- Benjamin Preparatory School -
Telephone: +27 11 868 1404 | Mobile: +27 60 991 0962 | Email: info@benjaminprep.co.za
 
Online Application

Please ensure that your full physical address, postal address, contact numbers are stated correctly on your application form.

Learner's Personal Details:

Parents or Guardian Information:

Father’s Details:

Mother’s Details:

Details Of Another Contact In The Case Of An Emergency:

Medical Details:

Medical Aid Details:

In a critical medical situation, please bear in mind that there may not be time to refer to the leaners records. The school therefore reserves the right to utilise the quickest medical services available.

Person Responsible For Payment Of School Fees:

Please upload copies of the following documents for us to process your application. (Allowed files: pdf, png and jpg)