Free State Application Form

Title

Your title

First Name

Your first name

Last Name

Your surname

Email Address

Your email address

Telephone

Your contact telephone number

Fax (optional)

Your fax number

Cell

Your cellphone number

School Name

Your school name

Province

Please select your province

Number of Learners

Approximate number of learners at your school

Contact Type

Please select your contact type

School Level

Please select the school's level

Language Medium

Please select the school's language medium

School Fees

Are school fees charged?

Annual School Fees

Average annual school fees in Rands

Section 21

Is your school a section 21 entity?

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