Registration Form – Aurum Academy

Aurum Adventist Academy Online Registration Form (#7)

IMPORTANT NOTICE

Thank you for submitting your Registration Form for Aurum Adventist Academy.

Thank you for your cooperation.

SECTION A: Learner's Personal Details

Some description about this section

First Name

Middle Name

Last Name

Preferred Name

Gender

Female

Male

Country Of Birth

Nationality

If not South African Citizen or Permanent Resident, is there a valid Study Permit?

Enter Permit Number

Date of Birth

Identity Number/ Passport Number

Home Language

Religion

Ethnic Group

If Other, please specify

Person(s) Residing With The Learner

If Other, please specify

Learner's Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

SECTION B: Person Responsible for Payment of Account

Some description about this section

Relationship To Learner

If Other, please specify

First Name

Middle Name

Last Name

Title

Identity Number/ Passport Number

Mobile Number

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

SECTION C: Learner Medical Information

Some description about this section

Name of Medical Aid

Medical Aid Contact Number

Principal Member Name

Family Doctor's Name

Does the Learner have any chronic illness(es)

Yes

Is the learner allergic to any medicines?

Yes

Is the learner allergic to any food(s)?

Yes

Has the learner had any recent hospitalisation and/or operation (surgery)?

Yes

Medical Aid Number

Learner Dependent Code

Principal Member ID/ Passport Number

Family Doctor's Contact Number

If yes, please specify

Please share with us any information about the learner that is important for the Academy to be aware of.

SECTION D: Emergency Contact Details

[in case the parent(s) or legal guardian(s) is not available/ reachable]

Relationship to the Learner - Person 1

First Name

Middle Name

Last Name

Mobile Number

Relationship to the Learner - Person 2

First Name

Middle Name

Last Name

Mobile Number

SECTION G: Tuition & Fees

Registration Fee R400
Initial Payment R4,600 (to be paid by the first day of school)
Monthly Instalments R2,300 (to be paid by 1st February for 9 instalments)
Annual Tuition for Aurum Adventist Academy for 2025 is R25,300.
A family with more than 2 learners attending at Aurum Adventist Academy can enjoy a 5% discount for each subsequent learner that registers at the Academy.
A 5% discount will be given if fees are paid up in advance for the year by end of February.

Banking Details:

AURUM SEVENTH-DAY ADVENTIST ACADEMY

STANDARD BANK CHEQUE ACCOUNT

ACCOUNT NUMBER: 240 4433 49

BRANDWAG (05553400)

REFERENCE: CHILD’S NAME

Uniforms:

The uniform supplier is Fantasea Promotions and Printing located at 20 Fontein Street, Bloemfontein Central. Orders are however placed with the school by the 15th and 30th of every month. You may request a price list/order form from the school.

Document Submission:

Please make sure the following documents are submitted to the secretary at the Office or send via email to secretary@aurum.adventist.org for your application to be processed.

Copy of Learner’s Birth Certificate
Copy of ID of Person Responsible for the Account
Proof of Payment Tuition & Registration Fee
Signed Learner Code of Conduct
Completed Indemnity & Waiver Form
Copy of Learner’s Study Permit (where applicable)

By submitting this Registration Form, you confirm that the information provided is true and complete to the best of your knowledge. You also consent to the collection, processing, and storage of your personal information for purposes related to this application, in accordance with applicable data protection laws and the institution’s privacy policy.

IMPORTANT NOTICE

SECTION A: Learner's Personal Details

SECTION B: Person Responsible for Payment of Account

SECTION C: Learner Medical Information

SECTION D: Emergency Contact Details

SECTION G: Tuition & Fees

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