Cemis New Registration Form PDF Details

The process of enrolling a new learner in the Western Cape Education Department's Centralized Education Management Information System (CEMIS) requires meticulous attention to detail, as underscored by the New Registration Form. This form, designed exclusively for learners not already registered in CEMIS, plays a crucial role in ensuring access and equity within the education system. It encompasses a broad array of information, including personal details like name and identity number, demographic information such as race, gender, and disability, and educational background, including previous schooling and language proficiency. Additionally, it captures details on extracurricular activities and requires confirmation of the learner's residency status, explicitly asking if the learner is an immigrant. This comprehensive data collection, which must be completed by a parent or guardian and verified by the school's principal, underlines the system's commitment to catering to the diverse needs of its learners. Moreover, it sensitively manages potentially sensitive information like social grants and the living status of parents, ensuring confidentiality and respect. By mandating the completion of this form, the Western Cape Education Department aims to provide an inclusive, equitable educational experience, tailored to the unique needs of each learner.

QuestionAnswer
Form NameCemis New Registration Form
Form Length2 pages
Fillable?Yes
Fillable fields136
Avg. time to fill out27 min 46 sec
Other namescemis westerncape gov co za, cemis portal, cemis school login, cemis westerncape gov co za pls cemis

Form Preview Example

EMIS NO./OBIS-NR.

WESTERN CAPE EDUCATION DEPARTMENT

CEMIS: NEW REGISTRATION FORM

Please note that this form must be completed for all NEW learner registrations (learners that are NOT CURRENTLY registered in the CEMIS). The form must be signed by the parent/guardian and the principal. It is important to collect learner information in terms of gender, race and disability in order to track the extent to which EQUITY and ACCESS are being addressed.

Please observe the following strictly:

1.The form must be completed by an official, parent or guardian, not the learner.

2.Race, gender, social grant and disability detail should be collected with sensitivity from the parent/guardian.

1.Surname

2.First name

3.Second and third name

4. Learner’s Identity Number

If the identity number is not available, apply to Home Affairs immediately.

**Is the learner an immigrant: 1=yes; 2=no

5.Date of birth

Year

Month

Day

6.Learner’s race: 1=black/african; 2=coloured; 3=Indian/Asian; 4=white; 5=not applicable

Diacritics on name: 1=yes 2=no

7.Learner’s gender: 1=male; 2=female

8a.Street number or write

 

 

 

 

 

8b.Name of street/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plot / Farm / Flat

 

 

 

 

 

plot / farm / flat

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8c.Suburb / Address line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8d.Town / Address line 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

** Telephone code and number or

 

 

 

 

 

 

 

 

 

 

 

 

 

8e.Postal code

 

 

 

 

 

 

 

 

 

 

cellular phone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. Learner’s parents deceased: 1=only mother deceased; 2=only father deceased; 3=both parents deceased; 4=both parents alive; 5=unknown

10.Is it the first time the learner has registered at a school in the Western Cape Province? 1=yes; 2=no; 3= comes from independent/private school

11.In which province or country did the learner attend school LAST year?: 1=Western Cape; 2=Free State; 3=Gauteng; 4=KwaZulu-Natal; 5=Limpopo/Northern Province; 6=Mpumalanga; 7=Northern Cape;

8=North-West Province; 9=Eastern Cape; 10=Other country: specify below; 11= Not in school

12.Learner’s grade this year: 1=Pre-GrR; 2=GrR; 3=Gr1; 4=Gr2; 5=Gr3; 6=Gr4; 7=Gr5; 8=Gr6; 9=Gr7; 10=Gr8; 11=Gr9; 12=Gr10; 13=Gr11; 14=Gr12;

15=Special Grade 7; 16=Special Grade 8; 17=Special Grade 9; 18=Infant Phase; 19=Junior Phase; 20=Intermediate Phase; 21=Senior Phase; 22=Vocational phase;

23=ABET Level 1; 24=ABET Level 2; 25=ABET Level 3; 26=ABET Level 4; 27=N1; 28=N2; 29=N3; 30=N4; 31=N5; 32=N6; 33=NIC; 34=NSC; 35=LSEN Unit

13.If the learner is in a Pre-GrR or GrR class, is it a STATE or SGB/R3 funded class? 1= State; 2=SGB/R3;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.In which class is the learner this year? E.g. 3c or 12a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.Did the learner attend any school last year? 1=yes; 2=no

 

 

16.Is the learner a hostel boarder this year? 1=yes; 2=no

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.Is the learner registered for a social grant? 1=yes; 2=no

 

 

18.Does the learner receive a social grant? 1=yes; 2=no

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.Did the learner attend any formal or non-formal pre-primary programmes

 

 

20.Does the learner benefit from the Primary School Nutrition

 

 

 

 

LAST year? (Only applies to Gr1 first time enrolments) 1=yes; 2=no

 

 

Programme (PSNP)? 1=yes; 2=no

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.Is the learner 1=mainstream; 2=LSEN in unit class; 3=LSEN in mainstream; 4=in a LSEN school?

22.Learner according to disability (leave blank if no disability) 2=deaf; 3=hard of hearing; 4=blind; 5=partially sighted; 7=cerebral palsied; 8=specific learning disabled; 9=behavioural disorder; 10=mild/moderate intellectually disabled; 11=severely intellectually disabled; 12=physically disabled; 13=autistic spectrum disorder; 14=epilepsy; 15=attention deficit disorder with

hyperactivity; 16=none; 17=attention deficit disorder without hyperactivity

Sec. Dis. 1

Sec. Dis. 2

Sec. Dis. 3

Sec. Dis. 4

Primary disability

Secondary disabilities (This field is only to be completed if the learner has more than one disability)

23.Learner’s home language: 1=Afrikaans; 2=English; 3=Xhosa; 4=Swati; 5=Ndebele; 6=Zulu; 7=Sotho; 8=Pedi; 9=Tswana; 10=Venda; 11=Tsonga;

12=Sign Language; 13=Other: specify below

24.Learner’s language of teaching: 1=Afrikaans; 2=English; 3=Xhosa; 4=Swati; 5=Ndebele; 6=Zulu; 7=Sotho; 8=Pedi; 9=Tswana; 10=Venda; 11=Tsonga;

12=Sign Language; 13=Other: specify below

25.Learner’s preferred language/Certificate language: 1=Afrikaans; 2=English; 3=Xhosa; 4=Swati; 5=Ndebele; 6=Zulu; 7=Sotho; 8=Pedi; 9=Tswana; 10=Venda;

11=Tsonga;12=Sign Language; 13=Other: specify below

*WCEDNEWREG-1*

EMIS NO./OBIS-NR.

26.Languages in GET band (Grades 1 – 9)

Indicate the PRIMARY, ADDITIONAL and 2nd ADDITIONAL LANGUAGES of the learner. (This question refers to the languages taught in the LANGUAGE, LITERACY and

COMMUNICATION Learning Area.)

1=Afrikaans; 2=English; 3=Xhosa; 4=Swati; 5=Ndebele; 6=Zulu; 7=Sotho; 8=Pedi; 9=Tswana; 10=Venda; 11=Tsonga; 12=Sign Language; 13=Other: specify below

Complete only for learners who take a second primary language.

Primary language

Additional language

2nd Additional language

2nd Primary language

Other Language

27.Examinable secondary subjects taken in the FET band (Grades 10 –12). Indicate the number of subjects taken.

Subject Name

?(Grades 10 and 11 use NCS FET subject names for 2007 with no subject grade distinction). Minimum of seven subject required for fulltime learners.

?(Grades 12 for 2007 will be the last to use the old subject names with subject grade distinction). Minimum of six subjects required for fulltime learners.

Subject Category:

1=at the school as part of the subjects;

2=at another institution as part of the subjects;

3=extra subjects at the school;

4=extra subjects at another institution

Subject Grade 1=HG

2=SG

3=n/a

28. The six main EXTRA-MURAL activities in which the learner participates: 1=only at school; 2=private only, not at school; 3=both at school and private

1.Dance

2.Drama

3.Music

4.Choir

Other: Specify with code (1,2 or 3)

5.Visual art

6.Athletics

7.Chess

8.Cricket

9.Hockey

10.Netball

11.Clay pigeon

shooting

12.Softball

13.Soccer

14.Rugby

15.Tennis

16.Volleyball

17.Watersport

18.Debating society

19.Boxing

20.Karate

I, the principal, hereby declare that I have established that the above-mentioned learner is NOT currently registered at any school in the Western Cape Province and that the necessary documents, to the best of my knowledge, meet the requirements and are acceptable.

We, the undersigned, fully understand the provision made in the South African Schools Act, Act 84 of 1996 (Section 59(2)) regarding the duty of schools to provide information.

Signed:

 

 

 

 

 

 

 

Parent / Guardian

: ...........................................……………….

......................................…………….

…....................……..

 

(Name in Print)

Signature

Date

Principal

: ...........................................……………….

......................................…………….

…....................……..

 

(Name in Print)

Signature

Date

*WCEDNEWREG-2*

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