AF00101477 NRS-3829-11-[14-7864] Tamworth South 2 of 2 - Flipbook - Page 1
SCHEDULE OF ALL CHILDREN AVAILABLE TO ATTEND PROPOSED SCHOOL, INCLUDING THOSE UNDER SCHOOL AGE.
* Signature of Parent or Guardian.
State whether
Owner, Lessee,
Share-farmer,
etc.
flow long
in present
Home.
Mths.
Distance of Home
from proposed
School by Shortest
Practicable Route.
Age.
Christian Name of Child.
(Give Surname if Child is a Ward.)
(Use a line for each Child.)
Yrs.
How is Child being Educated at present '?
If attending a School, give Name and Distance
from Home by nearest Practicable Route.
State if receiving Correspondence Instruction.
School.
Miles. I Chains.
Remarks.
Religion.
DiAan, e.
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* If the p' not or guardian is unable t,,
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his mark_inust he .-witnessed by,
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