Eerstejaarsboekie / First-years booklet 2016

Voorwoord en verwelkoming vanaf die Koshuisvader

Baie welkom by Bellatrix-Dames Dorpskoshuis!

“Bellatrix” mag vir jou, wat nou hier lees, dalk maar nog net ʼn naam wees. “Bellatrix” is egter nie net ʼn naam nie. Dit is die naam van die koshuis waar die “inwoners” se “familie” op die NWU se Potchefstroomkampus te vinde is.

Die gesigte van die huiskomitee wat jy in hierdie boekie sien, sal ook die eerste gesigte wees wat jy sal sien nadat jy op die kampus aangekom het. Dit is hulle wat jou sal help om so effektief as moontlik in die volgende fase van jou lewe in te stap. Dit is onder hulle leiding dat jy lewenslange vriendinne sal leer ken. Student-wees is vir baie mense die wonderlikste fase van hul lewe. Dit is as student dat jy vir die eerste keer in jou lewe die kans het om loshande op jou lewe se fondasie te staan. “Loshande” beteken egter nie “lugleegte” nie. Die studentelewe op die NWU se Potchefstroomkampus is georganiseerd, en as deel van Bellatrix kan jy voluit hieraan deelneem.

Elke nuwe inwoner van Bellatrix staan voor ʼn skoon lewensbladsy. Jy gaan die geleentheid kry om onvergeetlike herinneringe op te bou. Dit is hier in die koshuis waar 'n verskeidenheid fasette van die studentelewe gedek gaan word waarvan akademie natuurlik die belangrikste is. Daar is egter ook kultuur, sport, gemeenskapsdiens, sosiale en geestelike aksies.

Die doel van Bellatrix se koshuisbestuur is om as oorkoepelende leiers vir die koshuis op te tree. Die Huiskomitee vorm saam met my en my vrou, Martha, die koshuisbestuur, en dit is ons gesamentlike taak om die koshuis deurgaans in die regte rigting te lei. Elke inwoner het deel aan hierdie koers wat ingeslaan word en ek is oortuig daarvan dat die Huiskomitee se karakter navolgenswaardig is.

Jy wonder dalk wat 'n dorpskoshuis inhou in vergelyking met 'n kampuskoshuis. Afgesien daarvan dat die kamer /woonstel / huis waar jy tuisgaan nie op die kampus is nie, neem jy, soos die inwoners van kampuskoshuise, ook aan alle gewone koshuis-aktiwiteite deel. Die verskil lê dus slegs in die verblyf.

Wat die onderlinge bande betref is die betrokke inwoners egter net so geheg aan mekaar as wat die inwoners van die kampuskoshuise is. Dit is opvallend hoe die dames in die koshuis, elke keer as ʼn mens daaroor praat, verwys na Bellatrix wat vir hulle “ʼn huis weg van die huis” is.

Daarom sê ek nie net welkom by Bellatrix nie, maar moedig jou ook aan om deurgaans betrokke te bly by die georganiseerde geleenthede wat Bellatrix jou bied. Kom geniet die studentelewe onder ons vleuels – ons verseker jou dit sal iets wees waarna jy sal terugverlang as jy eers klaar gestudeer het.

Aan alle ouers: As Koshuisbestuur probeer ons om ʼn vervullende en veilige ruimte te bied vir jou dogter se studentejare. Tree dus gerus met ons in verbinding as ons ʼn bydrae in haar lewe kan lewer!

Vriendelike groete Prof. (Dr.) Chris van der Walt Huisvader: Bellatrix- Damesdorpskoshuis chris.vanderwalt@nwu.ac.za

Brief vanaf die Primaria

Liefste Voornemende Trixie

Ek is so opgewonde om jou deel te maak van Bellatrix, ʼn plek wat al vir drie jaar my huis is en dames wat my sussies geword het.

As eerstejaar vorm jy ʼn groot deel van die toekoms van Bellatrix en ons wil moeite doen om jou te leer ken, jou betrokke te hou en jou die geleentheid te bied om deel te wees van ons sustersbond. Om deel te wees van ʼn koshuis is so ʼn belangrike en opwindende deel van student wees, daar lê ʼn onvergeetlike tyd vir jou voor. Ons wil saam jou huil, lag en opgewonde raak oor alles wat jy aanpak.

Ons koshuis se missie is “Om ʼn koshuis met ʼn Christelike grondslag en betrokkenheid te bevorder deur liefde, diensbare leiding en nederigheid.” Ons streef daarna om as dames gesien te word en op te tree, maar daar is steeds vir elke tipe persoonlikheid ʼn plekkie. Ons wil jou so graag deel maak van alles waarby ons betrokke is sodat jy na jou tyd op universiteit nie net ʼn graad het nie maar ook ongelooflike herinneringe om saam in jou “grootmens-lewe” in te neem. Dit hang egter alles van JOU af en wat jy met hierdie geleenthede gaan maak.

My persoonlike missie as Primaria vir die jaar is dat ons prestasie sal meet, nie net aan trofeë en eerste plekke nie, maar aan die hoeveelheid ondersteuning en liefde wat ons tussen mekaar kweek en die bande wat ons bou.

Ek en die res van die Huiskomitee gaan elke tree saam julle wees en is werklik opgewonde vir die jaar saam julle.

Voornemende Trixie, raak opgewonde vir lag tot jy huil, hoendervleis en blou-bloed Trixie-oomblikke.

Baie sterkte met die eindeksamen en keuses rondom verblyf, studierigtings en die groet van vriende.

Ons is baie opgewonde om te sien hoe JY deel raak van ons sustersbond en groei as mens en dame.

Al my liefde

Nèlene

Primaria 2016

Sel: 082 785 4058

Bellatrix Huiskomitee (HK)

Naam Van Sel nommer E-pos Portefeulje Verjaarsdae

Nelene Van der Westhuizen

0827854058 Liennelene@gmail.com Primaria, Seniors en Tug

10 Januarie

Krischka Cloete 0832814616 krieks@hotmail.co.uk O/Prim, sosiaal en Klubhuis

7 Desember

Leandri Van der Kolff

0799801196 leandrivdk@gmail.com Eerstejaars, Sekretaresse en Kantoor

14 Desember

Maritsa Van der Westhuizen

0764281096 Maritsavdwesthuizen94@gmail.com Finansies, Borge en Klerasie

10 Januarie

Nthabiseng (Tabie)

Ngubeni 0795579096 nvpngubeni@gmail.com SJGD en Studentesake

10 Februarie

Elizma Oosthuizen 0835002075 Oosthuizenelizma2@gmail.com Kunste 8 November

Inge Adam 0828849041 Ingelambie@gmail.com Sport 3 Februarie

Tricia-Leigh Bayman 0832635968 triciapuk@gmail.com Werwing, Bemarking en Argief

29 Maart

Chane Horn 0713542477 hornchane@gmail.com JOOL en Publikasies

13 Julie

Chris Van der Walt

0795113133 chris.vanderwalt@nwu.ac.za Koshuisvader 7 Januarie

Asseblief gaan en voeg jouself by ons Bellatrix Facebook Page – Bellatrix Eerstejaars 2016 (closed group) vir enige ander inligting.

Wat om saam te bring vir die Registrasie en Oriënteringsprogram:

• Wit T-hemp • Swart, gemaklike broek (NIE ski-pants of leggings nie asb.) • Tekkies • Identiteitsdokument • Studentenommer • x6 afskrifte van Mediese vorms (vorms onderaan) – Nood Belangrik! • Mediese inligting en mediese kaart – Nood Belangrik! • Sportklere en -toerusting (as deel neem aan sport) • Instrumente wat jy kan speel vir die konsert. • Formele klere (indien jy eerstejaarsdinee gaan bywoon) • 2+ blikkieskos wat gaan vir liefdadigheid – opsioneel. • Onthou asb. jou bottel met munte (bruingeld), asook jou sterretjie geld wat gaan vir JOOL se

liefdadigheidsinsameling. *Ons verskaf elke dag vars gesuiwerde water aan die meisies.

Ontvangsdag:

07:45-08:45 Opening

09:15-10:45 Dekane ontmoet ouers en studente en word in fakulteite ingedeel.

11:00-11:45 Ontmoeting met predikante

12:00-13:00 Ontmoeting met huisouers in die Alumnisaal (F14)

14:30-16:30 Ontmoeting met die Huiskomitee in die Totius (F6) na ouers gery het – dra wit hemp, swart kortbroek en tekkies.

Wat kan daar verwag word tydens R&O:

• Akademiese verpligtinge • Bekendstelling aan die kampus • Registrasie en afhaal van studentekaart • Eerstejaarsport • Eerstejaarsdinee • Eerstejaars konsert

Portuurhelper (SOS-helper): Hannalie de Klerk 078 268 9141 hannaliedeklerk@gmail.com Sy is opgelei in noodhulp en is daar vir enige bystand wat die eerstejaars moontlik kan benodig tydens R&O en die hele jaar.

Etepakket: Tydens die Registrasie en Oriënteringsprogram kry ons spesiaal ’n spyseniering om vir die eerstejaars kos te verskaf. Dit is opsioneel, maar ons as HK voel dit is van uiterse belang dat die eerstejaars die etepakket sal vat. Sommige meisies eet nie op hulle eie gesond nie. Soms eet hulle glad nie, omdat daar te min tyd vir hulle is om huis toe te gaan vir ete en weer betyds terug te wees vir die besige program. Die kostes beloop R950.00 vir die twee weke vir middag- en aandete. Dit is net baie makliker en geriefliker vir eerstejaars om die pakket te hê en dit sorg dat hul ordentlike etes ten minste twee keer ’n dag in kry.

Dag 1 Ma 11 Jan

Dag 2 Di 12 Jan

Dag 3 Wo 13 Jan

Dag 4 Do 14 Jan

Dag 5 Vr 15 Jan

Middagete 13:00 – 14:00

Hoender-stirfry met Groente (350 g) Aartappelgereg (200g) Vrug in seisoen 250ml Vrugtesap

Middagete 12:00 – 14:00

Biefblokkies met groente (350g) Rys (200g) met sous Groenslaai (80g) 250ml Vrugtesap

Middagete 13:00 – 14:00

Gebraaide Hoenderfilette (200g) Gemengde Groente

(180g) Aartappelslaai (200g) 250ml Vrugtesap

Middagete 12:00 – 14:00

Biefbredie (350g) Rys (200g) met sous Pampoen (150g) Mengelslaai (80g) 250ml Vrugtesap

Middagete 12:00 – 14:00

Herderspastei (200g)

met Aartappelbolaag (100g) Groentebredie (180g) Beetslaai (70g) 250ml Vrugtesap

Aandete 16:30 – 18:30

Selfbou: 1 x Boereworsrol

(150g) met tamatie en uie smoor Perske Noedelslaai

(240g) 250ml Vrugtesap

Aandete 17:00 – 18:30

Selfbou: 1 x Hamburger: 150g pattie, tamatie en uie salsa, blaarslaai, sous Pynappel- &

Wortelslaai 250ml Vrugtesap

Aandete 17:00 – 18:30

Selfbou: 2 x Hotdogs pp Met (Gerookte

Vienna), Tamatie en uiesmoor Vrug in seisoen 250ml Vrugtesap

Aandete 17:30 – 19:00

Hoender-Noedelslaai (400g) Broodrolletjie met botter- en konfytporsie 250ml Vrugtesap

Aandete 17:15 – 18:30 Selfbou: Foot Long broodrol met Hoendermayo (180g), Blaarslaai, Pynappel en Komkommer 250ml Vrugtesap

Dag 6 Ma 18 Jan

Dag 7 Di 19 Jan

Dag 8 Wo 20 Jan

Dag 9 Do 21 Jan

Dag 10 Vr 22 Jan

Middagete 13:00 – 14:00

Hoenderbredie met groente (350g) Rys (200g) Vrug in seisoen 250ml Vrugtesap

Middagete 12:00 – 14:00

Hoenderpastei (300g) Soet Wortels (120g) Groenboontjies(120g) 250ml Vrugtesap

Middagete 12:00 – 14:00

Rooster Varktjop

(250g) Gemengde Groente

(150g) Rys (200g) met sous Vrug in seisoen 250ml Vrugtesap

Middagete 12:00 – 14:00

Bief Macaroni Mengelslaai Broodrolletjie met botter- en

konfytporsie

250ml Vrugtesap

Middagete 12:00 – 14:00

Hoender- en Noedelgereg (380g) Pampoen (200g) Beet- en Appelslaai

(70g) 250ml Vrugtesap

Aandete 17:15 – 18:30

1 x 150g Boerewors Kapokaartappel +

sous Wortel & Ertjies (80g) Broodrolletjie met botter- en konfytporsie 250ml Vrugtesap

Aandete 17:00 – 18:30 Selfbou: 1 x Hamburger: 150g pattie, tamatie en uie salsa, blaarslaai, sous+ Kapokaartappels (200g) met sous 250ml Vrugtesap

Aandete 16:30 – 17:30

Hoender- en Salsa Noedelslaai (400g) Vrug in seisoen Broodrolletjie met botter- en konfytporsie 250ml Vrugtesap

Aandete 17:00 – 18:00

Selfbou: 2 x Hotdogs pp (Gerookte Viennas)

met Tamatie en uiesmoor Seisoenslaai 250ml Vrugtesap

Aandete 17:00 – 18:30

Selfbou: Boerewors (150g) Kapokaartappel (200g) met sous Wortel & Pynappel mengelslaai (100g) 250ml Vrugtesap

Voorgestelde Begroting:

Begroting tydens Registrasie en Oriënteringsprogram

Verpligtend (reeds betaal saam inskrywing): Bedrae:

Basiese pakket R1200.00

Registrasie R350.00

Klerasie bestaan uit die volgende: R850.00

• Golf Hemp R 161.00

• Broek R 90.00

• Baadjie R 440.00

• Betty Boop Hemp R 56.00

• NWU hemp R0.00 (Koshuiskas)

• Hoed R 45.00

• Rugsak R 57.00

Opsioneel (word baie sterk aanbeveel): Bedrae:

Etepakket (middag- en aandete vir 10 dae) R 950.00

JOOLpakket: R 400.00

• Sleep-hempie R 115.00

• “Ovie” R 170.00

• JOOLhempie R 115.00

• JOOLkaartjie (2 aande se ingang, shows ingesluit) R170.00

Eerstejaarsdineekaartjie R170.00

Sterretjie-gelde R 70.00

Vitamienpakket R 2.00

Opsioneel: Bedrae:

Betty Boop sambreel R 100.00

Buffs R 65.00

Sente wat gaan aan liefdadigheid Blikkie/Bottel

Blikkieskos vir liefdadigheid 2 + Blikkies

Foreword and welcome from the Father of Residence

Welcome to Bellatrix Ladies Town Residence!

"Bellatrix" may, at this stage, be just a name for you while reading this. "Bellatrix”, however, is not just a name. It is the name of the town residence where "family" can be found amongst the other residents at the NWU Potchefstroom Campus.

The faces of the house committee members that you see in this booklet will be the first faces that you will see after you have arrived on the Potchefstroom campus. They are the ones who will help you step into the next phase of your life as effectively as possible. It will be under their guidance that you will make life-long friends. For many people being a student is the most wonderful stage of their lives. It is as a student that you will have the first opportunity in your life to stand free on the foundation of your life. "Free" though does not mean "vacuum". The student-life on the Potchefstroom campus is organized, and as part of Bellatrix you can participate in full.

Every new resident of Bellatrix is standing in front of a blank page of her life. You will get the opportunity to gain unforgettable memories. It is here in the residence that a variety of facets of student life will be covered – of which your academic course is the most important. There are also culture, sport, community service, social and spiritual activities.

The purpose of Bellatrix's Residence Management is to act as overall leaders for the residence. The House Committee together with my wife Martha and myself, form the House Management, and it is our joint task to guide the residence in the right direction. Each resident has a part in this course being taken and I am convinced that the House Committee's character is worthy of emulation. You may wonder what a town residence poses compared to a campus residence. Apart from the fact that the room / apartment / house where you are staying is not on campus, you, just like the residents of campus residences, participate in all ordinary residence activities. The difference is therefore only in the place where you reside. As far as mutual relationships are concerned, Bellatrix’s inhabitants are just as close to one another as residents of campus residences are. It is striking how the ladies in the residence, when in conversation, refer to Bellatrix as their "home away from home".

Therefore I not only welcome you at Bellatrix, but also encourage you to remain involved in the organized events Bellatrix offers. Come and enjoy student-life under our wings – we assure you it will be something you long for once you have finished your studies.

To all parents: As House Management we strive to offer a fulfilling and safe environment for your daughter's years as a student. Feel free to contact us if we can contribute to your daughter’s life! Kind regards Prof. (Dr.) Chris van der Walt House Father: Bellatrix Ladies Town Residence chris.vanderwalt@nwu.ac.za

Letter from the Primaria

Dear Prospective Trixie.

I am so excited to make you a part of Bellatrix, a place that has been my home for the past three years and ladies that became my family.

As a first-year you play an enormous part in the hostel’s future and we want to make an effort to get to know you, involve you in everything we take part in as well as give you the opportunity to form part of our sisterhood. To be part of a hostel is such an important and exiting part of student life, an incredible time awaits you. We want to cry with you, laugh with you and be exited with you about all the new challenges you take on.

Our hostel’s mission is based on Christian values and we encourage involvement through love, leadership and humbleness. We strive to always act like and be perceived as ladies, although there is room for every type of personality. We so badly want you to be a part of everything we can offer so that you don’t merely obtain a degree, but also gain life long memories and friends that you can take into the world with you someday.

My personal mission for the year as Primaria is that we shall not only meet our accomplishments in trophies and first places, but also in the support and relationships we gain and foster.

I and the rest of the House Committee team will be with you every step of the way and we are truly exited for the coming year with you.

Prospective Trixie, prepare and become excited for laughs till your stomach hurts, goose bumps and blue blood Trixie moments.

Good luck with your final exams and choices regarding your study field and accommodation, as well as the making and greeting of friends.

We are very excited to see you form part of our sisterhood and to watch you grow in person and as a lady.

All my love and best wishes for the year ahead.

Nèlene

Primaria 2016

Cell: 082 785 4058

Bellatrix House committee (HC)

Name Surname Cell number Email Adress Portfolio Birthdays

Nelene Van der Westhuizen

0827854058 Liennelene@gmail.com Primaria, Seniors & Discipline

10 January

Krischka Cloete 0832814616 krieks@hotmail.co.uk O/Prim, Social & Clubhouse

7 December

Leandri Van der Kolff

0799801196 leandrivdk@gmail.com First-years, Secretary & Office

14 December

Maritsa Van der Westhuizen

0764281096 Maritsavdwesthuizen94@gmail.com Finance, Sponsors & Clothing

10 January

Nthabiseng (Tabie)

Ngubeni 0795579096 nvpngubeni@gmail.com SRCS & Student Affairs

10 February

Elizma Oosthuizen 0835002075 Oosthuizenelizma2@gmail.com Arts 8 November

Inge Adam 0828849041 Ingelambie@gmail.com Sport 3 February

Tricia-Leigh Bayman 0832635968 triciapuk@gmail.com Recruitment, Marketing & Archive

29 March

Chane Horn 0713542477 hornchane@gmail.com RAG (JOOL) & Publications

13 July

Chris Van der Walt

0795113133 chris.vanderwalt@nwu.ac.za Father of Residence

7 January

Please go and add yourself to our Bellatrix Facebook Page – Bellatrix Eerstejaars 2016 (closed group) for any other information.

What to bring to the Registration and Orientation programme:

• White T-shirt • Black, comfortable shorts (NO ski-pants or leggings please) • Sneakers • Identity document • Student number • x6 copies of your Medical forms (forms on last page) – Important! • Medical information and medical card – Important! • Sports clothing and- equipment (if participating in sport) • Instruments that you can play during first year concert. • Formal clothes (in case you are going to the first-year’s dine) • 2 + Canned foods that goes to Charity – optional • Please remember your tin/bottle with coins (brown coins), as well as your star money that

goes to RAG’s charity projects. *We provide fresh purified water daily to the girls.

Opening day entails:

07:45-08:45 Opening

09:15-10:45 Deans address parents and students, divisions into faculties.

11:00-11:45 Meeting with church ministers

12:00-13:00 Meeting with residence parents in the Alumni Hall (F14)

14:30-16:30 Meeting with House Committee in the Totius (F6) after parents drive back home – wear white t-shirt, black shorts and sneakers.

The Registration and Orientation Programme entails:

• Academic obligations • Introduction to the campus • Registration and Collection of student card • First-years’ sport • First-years’ dine • First-years’ concert

Peer helper (SOS helper):

Hannalie de Klerk 078 268 9141 hannaliedeklerk@gmail.com She is trained in First Aid and is there for any assistance that the first years may require during R&O and throughout the year.

Proposed Budget Budget during Registration and Orientation Programme

Compulsory (Already paid): Amount:

Basic package R1200.00

Registration R350.00

Clothing consists of the following: R850.00

• Golf shirt R 161.00

• Shorts R 90.00

• Jacket R 440.00

• Betty Boop shirt R 56.00

• NWU shirt R 0.00

• Hat R 45.00

• Backpack R 57.00

Optional (strongly recommended): Amount:

Meal package (lunch and supper for 10 days) R 950.00

RAG package: R 400.00

• Partnering shirt R 100.00

• Bellatrix Ovie R 200.00

• RAG shirt R 100.00

• RAG tickets (2 nights entrance, shows included) R170.00

First years dine ticket R170.00

Star money R 70.00

Vitamin package R 02.00

Optional: Amount:

Betty Boop umbrella R 100.00

Buffs R 65.00

Tin/bottle with coins for charity

Canned food for charity 2 + cans

Residence song/Koshuislied:

ʼn Koshuis met liefde en lewenslus,

Dit is wat ons is.

Trotse Trixies van formaat,

Dis waarvoor ons staan.

Met trots bring ons die Vader eer,

Hand aan hand in blou geklee

Die eenvormigheid wat ons nooit sal skei,

die koshuis wat vir ewig in my hart sal bly

Vir jou Bellatrix sal ons dan

ʼn blink ster in die hemel hang,

Blou bloed wat deur ons are pomp

Altyd saam as Sustersbond.

Vul asseblief onderstaande vorms in en bring saam met jou 9 Januarie 2016 met Ontvangsdag/ Please fill in these forms and bring it with you on the 9th of January 2016 on Opening Day:

Potchefstroom Campus

Vaccination against bacterial meningitis

September 2015

Dear Parent/Guardian

Seeing a son or daughter off to university is a major milestone for any family. Mixed with pride, there is usually a certain sense of anxiety. Although we do not wish to add to that anxiety, we would like to share some important information that is in the interest of your child’s wellbeing. As the parent of a student who will be studying at the North West University, Potchefstroom Campus, you should be aware that globally, university students may have an increased risk of meningococcal disease (bacterial meningitis), measles, mumps and German measles in comparison to the general population.

Meningococcal disease is rare but unpredictable. While many are exposed to the organism, not everyone succumbs to the disease. Clinical studies suggest that university students are more susceptible because they live and work in close proximity to each other, such as in residences, dormitories and lecture halls. Lifestyle also appears to be a risk factor. Exposure to cigarette smoke, alcohol consumption, sharing kitchen utensils, bar patronage and physical contact, all increase the chance of getting meningitis from an infected individual.

The good news is that meningococcal disease can be prevented with a vaccine. The vaccine has been in use for over three decades, worldwide, and effectively protects against some of the most common strains of the disease. Protection from the vaccine lasts for at least 3-5 years. A booster dose may be required thereafter. Vaccine side-effects are rare and usually mild, consisting mainly of redness and swelling at the site of injection, which may last for up to two days. We recommend that you speak to your healthcare professional or the university campus health services staff for more information on the disease, the vaccine, and whether your child is eligible for vaccination. The university suggests you discuss meningococcal disease vaccination with your son or daughter, and be informed that the vaccine can be obtained here on the Potchefstroom Campus at the Health Care Centre, Building E16, where qualified healthcare professionals will be on hand to administer the vaccine.

Additional vaccination against measles, mumps and German measles (3-in-one) is also strongly recommended. Attached to this letter is a consent/request form to be completed by the parent/guardian of the prospective student. The vaccine can also be obtained at a health clinic, a pharmacy or your family doctor.

Potchefstroom Campus

STUDENT VACCINATION

PARENTAL CONSENT AND REQUEST FOR VACCINATION

I,……………………………ID number:………………… parent/guardian of ……………………………..ID number:......................... hereby consent to and request that he/she receive vaccination against bacterial meningitis and/or measles, mumps, and German measles.

I understand that these vaccines will be administered by health professionals employed by North-West University, Potchefstroom. It is further noted that the vaccination will be done at the Health Care Centre, Building E16, Potchefstroom Campus on appointment and with proof of payment:

Vaccination Select by ticking

Cost

Meningitis R150.00 Measles, mumps and German measles R150.00 Total R300.00

Students may pay with their student card at the Health Care Centre.

(This information is required in order to ensure sufficient stock of the vaccines)

Please provide the following details: Student Number:.............................. Cell phone number:........................... Address in Potchefstroom:........................................................................... ..................................................................................................................... SIGNATURE OF PARENT/GUARDIAN:...................................DATE:............. SIGNATURE OF STUDENT:.....................................................DATE:.............