AF00101477 NRS-3829-11-[14-7864] Tamworth South 2 of 2 - Flipbook - Page 2
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.
How long
in present
Home.
Yrs.
Mths
Christian Name of Child.
(Give Surname if Child is a Ward.)
(Use aline for each Child.)
Distance of Home
from proposed
School by Shortest
Practicable Route.
Mths. Miles. I Chains.
Age.
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.
AC)
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V
3
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644.1.4.1
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3
20
to
A. 0
10
...
St 8082
* If the parent or guardian is unable to write, his mark must be witnessed by another resident.
School.
Dist an ce.
I Miles. j Chains.
Religion.
