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Laces may be withdrawn if a false address has been given. Section 1 Your Child First Name Legal Surname Date of Birth Male Female Name of Present School Start Date at Present School Child s Home Address Postcode Tick this box if your child has a Statement of Special Educational Needs SEN Statement Tick this box only if your child is: Currently in Public Care Note: If the child is currently in Public Care, this form must be signed by their social worker. Previo.

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