Speech / Voordrag Entry Form Grade 4,5

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Speech / Voordrag Entry Form Grade 4,5

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Date

School Name / Institution *

Address

Postal Code

Phone Number

Fax Number (Optional)

Liaison Educator WBE Name and Surname

Liaison Educator Email Address

Specify Type of School or Organization Primary School Combined School Private individual

Cell Number

Section

Speech Code * VD1 Afrikaans Poësie - R25 VD2 Afrikaans Prosa – R25 VD3 English Poetry – R25 VD4 English Prose – R25

Grade Gr 4 Gr 5

Boy / Girl Boy Girl

Language HOME LANGUAGE ADDITIONAL LANGUAGE HUISTAAL ADDISIONELE TAAL

# Entries

Enter 1 for One act play or Group Project

Sub Total

Add Remove

Bankbesonderhede: NEDBANK TJEKREKENING,
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