Application - Skolier Xpress

766 Begonia Street, Doornpoort, Pretoria, South Africa | www.scholarxpress.co.za
Steven 083-543-6972 | This email address is being protected from spambots. You need JavaScript enabled to view it.

APPLICATION FOR SCHOLAR XPRESS SERVICE TO AND FROM SCHOOL

Please submit this form SEPARATELY FOR EACH CHILD

The mandatory fields are marked with an asterisk. On submission, a mail will be sent to the applicant's email address. It will again include the banking details specified below.

Applicant's Details

Applicant Title, Initials, Surname

Applicant E-mail address

Applicant's Cell Phone number

Applicant ID-number or Passport number

Other parent's Title, Initials, Surname

Other parent's Email Address

Other parent's Cell Phone Number

Other Parent'sApplicant ID-number or Passport number

The Child's Details

Name and Surname

Nickname

Child's Cell Phone Number

Gender

Age in Years

Date of Birth

Grade

School

Other school / destination

Physical address (pickup point)

Security Village Name

Unit number

Street number

Street Name

Suburb

Travelling Details

Number of Children traveling from one Household

Transport to School

Time

Transport from School

Time

Extracurricular activities

Time

Any other information Scholar Xpress should take note of?

Acceptance of Conditions by Parent/Guardian

I hereby give permission that the above-mentioned child may make use of Scholar Xpress.
I understand that, if I accept the quotation that will be forwarded to me by email, payment MUST be made in advance before the 3rd of every month. To ensure a continued service for the following year, the full fee is payable for December.
I will deposit the money into the following bank account and forward the proof of payment by email to steven@scholarxpress.co.za:
Account name: SKOLIER XPRESS (PTY) LTD
Bank: FIRST NATIONAL BANK
Branch: ZAMBEZI DRIVE
Type of Account : CHEQUE
Account number: 62636496938
Branch code: 230145
Reference: Your child’s name & surname
I will inform Scholar Xpress in advance by SMS (083-543-6972) if my child, for whatever reason, should not be picked up to prevent the driver waiting for him/her.
I will instruct my child not to eat, drink or play in any of the vehicles.
I will ensure that my child is in possession of the Scholar Xpress cell number in order to send a “Please call me” if needed.
I take note that in case of a significant rise in the price of petrol, fees will have to be adjusted accordingly. However, if the price decreases significantly, Scholar Xpress will reduce its price accordingly.
I acknowledge that one month’s mutual notice of termination of the service is applicable.

I accept the terms and conditions as stated above

Please type the characters shown

The mandatory fields are marked with an asterisk. On submission, a mail will be sent to the applicant's email address. It will again include the banking details specified above.