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Annexure C: Written warning

Name of learner: __________________________________________________


Learner ID number: ________________________________________________
Subject: _________________________________________________________
Teacher: _________________________________________________________
The above learner has breached the disciplinary code.
Date of offence: ___________________________________________________
Grade of offence: _________________________________________________
Nature of offence:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Learner’s statement:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Learner ______________________________ Date: __________________
Teacher ______________________________ Date: __________________
Deputy Principle _______________________ Date: __________________
Disciplinary committee __________________ Date: __________________

 One (1) copy to learner, original to be kept by Grade Head


 Learner signature does not signify admission of guilt, but that charges and action have
been explained

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