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Primary
Primary School
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School Facilities
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Bookings
Morning Tea/Lunch
Application Form
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Application Form
FOR Admission into (THIKA ROAD ACADEMY)
Year Level
Playgroup (3YRS)
PP1 (4YRS)
PP2 (5YRS)
GRADE 1
GRADE 2
GRADE 3
GRADE 4
GRADE 5
GRADE 6
GRADE 7
GRADE 8
Student Personal Information
Name Of Child
*
Date Of Birth
*
MM slash DD slash YYYY
Sex
*
Male
Female
Nationality
Parents/Guardians
Father Details
Name
Employer
Place Of Work
Postal Address
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Mother Details
Name
Employer
Postal Address
Place Of Work
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Guardian Details
Name
Employer
Postal Address
Place Of Work
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Additional Information
Previous School attended,with dates of attendence
Family Doctor (or clinic) For Emergency
Health History (Allergies, etc)
Phone
This field is for validation purposes and should be left unchanged.