Alludio Online Admission Application

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*Required information.

Welcome to the Alludio Academy Application for Admission of a Learner.

All sections of this form must be completed and accompanied by all required documentation before the application can be considered.

Required Documentation.

Please scan and attach.

 
Copy of Learner's Unabridged Birth Certificate *
Copy of (1) Parent / Guardian / Sponsor's ID (Both required) *
Copy of (2) Parent / Guardian / Sponsor's ID *
If guardian or sponsor: a certified copy of any court order or any other document confirming testamentary guardianship or legally entitled custody.
Financial Clearance from previous school (copy of latest school account)
Proof of physical residence e.g. electricity / water account. / Lease agreement / Deed of Transfer *
Transfer Certificate (Grade 2-6)

Learner's Details
We require one Application for each individual learner. This Application's Grade: *
Learner's Surname: *
Full Names: *
Preferred Name: *
Date of Birth: *
Boy or Girl *
ID Number: *
Country of Birth: *
Citizenship: *
If non-citizen of Namibia, date of arrival in Namibia:
First language spoken at home: *
Current teaching language: *
Current school:
Region:
Last grade passed:
Date of leaving the aforementioned school:

Parent / Guardian / Sponsor Information:

This section consists of two parts - one for each parent/guardian/sponsor. Both sections must be completed in full where applicable.

Parent / Guardian / Sponsor 1:
Please select custodian category: *
Title: *
Surname: *
Name: *
ID Number: *
Occupation: *
Employer's physical address:
Employers telephone number:
Email address at work:
Residential address: *
Cell number: *
Personal email address: *
Marital status:

Parent / Guardian / Sponsor 2:
Please select custodian category: *
Title: *
Surname: *
Name: *
ID Number: *
Occupation: *
Employer's physical address:
Employers telephone number:
Email address at work:
Residential address: *
Cell number: *
Personal email address: *
Marital status:
Residential address of learner: *
Postal address of learner:
Name of the person responsible for the account: *
Address of the person responsible for the account:
Email of the person responsible for the account: *
Preferred method of payment: *
Any serious / life-threatening allergy / medical condition. Please provide details: Details of any condition or circumstances of which the school needs to be aware of, for the best interest of the learner and / or to protect any other learners of the school:
What are your Child’s strengths?
Would you/someone you know be able to assist with additional activities at school? (e.g. Sport coaching/ music/yoga/German classes etc.)

Medical Information:
Emergency contact name:
Contact number:
Relation to the learner:
Name of learner's doctor:
Doctor's contact number:
Name of Medial Aid:
Medical Aid number:

Extra-mural / Religious Activities:
Do you have any objections to your child participating in any religious activities?
If YES, please furnish guidelines for religious acktivities:
Do you have any objections to your child participating in any extramural activities?
If YES, please furnish guidelines:

I, AS PARENT / GUARDIAN / SPONSOR

1. Undertake to reimburse the school for any damage to school property that may be caused by the LEARNER.
2. Understand that while every reasonable effort will be made to prevent losses or damage to the LEARNER’S clothing and equipment, the school cannot be held liable in any such event.
3. Undertake to give written notice of any intention to remove the LEARNER from the school and furthermore to return any books and / or equipment belonging to the school which the LEARNER may have in his / her possession.
4. Undertake to ensure that the LEARNER is punctual at the beginning of each school day and is collected on time at the end of each school day.
5. Understand that the school reserves the right to verify all information supplied to them via this application. In the event of fraudulent documents submitted, the school reserves the right to lay a criminal charge of fraud against any of the parties to this application.
6. Undertake to inform the educator of the LEARNER’S absence from school and produce a doctor’s certificate when required.
7. Undertake to view and familiarize myself with the school’s policies that are available on the school’s website.
8. Undertake to support the school’s constitution and policy of admission, as defined and implemented by the Governing Body of the school.
9. Understand that the LEARNER will at all times be subjected to the Code of Conduct of the School.
10. Understand that the School reserves the right, using its sole discretion to amend and / or alter any of the provisions of the Code of Conduct.
11. Understand that the principal or his authorized and dedicated agent is authorized and empowered to perform any act in loco parentis when my specific authority cannot reasonably be sought or obtained in time.
12. Understand that should one installment of school fees be in arrears, the full amount becomes due and payable immediately.
13. Herewith, I give permission for my child to attend Alludio Academy and I agree to the terms as stipulated in the Alludio Information letter 2023. I will be responsible for paying the monthly fees by the 5th of each month.
I as parent / guardian / sponsor intend to abide by these conditions *

And Finally

  • By selecting the ‘send’ button, you agree that your electronic signature is the legally binding equivalent to your handwritten signature on this debit order instruction.
  • You agree that we don’t have to validate the authorisation you have given with any third party as you have the full legal right to authorise this debit order instruction.
  • You understand that your electronic signature enforces a contractual agreement between you and Internet Namibia Services CC.
  • You confirm that you have authorised all persons who may log into your member profile on your behalf to authorise this debit order instruction.

 
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