APPLICATION FOR SUBSIDY - GRADE R CLASS. COVER SHEET Have you completed and included the following documentation with your application?

Transcription

1 COVESHEET 201 APPLICATION FO SUBSIDY - GADE CLASS Name of school Term District EMIS NO COVE SHEET Have you completed and included the following documentation with your application? Documents attached: A B (check your documents by ticking each block) C D egisters CEMIS Salary Advice UIF & SAS eceipts for purchases This is a SUMMAY for all the Grade classes. for all the Grade per expenses. Grade class. Attach C1 for all Grade classes. per Grade class from the previous subsidy date. list per Grade class. advice per Grade educator. Proof of payment to the relevant departments for these amounts.. Attach all receipts to C 1. Complete for Grade practitioners / educators only: TEACHE INFOMATION - please print Teacher 1 Teacher 2 Teacher 3 Teacher 4 Principal : Date Thank you for your co-operation

2 ANNEXUE A APPLICATION FO PAYMENT OF SUBSIDY GADE CLASS Term PATICULAS NQ COLLECTION OF SCHOOL FEES? NO YES Name of institution: EMIS NO: Street address: Postal address: Postal code Postal code: Education district: Circuit: Full Name of principal: Telephone number: Code number FAX address: ENOLMENT / INSKYWING: Summary of all pupils in Grade in the school Age (no learners younger than 4½ years old) Boys Girls Total 4½ turning 5 years old this year: born between January and June 5 turning 6 years old this year: born between January and December 6 turning 7 years old this year: attach exemption letter to this form Total Number of Grade classes Circle Number of learners per class SIGNATUE OF PINCIPAL DATE APPLICATION FO SUBSIDY: ECOMMENDED / NOT ECOMMENDED DCES:ECD CICUIT MANAGE DATE IMG HEAD: DATE

3 ANNEXUE B 201 APPLICATION FO PAYMENT OF SUBSIDY GADE CLASS Term Name of institution: Grade Class Name Address of institution: Commencing date of quarter/ Closing date of quarter/ Total number of days on which school was held/ (PLEASE ATTACH A COPY OF ATTENDANCE EGISTE FOM THE LAST CLAIM DATE) Indicate dates on which institution was closed during quarter/ Surname and Initials of learner Date of Birth Date of admission of learner to Institution Attach Maximum claim 30 learners per class EXEMPTION FOM if applicable Surname Initials Day Month Year If a learner left during the term, state the date of withdrawal from institution/ Number of days on which learner actually attended the institution during the term/ This column to be left blank for Departmental use/. I certify that the above particulars are derived from the enrolment and attendance registers maintained in accordance with the requirements of the Western Cape Education Department and that the particulars are true and correct. Signature on behalf of Governing Body/ Capacity/ Name in print/ Place/

4 ANNEXUE C GADE CLASS/ES: FINANCIAL STATEMENT OF ECEIPTS AND EXPENDITUE Term Name of institution: egistration number: (WCED Certificate Number) Commencing date of quarter Closing date of quarter 201 Date When was money received INCOME This is money that has been received Description Amount Explanation Where did the money come from How much money was received How much money was left from the last subsidy payment? Balance Brought Forward WCED Subsidy Fill in that amount here Date When was money spent Month Did you receive further payment from WCED? Fill that in here 2 emember: this amount has to last for the next 2 terms 3 EXPENDITUE This is money spent Description Who was paid with this money Amount How much money was paid Explanation Educator/s Salary (80% of subsidy) Fill in the Gross Salary of the 1 teacher here Include top-ups & allowances etc This should be reflected on educator s salary advice. How much money has come in this More than 4 educators? Use School fees term in school fees? Total an additional form. less UIF of 1% - UIF is deducted every month Fundraising How much money has been raised this term? 1. SALAY TOTAL Sponsorship Do you receive any financial support from other sources? TOTAL INCOME LTSM (10%) - Attach C1 for expenses here Insert C1 s total/s at 2. LTSM TOTAL 2. LTSM TOTAL OTHE (10%) Attach receipts Subtract 4. TOTAL EXPENDITUE from TOTAL EXPENDITUE - TOTAL INCOME Telephone This is the amount to be carried CLOSING BALANCE forward to next subsidy application. Water & Electricity Drafted by: (full name) Date: Copying & Printing Cleaning materials Maintenance 3. TOTAL FOM OTHE This is all equipment & materials used in teaching Furnish ECEIPTS to prove expenses have been paid. Attach ECEIPTS to this application Claim running costs of Grade class/es if necessary. Add totals 1+2+3= 4 Signature: Capacity: 4. TOTAL EXPENDITUE We the undersigned, hereby certify we have verified all the books and statements relating to the above entries and confirm that this statement is a true reflection thereof. Signature of the Principal: Signature of the Chairperson of the School Governing Body Full Name in Print: Date: Full Name in Print: Date:

5 ANNEXUE C1 201 Page of GADE EXPENSES SPEADSHEET ATTACH ALL ECEIPTS TO THIS SHEET NAME of SCHOOL: GADE NAME: TEM Date Item and quantity Name of Supplier eceipt number For what purpose will this material be used? eg classroom, office, cleaning, telephone, electricity etc Amount paid reams white A4 paper Pick 'n Pay Classroom SEE EXAMPLE ABOVE SEE EXAMPLE ABOVE SEE EXAMPLE ABOVE Completed by : Signature: Date: (Print full name ) Signature of the Principal: Signature of the Chairperson of the Governing Body Full Name in Print: Full Name in Print: Date: Date: TOTAL

6 ANNEXUE D WCED CETIFICATE OF SOUND FINANCIAL MANAGEMENT Term Name of Educational Institution: Type of Educational Institution: Public Independent Primary High Combined Preprimary Other. Education District: CEMIS NO.: NUMBE OF QUALIFYING GADE LEANES AT SCHOOL THIS TEM THE SCHOOL FUNCTIONS ACCODING TO THE S.A. SCHOOLS ACT 1996 (Act 84/ 1996) YES NO We, the undersigned, hereby certify that the institution implements effective, efficient and transparent financial management and internal control systems (Section 38(1)(j) of the Public Management Finance Act, 1999 (Act 1/1999 as amended by Act 29/1999). CHAIPESON OF GOVENING BODY FULL NAME DATE SIGNATUE print PINCIPAL OF INSTITUTION FULL NAME SIGNATUE DATE (print

7 SUVEY 2014 SUVEY 2014 SUVEY : NEW ANNEXUE FOMAT 1 = difficult to complete 2 = some parts were difficult to understand 3 = about the same as the previous forms 4 = easier to complete 5 = clear, simple and easy to complete WE VALUE YOU INPUT IN AN ATTEMPT TO MAKE THESE FOMS AS USE- FIENDLY AS POSSIBLE. NAME OF SCHOOL: SUVEY : NEW ANNEXUE FOMAT 1 = difficult to complete 2 = some parts were difficult to understand 3 = about the same as the previous forms 4 = easier to complete 5 = clear, simple and easy to complete WE VALUE YOU INPUT IN AN ATTEMPT TO MAKE THESE FOMS AS USE- FIENDLY AS POSSIBLE. NAME OF SCHOOL: COVE SHEET Comments COVE SHEET Comments ANNEXUE A ANNEXUE A ANNEXUE B ANNEXUE C ANNEXUE B ANNEXUE C ANNEXUE C1 ANNEXUE C1 ANNEXUE D SUGGESTIONS: ANNEXUE D SUGGESTIONS: