Page 30 - ebook brahminy college

EST.2020
BRAHMINY COLLEGE

ADDITIONAL LEARNER INFORMATION

SECTION A

FURTHER LEARNERS DETAILS:
Are any family members attended Shalom kingdom Academy?
Family Member’s Name & Surname: .......................................................................................................

Family Member’s Matric Year: .................................................................................................................
Contact information: ................................................................................................................................

MEDICAL INFORMATION:
Health Problems/Allergies: ...............................................................................................................................................

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Medical Aid Name: .......................................................................Medical Aid No. ............................................
Medical Aid Principal Member: .........................................................................................................................................

ACADEMICS:
Academics (please fill in the most recent marks)

Mathematics (%): .............. Physical Sciences (%) ............. English (%): .............. Aggregate (%) ..............
Academic Awards (prizes, certificates, medals, etc): ........................................................................................................

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LEARNERS EXTRA-MURAL INVOLVEMENT:

Cultural and Community:
School Clubs or Societies: ..................................................................................................................................................
Out of School Activities (scouts, dance, art lessons, etc): .................................................................................................

Music: Yes No Instrument: ........................................ Choir: Yes No

Leadership:
Positions of Leadership/Responsibility Held: ....................................................................................................................

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Sport:
Summer Sports Age Group Team Represented Position
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Winter Sports Age Group Team Represented Position
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Other Sport: .......................................................................................................................................................................

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