English: Individual Unprepared


English: Individual Unprepared
 

Please complete the entry form.

  * Fields are mandatory
  * Contact details of the organiser:
     
  Name and surname:
  Email address:
  Cellphone number:
  School contact number:
  School:
  Suburb:
  City or town:
  Province:
     
  * Which competition will you be attending?
     
  Free State: Hoërskool Jim Fouché
  Western Cape: Laerskool Brackenfell
  Mpumalanga: Curro Nelspruit
  Gauteng North:
  Gauteng South: Laerskool Roodekrans
  Limpopo(North): Laerskool Louis Trichardt
  Limpopo(central): Pietersburg Laerskool
  Gauteng East:Laerskool Elsburg
   
  Details of participant:
Name:Surname:Grade:Topic:
     
  Details of participant:
Name:Surname:Grade:Topic:
     
   
 

Banking details:

OPPIE TONG AF / ON THE TIP OF YOUR TONGUE

FIRST NATIONAL BANK

Cheque Account:        62682081931
Branch Code:              251145
Reference:                   Name of School and "PS" for Public Speaking

Email Please proof of payment to vorster@oppietongaf.co.za

   
  * * Method of payment
     
  Electronic (EFT)
  Deposited
   
  * Please complete the fields below:
     
  Date of payment:
  Number of learners that paid:
  Amount paid:
  Principal's name and surname:
  Date:
     
  * * I hereby declare that the above information, as well as all payments and proof of payment is correct. (Please fill in your name)
 
   
  * * I hereby indemnify Oppie Tong Af Redenaars of any injuries or losses during the competition and agree that our school will submit to the rules. (Please fill in your name)
 
   
 
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