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Surname

First name

Middle name (optional)

Date of birth

Gender

Male Female

State of origin

Local government area

Religion (optional)

Class applying for

Full name

Relationship to the child

Phone number

Email (optional)

Home address

Passport photograph

JPEG or PNG, up to 3 MB.

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Supporting documents (optional)

Birth certificate, last school report or transfer letter. Up to three PDF, JPEG or PNG files, 3 MB each.

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I confirm that the details on this form are correct.The school may ask to see original documents before admission.

We use these details only for admissions.

1The child