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, Pretoria APPLICA TION FO RM : GRADE 10, 11 & 12 PERSONAL D ETAILS OF LEARNER Surname: PO Box 35073 MENLO PARK 0102 South Africa First Name s: Gender (M /F): Date of birth: Home Language: Citizenship: Religion: Race: Names of brothers/sisters attending The Glen: Please list any achievements at present school (Academic, Cultural, Sport): Current Grade Present school Please complete the separate form for Subject Choices for Grades 10, 11 and 12 and submit together with this application.

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