Centre name: Date of this notice:
Address: Telephone:
This notice is: [ ] 1. Reminder [ ] 2. Second notice [ ] 3. Final notice before the place is released
| Learner full name | Class / group | ||
| Parent or guardian | Cell number |
| Month | Fee due | Paid | Balance |
|---|---|---|---|
| R | R | R | |
| R | R | R | |
| R | R | R | |
| TOTAL OUTSTANDING | R |
Last payment: R on . Current month fee not included above: R
Please pay R by (date)
Bank Account name Account number
Payment reference Or sign a written payment arrangement at the office.
Speak to on between and
If payment or a signed arrangement is not received by , the learner's place will be released on and offered to a child on the waiting list.
The learner attends as normal up to and including that date. The account stays payable after the place is released. The learner's records and progress report are handed to the parent either way.
Check that the signed fee agreement allows you to end the place on written notice. If the learner holds an approved subsidised place, speak to your district ECD official before you complete this section.
Issued by (print name and position) Signature and date |
Received by parent or guardian (print name) Signature and date |
If the parent will not sign: witness name signature date
[ ] By hand [ ] WhatsApp [ ] Email [ ] Post Date and time delivered
File the signed copy in the learner's file. This is a record of your centre. It is not a government form.