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Admission Form St Bakhita School

* First name: * Middle name: * Sur name:
* DOB: * Age: * Sex:
* Address: * Home Tel: * Language Spoken:
* Fathers Name: * Nationality: * Address:
* Place of Work: * Occupation: * Tel:
Fax: Email:
* Mothers Name: * Nationality: * Address:
* Place of Work: * Occupation: * Tel:
Fax: * Email:
* Child Lives With:
Childs Previous School (If Applicable give details)
Name of School: Class: Year:
* Child's Religion:
* Proposed Date of Entry: * Date of Application:
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Parents Name: Email Address: Phone Number:
How did you know about Us, Tick where necessary Through Our Website
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