Version
25.09.17
School
Midrand Primary
Telephone
0113181021
{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Note: Completing the form does not necessarily mean that the learner has been accepted into the school. This application form is only for Grade 2 to Grade 7 for the 2026 academic year Grade 1 applications must be done through www.gdeadmissions.gov.za
Learner's Details
Year applying for
*
select
2025
2026
First name
*
Last name
*
Preferred Name
*
Grade applying for
*
select
Select the Grade
GRADE 1
GRADE 2
GRADE 3
GRADE 4
GRADE 5
GRADE 6
GRADE 7
GRADE R
LEFT SCHOOL
LSEN
Gender
*
select
Select the Gender
Male
Female
Type of ID
*
select
South African ID
Passport
Study Permit
Other
ID number
*
Parent's Details
Name
*
Mobile number
*
select
Australia
Austria
Botswana
Cameroon
Cayman Islands
Democratic Republic of the Congo
eSwatini
Ethiopia
Germany
Ghana
India
Kenya
Lesotho
Malawi
Mauritius
Mozambique
Namibia
New Zealand
Nigeria
Senegal
Singapore
Somalia
South Africa
Swaziland
Tanzania
Uganda
United Kingdom
United States of America
Zambia
Zimbabwe
Email address
*
{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##