Online Application
Consent to use personal information
Annexure “A”
Consent form in terms of the Protection of Personal Information Act, Act 4 of 2013 (POPIA)
I, the undersigned, hereby agrees to the terms and conditions of this consent form and voluntarily
provide the following information and authorisation to LOWVELD ACADEMY TZANEEN to process my
personal information as well as that of the following learner:
1. I understand that an application for enrolment at the abovementioned school cannot be
successfully processed without the required information and failure to provide the necessary
information will thus result in an unsuccessful application.
2. I hereby authorise LOWVELD ACADEMY TZANEEN and its authorised managers, shareholders, any
person employed by LOWVELD ACADEMY TZANEEN and/or any person / law firm / entity acting
on behalf of or representing LOWVELD ACADEMY TZANEEN against any losses or claims or for
purposes of debt collections or any other legal proceeding, to use, review and process any
personal information provided.
2.1. I herewith confirm that I understand: -
2.1.1. That processing shall include the receipt, recording, organising, collation, storage,
updating or modification, retrieval, alteration, consultation and use; the dissemination by
means of transmission, distribution or making available in any other form, or the merging,
linking as well as blocking, degradation, erasure or destruction of information.
2.1.2. The personal information may only be processed if it is adequate, relevant and not
excessive, given the purpose for which it is processed, and if processing occurs in
accordance with the relevant provisions of POPIA. The purpose of the processing of
information must relate to a function or an activity of the school.
2.1.3. That LOWVELD ACADEMY TZANEEN collects and processes personal information
pertaining to the proper functioning, management and governance of the school, as prescribed in the South African Schools Act 84 of 1996 and other relevant education
legislation and policies.
2.1.4. The type of information will depend on the purpose for which it is collected, and will be
processed for that purpose only.
2.1.5. In terms of section 11 of POPIA, personal information may only be processed in the
following circumstances:
2.1.5.1. If the data subject, or a competent person where the data subject is a child, consents
to the processing.
2.1.5.2. If processing is necessary to carry out actions for the conclusion or performance of
a contract to which the data subject is party.
2.1.5.3. If processing complies with an obligation imposed by law on the school.
2.1.5.4. If processing protects a legitimate interest of the data subject.
2.1.5.5. If processing is necessary for the performance of a public law duty.
2.1.5.6. If processing is necessary for pursuing the legitimate interests of the school.
3. I hereby grant permission to LOWVELD ACADEMY TZANEEN to:
3.1. display photos/images/videos of the learner(s) indicated below as part of:
3.1.1. a demonstration/project/activity during classroom teaching;
3.1.2. a sample project/activity on CD created by the school for use in educational workshops,
classrooms, advertisements, etc.;
3.1.3. the school’s webpages and social media platforms (including Facebook and Twitter);
3.1.4. samples given to programme publishers, or contest entries submitted to sponsors;
3.1.5. video recordings to appear in a school-related programme broadcast on a television
station; and/or
3.1.6. any printed publication, including, though not limited to, newspapers, magazines,
yearbooks, etc.
3.2. In granting this permission, I understand that the school may use photos/images/videos of the
learner(s) for purposes such as celebrating achievements and publicising education events, as
deemed appropriate by the school governing body and the principal, and that such use may
include display in the school photo gallery.
3.3. I further understand that although the school associated with the photos/images/videos will
be identified, and adults appearing in photos/images/videos may be named, the personally
identifiable information of the learner(s), except for the name (s) of the learner(s), will not be
used with any photo/image/video
3.4. I understand that in signing this consent form I confirm that the released
photos/images/videos posted on the school’s website can be downloaded and reproduced by
various news organisations, including print, electronic and broadcast media, and I therefore
release the school from any liability arising from the use of photos/images/videos of the
child(ren) in school web postings.
3.5. I further understand that there are potential dangers associated with the posting of photos
images and videos on a website, since global access to the internet does not allow for control
over who accesses information and if I wish to withdraw my consent, I may do so at any time
by sending a letter to the principal of the school.
4. I confirm that I am familiar with the following rights as provided for in the Protection of Personal
Information Act, Act 4 of 2013:
4.1. The right to know what information is being kept, how it is being used, and when the school
will disclose it. All of the aforesaid information is contained in our Policy on the Protection of
Personal Information and the Privacy Policy, which are available and may be obtained from the
offices and/or on the website of LOWVELD ACADEMY TZANEEN.
4.2. The right to correct my details. LOWVELD ACADEMY TZANEEN will try to keep my information
up to date. However, should any of details change, I will inform LOWVELD ACADEMY TZANEEN
of such change in details so that LOWVELD ACADEMY TZANEEN ensure that their records are
as accurate as possible.
4.3. The right to revoke consent. I understand that I can revoke the consent given to LOWVELD
ACADEMY TZANEEN in terms of this form at any time. Such revocation shall be in writing and
addressed to the information officer of the school as stipulated in the Protection of Personal
Information Policy. This revoked consent is not retroactive and will not affect any past or
existing use of information.
By agreeing to the terms of this consent form, I expressly consent to the processing of my personal
information for marketing purposes, and understand that by consenting, I may receive marketing
materials in the form of SMSs, e-mails and the like from LOWVELD ACADEMY TZANEEN.
