ANNEXURE B

APPLICATION FOR DEVIATION FROM PHASED IN RETURN TO SCHOOL

[Application in terms of direction 4(1A)]

(Complete school particulars and attach proof of compliance with the health, safety and social distancing requirements)

To be completed by the principal, chairperson of the board or person authorised by the principal:

I, _____________________ (Name and Surname), the principal/chairperson of the board/authorised person (delete whichever is not applicable), of:

______________________________________________________ (Name of school),

hereby apply for a deviation from the phased in return to school, as contemplated in direction 4(1A) of the Directions.

School particulars

Signed at ___________ on this _____________ day of____________________2020

[Annexure B inserted by section 6 of Notice No. 304, GG43381, dated 1 June 2020]