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Fields marked in Red MUST be filled in. This Form will also pick up your IP Address and your browser version.

Authenticity Field Check

Student Date of Birth Parent Date of Birth Parent ID Card No
     
Student Details
Surname
Name
Date of Birth
Gender
Nationality
Religion
National ID No
Address Details - Mailing. Billing and Student's Address
Apartment
House Name
House Number
Street
Town/City
Postcode
Country
   
Parents' Status  
   
Correspondence/Newsletters

We would like to receive school circulars and newsletter by   
   
Parents' Consent for Publication of Work & Photographs

If selected, my/our son’s/daughter’s work may be published on printed publications including Newsletters, Magazines, and other information and promotional material.  Photographs that include my/our son/daughter may be published subject to the school rules that photographs will not include the individual’s full name.  

 
   
 
If selected, my/our son’s/daughter’s work may be published on the school’s website. Photographs that include my/our son/daughter may be published subject to the school rules that photographs will not include the individual’s full name.    

 
   
 
Should the schools publish a year book I/we give permission for the publication of the full name under the photograph.

 
   
   
Parent/Guardian  Priority 1  
Title
Surname
Name
Relation to Child
Nationality
National ID No
Passport No (Foreigners MUST enter Passpport No)
Income Tax No (For foreigners for Tax Rebate purposes)
Home Telephone No
Mobile No
E-Mail
Occupation
Company
   
Parent/Guardian  Priority 2  
Title
Surname
Name
Relation to Child
Nationality
National ID No
Passport No (Foreigners MUST enter Passpport No)
Income Tax No (For foreigners for Tax Rebate purposes)
Home Telephone No
Mobile No
E-Mail
Occupation
Company
   
Name & Surname of person updating this form  
ID Card Number  
E-Mail  
 
I/We confirm that we have read and understood all policies and practices in regards of Acceptable Computer and Internet use and Data Protection Extract. I/We shall assume full responsibility to inform the school/s, in writing, of any changes to this data.  A full copy of Acceptable Computer and Internet Use policy is available on this website.

 

 
 
Author information goes here.
Copyright © 2001 [OrganizationName]. All rights reserved.
Revised: 11/04/08.