AF00132631 NRS-3829-2-[5-16466]-51-6466B Kiama PS - Flipbook - Page 9
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ANNEX TO APPLICATION FOR ESTABLISHMENT OF A PUBLIC SCHOOL
AT
We, the undersigned, Parents (or Guardians) of children residin within the under:
mentioned distances from the site of the proposed Public School at
hereby undertake that our children whose names are inserted below, shall attend the said
School regularly and punctually.
St. 5386
Name of Parent or Guardian.
(*To be written by himself.)
Distance from Distance from
nearest
proposed
existing
School.
State School.
Full Name of Child.
Age.
Religious Denomination.
6
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* If the Parent or Guardian be unable to write, his mark must be witnessed by one of the promoters of the School.
5a 531-93