CHARLES ANDERSON SCHOOL
+264 65 231 844 APPLICATION FORM
canderson8765@gmail.com
Ardooie Str, Erf 4033, Ext.9, Ongwediva
APPLICATION FOR ADMISSION OF LEARNER TO STATE SCHOOL 2025
GRADE 0-9
Due date: 16 August 2024
Form Administrative cost: N$ 10 (payable upon submission)
Attach copies of previous grades Certificate or Statement of Results.
Study permits for foreign learners.
Year Month Date
Application for admission: Pre-primary Grade 3 Grade 6 Grade 9
Grade 1 Grade 4 Grade 7
Grade 2 Grade 5 Grade 8
Current Grade (where applicable):
Name of current school:
Current school’s postal address:
Tel. No: Fax No:
Brothers and sisters enrolled at the school for which application is made
Name Grade
1
2
3
TOGETHER WE CAN ACHIEVE OUR GOALS
SECTION C
PARENTS/GUARDIANS’ INFORMATION
/guardian /guardian
Parents’ Signature
SECTION D
ADDITIONAL INFORMATION OF LEARNER
A. General health condition/allergies: If yes, specify.
B. Learning difficulties (if any)? If yes, specify.
C. Grade(s) repeated at school. If yes, specify.
D. Pre-Primary attended? (Grade 1 only).
E. Means of transport to school. Specify.
F. Religion or Church? Specify.
TOGETHER WE CAN ACHIEVE OUR GOALS
SECTION E
OTHER INFORMATION
1. This application is only valid for the current year. No waiting list will be kept for the
following year.
2. You will be notified in writing regarding this application.
3. Misleading or false information will result in the immediate cancellation/disqualification
of this application.
4. Only application with the following documents will be processed:.
a) A certified copy of birth certificate/passport of the learner.
b) A certified copy of the previous term’s report, if applicable.
5. Copies will not be made at school.
6. This application does not guarantee a place at the school. Thus, parents must also apply
at other schools.
7. The number on the application is only for adminstrative purpose and doesn’t indicate
order of priority, as preference will be given with consideration of nationality, proximity
to the school, Grade 1 turning 6 before 31 December and siblings at the school.
8. CAS commitment on admission.
a) NSFP: N$60 per year.
b) Library fee: N$100 per year.
b) Hall chairs: N$100 once off.
SECTION F
FOR OFFICE USE
Application number
Date received: Year Month Date
Proof of learner’s age, Birth certificate: Yes No
Baptism card Yes No
Latest school report/prof of promotion to the next grade: Yes No
Proof of Namibian citizenship: Yes No
If not a citizen, provide proof of any of the following:
a) Parent’s status as legal resident on valid work permit Yes No
b) Parent’s status as foreign diplomat Yes No
c) Learner’s valid study permit Yes No
Accepted: Yes
Motivation
No
Motivation
Admission committee chairpeson Stamp
Name
Signature
Date
TOGETHER WE CAN ACHIEVE OUR GOALS
