Apply Online – Durban City College

Section 1: Learner Details

Surname

Preffered Name

First Name

I.D Number

Date of Birth

Gender

Home Language

First Instruction Language

Second Language

Second Instruction Language

Nationality

Country of Origin

Learner's Cell Number

Transport Type

Section 2: Learner's Education Details

Current School

Tel Number

Address

Principal

Previous School

Tel Number

Address

Principal

Last Grade Passed

Year

Grades Repeated

Has admission to any school/s ever been refused?

Section 3: Personal Details of Legal Guardian

Prefix

Relationship to Learner

Marital Status

Occupation

Employer Company Name

Employer Tel Number

Residential Address

Work Address

Postal Address

Home Telephone Number

Work telephone number

Cell Number

Email Address

Parental status

Access rights to learner

Learner’s legal guardian

Access rights in emergency only

Learner living with parent/s

Section 4: Emergency Contact Details

Full Name

Relationship

Home Telephone Number

Work Telephone Number

Cell Number

Email Address

By clicking the submit button, I hereby acknowledge that the information provided in this application for admission is complete and accurate. We acknowledge that enrolment is subject to, signing a learner admission contract that contains the detailed terms, conditions and requirements for admission. We hereby authorize the school and/associates to conduct any credit enquiries on us as may be necessary from time to time. We confirm that we have read all specific rules for Durban City College Independent High School

First Name*
Last Name*
Mobile Phone*
Primary Email*