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S11 Revised April 2009 Pupil Information Form Admission Number for School s Use Please use BLOCK CAPITALS and one letter in each space School Name Full name of child Legal forename Middle name s Legal surname Preferred surname Preferred forename Date of birth Student/child home address Postcode Parent/guardian contacts Gender Birth certi cate seen Y/N for school use Tel No. Please give details of all persons who have parental responsibility see N.

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