ANNEXURE A: FORMS

Form 1: Application for

ECD subsidy

Completing this form:

PARTS A, B, D, E and F: All applicants must complete these parts.

PART C: Only applicants submitting individual child income information because

a. the ECD programme is NOT located in a ward designated for universal targeting of the ECD subsidy, or

b. the ECD programme is located in a designated ward, but has been given a written instruction by the
provincial department to fill in this section, or

c. the ECD programme is located in a designated ward, but has volunteered to fill in this section because
fewer than 80% of the children attending the programme come from poor households.

If the applicant has completed Part C, it must submit a file with the relevant supporting documents for each child.

PART A
All applicants must complete this part.

Contact details

Name of ECD Programme Kinderjoy Prep

Physical address 316B Nompondo

Grahamstown Code 6139

Postal address 316B Nompondo

Grahamstown Code 6139

Business tel Cell 0680533187

Fax

Email asanddlekedla2@gmail.com

Contact Person 1 Name Linda Fosi Cell 0822661685

Contact Person 2 Name Yolanda Malindi Cell 0670913697

 ECD programme eligibility

Partial Care Facility registration number number 2023

ECD Programme registration number number 2023

Does the applicant have conditional registration for either the partial care facility or
Yes No x
ECD programme?

If yes, when was the conditional registration given? day month year

PART B
All applicants must complete this part.

Children currently attending programme

How many children are currently enrolled at the ECD programme?

Age profile of children on the current register 0-2 years 2-5 years > 5 years

Give the number of children in each age category 6 15 10

How many children attending the ECD programme have disabilities? 0

Number of places in the ECD programme to be subsidised

How many places / children is the ECD programme registered to accommodate? 35

For how many children is the ECD programme applying for ECD subsidies? 35

Is a completed Form 2 List of Children eligible for an ECD subsidy attached to this application Yes x No

Note: this application will not be considered unless a completed Form 2 is attached.

Age profile of children on Form 2 0-2 years 2-5 years > 5 years

Give the number of children in each age category 6 15 10

How many children listed on Form 2 have disabilities?

ECD Programme operating times

For how many days in the year is the ECD programme open? 199

For how many hours in a normal day does the ECD programme run an ECD programme? 9

Number of children without birth certificates

How many children listed on Form 2 do not have birth certificates? 7

Note that this information is to alert the department of the need for referrals to assist the caregivers of these
children to obtain birth certificates

Child eligibility

Name of the municipal ward in which the ECD programme is located Sarah Baartman

Ward number 2

Is this a designated ward listed for universal targeting of the ECD subsidy? don’t
Yes x No
know

If 'yes' then skip PART C and proceed to Part D.

If 'no' then proceed to complete PART C.

If 'don’t know' then call the district or provincial department of education office for assistance.
PART C
This part must be completed only by applicants submitting individual child income information
because:
a. the ECD programme is NOT located in a ward designated for universal targeting of the ECD
subsidy, or

b. the ECD programme is located in a designated ward, but has been given a written instruction by
the provincial department to fill in this section, or

c. the ECD programme is located in a designated ward, but has volunteered to fill in this section
because fewer than 80% of the children attending the programme come from poor households.

Information on individual child applications

Is the required income information for each of the children listed on Form 2 attached to
Yes No
this application?

Note: that ECD subsidies can only be allocated to children for whom the required income information has been
submitted and who qualify for an ECD subsidy according to the prescribed income-based means test

For how many children have caregivers given proof that they are recipients of a Child Support Grant?

For how many children have caregivers given proof that they are recipients of a Foster Care Grant?

For how many children have caregivers provided an affidavit declaring their status of income?

For how many children have caregivers provided documentary proof of income information?

Total

Does the above total equal the number of children listed on Form 2 Yes No

If 'No' then the applicant must review the list of children and the supporting income information to make sure it
is complete and correct.
PART D
All applicants must complete this part.

ECD programme fees

Does the ECD programme charge parents / caregivers fees for children to attend the
Yes x No
programme?

If yes, provide following details of the fees charged:

How are the fees charged? Per Per

Per day Per week Per year
Mark the relevant boxes with an X month term

State the fees per child for the time periods noted R R R100 R
R

Are additional fees charged for afternoon care Yes No

If yes, what is the fee per child for afternoon R R R50 R

R
care

What year are the above fees applicable for? 2024

What is the estimated annual income from fees for the coming year? R 40 000

Sources of income and in-kind donations

Does the ECD programme currently receive an ECD subsidy from the department? Yes x No

If yes, what is the current ECD subsidy amount for the year? R 134 640

Does the ECD programme charge parent fees? Yes x No

If yes, what is the estimated income from parent fees for the coming year? R 150

Does the ECD programme receive income from other sources? Yes No x

If yes, provide details R

of other sources of
R
expected income for
the coming year R

Total estimated income for the year: R

Does the ECD programme receive any regular in-kind donations. Yes No x

If yes, please provide details:

Does the ECD programme have a vegetable garden? Yes No x

Do parents volunteer their time to do maintenance / gardening for the ECD programme Yes No x

If there are other strategies to promote sustainability, please provide details:

High level annual budget of the ECD Programme

Budgeted Annual Income Next Year Current Year

ECD subsidy from the department R 150 000 R 134 640

Parent fees R 30 000 R 20 000

Other sources of income R R

R R

R R

R R

R R

Total Income R 180 000 R 152 640

Budgeted Annual Expenditure Next Year Current Year

Salaries R R 30 000

Unemployment Insurance Fund (UIF) R R

Food R R 30 000

Food preparation (gas, paraffin,wood) R R 1 500

Educational materials R R 11 000

Other consumables eg. paper, pens R R 3 000

In-service training R R

Municipal rates R R

Water R R

Electricity R R 1 000

Telephone R R 1 000

Rent R R 6 000

Maintenance R R 5 000

Transport / petrol R R 2 000

Accountant / book-keeper R R 5 000

 Other (please list) R R

R R

R R

R R

Total Expenditure R R

Balance for the year (Total Income minus Total Expenditure) R R

Application to use the subsidy for a different purpose

The ECD subsidy should be used in line with the ratios as follows: 40% for nutrition, 40% salaries and 20% on
stimulation material and administration.

Does the ECD programme wish to request to use a portion of the subsidy funds for a
Yes No x
different purpose?

If yes, please specify the purpose for which it wishes to use the funds, and the amount of funds it wishes to divert
to this purpose:

PART E
All applicants must complete this part.

New application or currently funded?

Is this the first time the ECD programme is applying for an ECD subsidy? Yes No x

If the answer to the above question is "no" please provide the following information

Does the ECD programme currently receive an ECD subsidy from the department? Yes x No

If the ECD programme is not currently receiving a subsidy, has it received one in
Yes No Year
the past? If so, in which year?

Has the ECD programme been refused a subsidy in the past? If so, in which Year
Yes No x
year?

ECD programme financial management arrangements

What is the financial year-end of the ECD programme? 31 March

What is the ECD programme's expected annual turnover (total expenditure) for R 134 640
the current year?

Does the ECD programme employ / have a bookkeeper to manage the ECD programme's
Yes No
accounts?

Name

Addres
s

Tel.

Cell

Has the ECD programme appointed an accounting officer or registered auditor to compile /
Yes No
review its annual financial statements?

If "yes" please provide the following details Name

for the accounting officer or registered
Addre
auditor:
ss

Tel.

Cell

Do the ECD programme's annual financial statements get audited by a registered auditor? Yes No

If "yes" please provide the following details Name

for the registered auditors:
Addre
ss

Tel.

Cell

What is the most recent year for which the ECD programme has audited financial statements Year
available?

ECD programme Financial Management Declaration

I/We hereby confirm that _________________________________________complies or Yes No

intends to comply (in the case of an ECD programme not previously funded) with the
applicable financial reporting standards set out in terms of the Public Finance
Management Act No. 1 of 1999, and elaborated on in the service level agreement
template for the ECD subsidy component of the ECD Conditional Grant.

I/We hereby confirm that _________________________________________complies or

will comply (in the case of a new ECD programme) with the requirements for the review or Yes No
auditing of annual financial statements applicable to it based on its annual turnover.

I/We hereby commit to keep an ongoing record of income and expenditure that reflects
Yes No
the receipt of transfers and how they were expended.

ECD programme Bank Account Details

Please note that this account MUST be in the name of the ECD programme. No 3rd party payment allowed.

Account Name

Name of Bank

Account Number

Branch Name

Branch Number

Account Type Cheque Account

Savings Account

Transmission
Account

Bond Account

Other (please
specify)

Name of signatory to the account Anayo Dlekeda

ID Number 0002130391085

Company Registration Number if applicable

NPO registration Number if applicable

BANK STAMP confirm

ABSA - CIF screen

FNB - Hogans system on the CIS4

STANDARD BANK - Look-up-

screen

NEDBANK - Banking platform

under the Client Details Tab
PART F
Declaration that all information submitted is correct

I/We hereby confirm that all the information provided in this form is true and correct, and should this be
shown not to be the case the department may terminate the funding agreement with the ECD programme and
the persons signing below may be prosecuted for committing fraud.

Applicant

Signature of the applicant

Print Name Anayo Dlekedla

Position Supervisor

Date 20 January 2024

Witness 1

Signature

Print Name Linda Fosi

Position Teache

Date 20 January 2024

Witness 2

Signature

Print Name Yolanda Malindi

Position Teacher

Date 20 January 2024

If you have any questions regarding the filing out of this
from please contact the district or provincial department
of education for assistance.
 Form 2: List of children eligible for the ECD
subsidy

Instructions for completing Form 2

1. Complete the Summary table after completing the entire form.

2. Information provided in this Form 2 must correspond with information provided in Form 1 Part Bin respect of ALL children attending the ECD
programme
3. The ECD programme must keep on record a copy of the birth certificate of each child for whom an ID number is provided.
4. If a child does not have a birth certificate, and therefore no ID number, provide the child’s date of birth according to the child’s caregiver.
5. Part C must be completed by an ECD programme that:
a. is NOT located in a ward designated for universal targeting of the ECD subsidy, or
b. is located in a designated ward, but has been given a written instruction by the provincial department to provide means-test information
for all children, or
c. is located in a designated ward, but which has volunteered to fill in this section because fewer than 80% of the children attending the
programme come from poor households.
6. If the ECD programme is required or has chosen to complete Part C, it must submit a file with the relevant supporting documents for each
child.

Name of ECD programme

Name of ECD Programme

Department reference number

Summary A: Child information B: Means-test information

13
 Number of children qualifying ECD subsidy based on the
following income means test information
Total number of
Total number of children that do Proof of
children for not have birth Child Affidavit income –
Foster
Total number of whom ID certificates and Support regarding salary slips
Care Grant
children listed on numbers are therefore no ID Grant income and bank
Form 2 provided number. statements

Total 31 24 7 24 x x x

A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
no birth Foster
Suppo regard of
ID number certificate or ID Care
rt ing incom
number) Grant
(leave blank if child has no birth Grant incom e
No. Last name First name certificate) (dd mm yy) e

1 Yose Bunono 2 0 1 2 1 2 1 0 3 5 0 8 6 1 2 1 2 2 0 x

2 Sithole Libhaca 2 1 0 9 1 7 6 6 3 7 0 8 7 1 7 0 9 2 1 x

3 Dyaloyi Luncumo 2 0 0 3 2 9 5 1 4 7 0 8 8 2 9 0 3 2 0 x

4 Kamana Ubuchule 2 0 1 1 1 9 5 6 1 1 0 8 7 1 9 1 1 2 0 x

5 Kibi Luqalo 2 0 0 1 2 6 5 3 9 9 0 8 5 2 6 0 1 2 0 x

6 Mgqobele Othave 2 0 0 5 2 5 1 0 4 4 0 8 4 2 5 0 5 2 0 x

14
A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
Foster
no birth Suppo regard of
ID number Care
certificate or ID rt ing incom
Grant
(leave blank if child has no birth number) Grant incom e
No. Last name First name certificate) e
(dd mm yy)
7 Noconjo Iminathi 1 9 0 3 1 5 6 0 3 7 0 8 1 1 5 0 3 1 9 x

8 Mpina Alwavuya 2 0 1 1 2 6 6 2 6 0 0 8 7 2 6 1 1 2 0 x

9 Royi Hleloluhle 1 9 1 2 3 1 6 2 4 8 0 8 2 3 1 1 2 1 9 x

10 Tukulula Luphawu 2 1 0 1 2 3 5 9 7 5 0 8 7 2 3 0 1 2 3 x

11 Bey Naliya 1 9 0 5 0 5 0 8 5 8 0 8 2 0 5 0 5 1 9 x

12 Mzizi Azalive 1 8 1 0 1 9 5 4 7 4 0 8 6 1 9 1 0 1 8 x

13

14

15

16

17

18

19

20

15
A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
Foster
no birth Suppo regard of
ID number Care
certificate or ID rt ing incom
Grant
(leave blank if child has no birth number) Grant incom e
No. Last name First name certificate) e
(dd mm yy)
21

22

23

24

25

26

27

28

29

30

31

32

33

34

16
A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
Foster
no birth Suppo regard of
ID number Care
certificate or ID rt ing incom
Grant
(leave blank if child has no birth number) Grant incom e
No. Last name First name certificate) e
(dd mm yy)
35

36

37

38

39

40

41

42

43

44

45

46

47

48

17
A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
Foster
no birth Suppo regard of
ID number Care
certificate or ID rt ing incom
Grant
(leave blank if child has no birth number) Grant incom e
No. Last name First name certificate) e
(dd mm yy)
49

50

51

52

53

54

55

56

57

58

59

60

61

62

18
A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
Foster
no birth Suppo regard of
ID number Care
certificate or ID rt ing incom
Grant
(leave blank if child has no birth number) Grant incom e
No. Last name First name certificate) e
(dd mm yy)
63

64

65

66

67

68

69

70

71

72

73

74

75

76

19
A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
Foster
no birth Suppo regard of
ID number Care
certificate or ID rt ing incom
Grant
(leave blank if child has no birth number) Grant incom e
No. Last name First name certificate) e
(dd mm yy)
77

78

79

80

81

82

83

84

85

86

87

88

89

90

20
A: Child information B: Means-test information

Date of birth Mark the relevant square with a cross

(provide date of Affida

birth if child has Child vit Proof
Foster
no birth Suppo regard of
ID number Care
certificate or ID rt ing incom
Grant
(leave blank if child has no birth number) Grant incom e
No. Last name First name certificate) e
(dd mm yy)
91

92

93

94

95

96

97

98

99

100

21
 Form 3: Checklist for
ECD subsidy
assessment
Instructions for completing Form 3

1. Officials responsible for assessing the ECD funding applications must complete this
checklist and sign it on completion.
2. The signed checklist must be attached to the application form.

Name of ECD programme

Name of ECD Programme

Department reference number

Is the application form complete?

All the required fields have been properly completed Yes No

Form 2 List of Children eligible for an ECD subsidy is attached Yes No

If the ECD programme does not fall into a designated ward, appropriate
Yes No
means test information for all children is attached.

Bank has verified the bank account details in Part E Yes No

The required people have signed Part F Yes No

If the answer to any of the above questions is “No”, then the application must be referred back to
the ECD programme with a note indicating what it needs to do to complete the application form
properly. Where necessary, the department must assist the ECD programme to complete the
application for properly.

ECD programme eligibility for funding

Partial care facility registration number supplied? Yes No

ECD Programme registration number supplied? Yes No

Verify all the registration numbers against departmental records. Are

Yes No
they all valid?

If the answer to all the above questions is “Yes”, then proceed to the next section.

22
 If the answer to any of the above questions is “No”, then answer the relevant questions below

Has the ECD programme been granted conditional registration for either the
Yes No
partial care facility or ECD programme?

If “Yes”, then place the ECD programme on the list of programmes to be evaluated for the ECD
maintenance grant, and proceed to the next section. If “No”, then the ECD programme is not
eligible for ECD subsidy funding and must be sent the Form 4 Unsuccessful Application Letter
stating the reasons.

23
Verification of location in a designated ward

Is the ECD Programme located in a designated ward listed for

universal targeting of the ECD subsidy. This must be verified with Yes No
reference to a list of designated wards provided by the DBE.

Evaluation of Form 2

If the ECD programme is NOT located in a designated ward, is

supporting means test information in respect of all the children listed Yes No
on Form 2 attached?

If “Yes”, then proceed. If “No”, then contact the ECD programme and request them to supply the
missing means test information

Evaluate the information supplied on Form 2.

Does the information, on face value, appear to be valid? Yes No

If “Yes”, then proceed. If “No”, then analyse the information in detail, identifying the specific
issues. If it appears that the information may be fraudulent then refer the application to the Chief
Financial Officer for further investigation and the possible laying of fraud charges.

If the ECD programme IS located in a designated ward, how many names appear on
Form 2?

If the ECD programme is NOT located in a designated ward, then evaluate the
means test information for each child. Based on this evaluation, how many children
qualify for the ECD subsidy?

What is the registered capacity of the ECD programme?

Number of places in the ECD programme to be subsidised

For ECD programmes located in designated wards:

Calculate the ratio of the number of children to be funded to the number of

registered places in the ECD programme. State percentage.

Is the above percentage greater than 80%? Yes No

If “Yes”, then the number of places to be subsidised must equal the registered capacity of the ECD
programme. If “No”, then the number of places to be subsidised must equal the number of names
that appear on Form 2. Fill in the correct number below.

For ECD programmes NOT located in designated wards:

Is the number of qualifying children’s names on Form 2 less than

Yes NO
or equal to the registered capacity of the ECD programme

If “Yes”, then the number of places to be subsidised must equal the number of names that appear
on Form 2. If “No”, then the number of places to be subsidised must equal the registered capacity
of the ECD programme. Fill in the correct number below.

24
State number of places / children in the ECD programme to be
subsidised

Calculate the value of the subsidy allocated to the ECD programme

What is the current annual per capita ECD subsidy?

Is the ECD programme to receive a subsidy for the full financial year –
Yes No
i.e. from 1 April to 31 March

If “Yes, then proceed to calculate the total value of the ECD subsidy to be allocated to the ECD
programme. If “No”, then answer the following questions:

State the dates for which the ECD programme will receive a subsidy: Start date End date

For how many months in the financial year will the ECD programme
receive a subsidy?

Use the above information to calculate the total value of the ECD subsidy to be allocated to the
ECD programme

Total value of the subsidy to the ECD programme:

Risk evaluation of the ECD programme

The aim of this section is to aid the decisions on whether the ECD programme should be given a
one-year or three-year SLA.

1.

Is the ECD programme being funded for the first time? Yes No

Are there any issues from past years that suggest poor financial
Yes No
management of the ECD programme

If “Yes” for any of the above questions then the ECD programme
One-year Three-year
should be given a one-year SLA. If “No” for both questions, then
SLA SLA
the ECD programme should be given a three-year SLA

Outcome of the assessment process

Approved for funding. Yes No

If “Yes, send Form 4 Funding Approval letter and draft SLA and send application for preparation of

25
SLA. If “No”, send Form 4 Unsuccessful application letter giving reasons as appropriate.

26
Signatures of the adjudication officials

We, the below signed officials, hereby affirm that we have evaluated the abovementioned
application for ECD funding fairly.

Chair Official 2 Official 2

Signature

Print Name Mzwandile Fatyi Beauty Nolingo Nandipha Klaas

Position Chairperson Treasurer Secretary

Date 20 January 2024 20 January 2024 20 January 2024

27
 Form 4: Outcome of
application for ECD
funding

Notes for completing Form 4

1. Following the process to review and adjudicate ECD subsidy applications, each ECD
Programme must be informed of the outcome of the application process using the
appropriate Form 4 letter.
2. The relevant Form 4 letter below, must be completed and sent out so that ECD
Programmes receive them as close to 7 March as possible.
3. If the funding application is successful and funding allocated, then the Form 4 Funding
Approval letter must be sent.
4. If the funding application is successful, but no funding is allocated due to insufficient
budget, then the Form 4 Lack of funds letter must be sent. This letter must give full
details of the province’s current ECD budget allocation so as to foster an understanding
of the budget constraints provincial departments face.
5. If a funding application is turned down, because the ECD programme is ineligible for one
or other reason, then Form 4 Unsuccessful application letter must be sent. It must set
out the specific reasons why the application was unsuccessful, and the ECD programme
must be informed of the process they can follow to make representations (as required
by the Promotion of Administrative Justice Act).

28
Funding Approval letter
Provincial department Logo

Address

ECD Programme Name

Address

Dear Madam / Sir

Re Outcome of application for ECD funding 20XX/XX financial year

The [name of province] Department of Basic Education is pleased to inform you that your application
for ECD funding for the [fill in the relevant financial year] financial year has been approved as
follows:

1. Number of places / children for which ECD subsidies have been

approved

2. Annual per capita ECD subsidy allocation for the 20XX/XX financial year

3. Number of days the ECD programme is required to operate

4. Total amount approved for the 20XX/XX financial year

Please phone [name of department official] at [telephone number] to make an appointment before
[date] to sign the service level agreement at [address of place signing will take place].

Note that the following people will be required to attend this meeting for the purposes of signing:

● The applicant who is applying on behalf of the ECD Programme; or

● In the case of a registered NPO: The authorised representative of the NPO – please bring a
board resolution reflecting that the person has been authorised to sign the agreement on
behalf of the NPO.

Please find attached a draft service level agreement for you to review in preparation of the signing.
Should you have any questions regarding the contents of the agreement please feel free to phone
[name of department official] at [telephone number] to discuss any aspect of the agreement.

Yours faithfully

[name of public servant]

[position]

29
[name of department]

[contact details]

Lack of funds letter

Provincial department Logo

Address

ECD Programme Name

Address

Dear Madam / Sir

Re Outcome of application for ECD funding 20XX/XX financial year

The [name of province] Department of Basic Education regrets to inform you that your application
for ECD funding for the [fill in the relevant financial year] financial year has been approved, but
unfortunately could not be funded due to insufficient funds in the department’s budget for ECD
subsidies.

For the [fill in the relevant financial year] financial year, the provincial legislature approved a budget
of [RXXX million] for ECD services. In addition, the province received [RYYY million] from the ECD
Conditional Grant from national government. The Department of Basic Education has fully disbursed
these funds to ECD programmes that were higher on the funding queue.

Please be advised, that the department will keep your application on record and should additional
funds become available in [fill in the relevant financial year] the department will contact you and
make arrangements for the signing of a service level agreement. However, given the tight fiscal
circumstances, this is unlikely, so please make alternative financing arrangements as best you can.

We also encourage you to make sure you get an application in for the [fill in the next financial year]
as early as possible after the date for submitting applications opens.

Yours faithfully

[name of public servant]

[position]

[name of department]

30
[contact details]

31
Unsuccessful application letter
Provincial department Logo

Address

ECD Programme Name

Address

Dear Madam / Sir

Re Outcome of application for ECD funding 20XX/XX financial year

The [name of province] Department of Education regrets to inform you that your application for ECD
funding for the [fill in the relevant financial year] financial year has been unsuccessful, for the
following reason/s:

1. [fill in the reason/s for turning down the application]

2.

3.

In terms of section 3 of the Promotion of Administrative Justice Act, you have the right to make a
representation to have this decision reviewed. To facilitate the management of the review process
all requests must:

● be in writing;

● set out clearly why the outcome of the assessment process should be reviewed with specific
reference to the reasons given for turning down the application noted above,
● must reach the department before close of business [give specific day and date];

● must be sent to:

Email: [name of department official] [email address]

Address: [name of department official] [postal address]

Please note that resolving the issues noted above will greatly enhance the likelihood of the
department being able allocate an ECD subsidy to you in future. Should you need assistance in doing
so, please contact your local office of the Department of Education for further advice in this regard.

Yours faithfully

32
[name of public servant]

[position]

[name of department]

[contact details]

33
 Form 5: ECD funding
– Service Level
Agreement
This is SLA template which is saved separately due to its length.

34
 Form 6: Income and expenditure report

Name of ECD Programme

Department reference number

Total income received

Was transfer
Date Received Department or institution made late? Amount For official use only

i.

ii.

iii.

iv.

Total income received (A)

Total expenditures (Please report actual according to budget items stated in agreement)
a) Personal Emoluments Number Amount For official use only

i. Full time staff

35
 Fill in names

ii. Part time staff

iii. Other

b) Service delivery expenditure (List out every item and amount) Amount

i.

ii.

iii.

c) Other Goods and services (List out every item and amount) Amount For official use only

i.

ii.

iii.

iv.

d) Capital items below R7000 Amount

i.

ii.

36
iii.

iv.

e) Capital items above R7001 Amount

i.

ii.

iii.

iv.

Total expenditures (B)

Surplus/(Deficit) (A - B)

Notes

Form 7: ECD subsidy – Quarterly Attendance Report

Monthly attendance record

Name of ECD Programme

37
Department reference number

Registered Annual
capacity of number of
the ECD child
programme attendance
days for all
children
attending
the ECD
programme

Number of Annual
places / number of
children child
funded by attendance
ECD subsidy days for
children that
are being
funded by
an ECD
subsidy

38
 Total
number of
child
attendance
Maximum Number of days for the
number of Minimum week days Target month for
children number of on which number of children that
attending on children on the ECD child are being
a single day a single day programme attendance funded by
in the in the was open in days for the an ECD Total number of child attendance days for the month for
Month month month the month month subsidy all children attending the ECD programme

April

May

June

July

August

September

October

November

December

January

February

March

39
Annual total

Quarterly attendance record

Name of ECD Programme

Department reference number

Registered capacity of the ECD programme Annual number of child attendance days for
all children attending the ECD programme

Number of places / children funded by ECD subsidy Annual number of child attendance days for
children that are being funded by an ECD
subsidy

Number of week Total number of child

Maximum number days on which attendance days for Total number of child
of children Minimum number the ECD the quarter for attendance days for
attending on a of children on a programme was Target number of children that are the quarter for all
single day in the single day in the open in the child attendance days being funded by an children attending
Quarter quarter quarter quarter for the quarter ECD subsidy the ECD programme

1st Quarter

April to June

2nd Quarter

July to Sept.

3rd Quarter

40
Quarterly attendance record
Oct to Dec

4th Quarter

Jan to March

Annual total

41