APPLICATION FOR SCHOLARSHIP REQUIRED SUPPORTING DOCUMENTS Documents to be attached to this application should include: 2 x passport photographs Certified copy of Birth certificate / ID document of the applicant Certified copy of pupil's 3 most recent school reports Supporting documentations (certificates of performance, records of achievement, letters of commendation) Letter of motivation written by the applicant TWO RECENT COLOUR PHOTOS OF LEARNER NB: This is not an application for entry into Woodhill College SECTION A : PUPIL'S PERSONAL DETAILS SURNAME FULL NAMES AS ON BIRTH CERTIFICATE / ID DOCUMENT PREFERRED NAME IDENTITY NUMBER DATE OF BIRTH Y Y Y Y M M D D YEAR & GRADE APPLIED FOR AGE GENDER YEAR GRADE HOME & OTHER SPOKEN LANGUAGE/S HOME OTHER LANGUAGE OF LEARNING & TEACHING FIRST SECOND NUMBER OF CHILDREN IN FAMILY RELIGION MALE FEMALE POSITION OF CHILD IN FAMILY NATIONALITY COUNTRY OF ORIGIN SECTION B : PUPIL'S EDUCATIONAL DETAILS PREVIOUS SCHOOL 1 PREVIOUS SCHOOL PRINCIPAL PRINCIPAL ADDRESS ADDRESS 2 CODE TEL NO CODE LAST GRADE PASSED CODE TEL NO YEAR CODE GRADE/S REPEATED SECTION C : PARENTS' DECLARATION We, The undersigned, ______________________________________________ ________________________________________________________________________________ hereby certify that the information given by us on this application is complete and accurate _______________________________________________________ FATHERS NAME __________________________________________________________ MOTHERS NAME FATHERS TEL NO ____________________________________ _______________________________________ MOTHERS TEL NO ___________________________________________ FATHERS E-MAIL ADDRESS ___________________________ _______________________________ MOTHERS E-MAIL ADDRESS __________________________________ __________________________________________ FATHERS SIGNATURE ____________________________________________ MOTHERS SIGNATURE __________ DATE __________ DATE PAGE 1 OF 2 SECTION D : ACADEMIC ACHIEVEMENTS SUBJECT MARKS 2014 (promotion mark) 2013 (promotion mark) English Home Language Afrikaans First Additional Language Other Language: Mathematics Life Orientation Natural Science Social Science Arts and Culture EMS Technology ACHIEVEMENTS IN ACADEMIC EXAMS / COMPETITIONS NAME OF EXAM / COMPETITION Date Mark SECTION E: SPORT OR CULTURAL ACHIEVEMENTS ACHIEVEMENT / COLOURS / PROVINCIAL TEAM SELECTION / EXAM etc Date * Please attach all supporting documentation / certificates etc. PAGE 2 OF 2