?* Yes No Allergies?* No Other Disability?* No Other South African Citizen* Yes No Country of Birth*Immigration Date* Day Month Year Do you have permanent residency?* Yes No Applied Proof of Residency / Proof of Application for Permanent Residency*Please upload proof of permenant residency or proof that the application is pending. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, zip, rar, Max. file size: 64 MB. Unfortunately the learner must have permanent residency in order to apply at the school as stippulated in our Admissions Policy. You will not be able to proceed with this applicationNumber of siblings already enrolled at Maranatha Christian School*01234Sibling 1* Name Surname Grade Sibling 2* Name Surname Grade Sibling 3* Name Surname Grade Sibling 4* Name Surname Grade Is the learner currently in a school?* Yes No Current School DetailsPresent Grade*RRRRRR12345678910Name of School*Province*School Telephone Number Parent Information :Biological MotherSurname*Full Names*Title*MsMrsDrProfID Number*Residential Address* Street Address Address Line 2 Suburb Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Postal Address Postal Address Address Line 2 Suburb Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Cell Number*LandlineEmployment Status*Full Time EmployedHousewifePart Time EmployedPensionerSelf Employed ProfessionalStudentTemporary EmployedUnemployedEmployer*Occupation*Work Telephone*Email* Marital Status*MarriedDivorcedWidowedSeperatedSingleName, Address and Telephone number of Relative or Friend not living with you :* Parent Information :Biological FatherSurname*Full Names*Title*MrDrProfID Number*Residential Address* Street Address Address Line 2 Suburb Province Postal Code Postal Address Postal Address Address Line 2 Suburb Province Postal Code Cell Number*LandlineEmployment Status*Full Time EmployedHousewifePart Time EmployedPensionerSelf Employed ProfessionalStudentTemporary EmployedUnemployedEmployer*Occupation*Work Telephone*Email* Marital Status*MarriedDivorcedWidowedSeperatedSingleName, Address and Telephone number of Relative or Friend not living with you :* Guardian Information :Surname*Full Names*Title*MrsMsMrDrProfID Number*Residential Address* Street Address Address Line 2 Suburb Province Postal Code Postal Address Postal Address Address Line 2 Suburb Province Postal Code Cell Number*LandlineEmployer*Occupation*Work Telephone*Email* Reason why learner resides with guardian* Medical Aid DetailsName of Medical Aid*Medical Aid Number*Main Member Details*Name of Doctor*Telephone Number of Dr*Emergency Contact other than parents* Name Surname Telephone / Cell Number*Relationship to Learner* Learner's Church AffiliationLearner's Church AffiliationPastorReligionAddress Street Address Address Line 2 Suburb Province Postal Code Telephone NumberIs the Father a committed Christian?* Yes No Is the Mother a committed Christian?* Yes No Has applicant (child) ever made a profession of faith in Christ?* Yes No Scholastic InformationHas child ever been expelled, dismissed, suspended or refused admission to another school?* Yes No Has child ever had any disciplinary difficulties?* Yes No If yes, give details*Has child ever failed a grade?* Yes No Give particulars*Reason for selecting this school*Extra curricular activities : (Sport / Cultural / Other)*Please indicate below what activities your child participates in:Sport, Cultural and Academic colours achieved :Please indicate below:Areas in which parents can offer assistance Extended School Day Programme (Gr RRR/RR) or Aftercare (Gr R)Should you require after school / holiday supervision for your child, please complete the following contract.My child will require an extended school day programme / Aftercare (12:30 - 17:00)* No Yes Subject ChoiceGrade 1 - 9 (All subjects compulsory Grade 10 - 12 (7 Subject choices) English, Afrikaans and Life Orientation are compulsory subjectsElectives*Choose 3 Subjects Physical Science Life Sciences Geography Visual Art Business Studies Economics Accounting Design Computer Applications Technology Engineering Graphics & Design History Consumer Studies Math Subject Choices* Mathematics Maths Literacy Accountable Person - Please give details of who is responsible for school feesPLEASE NOTE : School fees are payable monthly in advance and that the school looks to both BIOLOGICAL PARENTS for payment of school fees, IRRESPECTIVE if parents are single, married, seperated, divorced, remarried, married customary law etc.Surname*Full Names*Title*MrsMsMrDrProfID Number*Residential Address* Street Address Address Line 2 Suburb Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Postal Address Address Address Line 2 Suburb Province ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Cell Number*Phone (h)Employer*Occupation*Phone (w)*EmailRelationship to Learner*Fees paid by Trust?* Yes No Name of Trust*Trust Contact Person*Phone* AgreementPlease note that the school has the right to carry out credit checks.Agreement* I/We accept full responsibility for the payment of school fees monthly in advance for the year. Should my child / children leave the school for any reason, whatsoever, I will give a full term's notice, failing which I will be liable for the school fees for the notice period. I agree that my child adheres to the academic, Christian and disciplinary regulations of the school and accept that, as a Christian school, Maranatha Christian School has no obligation to other religions, festivals, holidays or practices. By signing this agreement I agree to the Maranatha Christian School Financial Policy, Code of Conduct, Indemnity Policies and Admissions Policy. I hereby give my permission to Maranatha Christian School to conduct a financial screening. I/We declare that the above particulars are true and correct, and that I/we have read and understood the contents.CommentsThis field is for validation purposes and should be left unchanged. Δ