AF00166237 School file Burke Ward 5-15177A - Flipbook - Page 21
ANNEX TO APPLICATION FOR ESTABLISHMENT OF A PUBLIC -SCHOOL.
AT
W CAACt 0j101
La4-1(
We, the undersigned, Parents or Guardians) of children residing within the undermentioned distances from the site of the proposed Public School at
(oak wamit
hereby undertake that our children whose names are inserted below, shall attend the said
School regularly and pun tually.
Name of Parent or Guardian.
(*To be written by himself.)
Distance from Distance 'froml
nearest
proposed
existing
School.
State School.
Full Name of Child.
Age.
Religious Denomination.
)
* if the Parent or Guardian be unable to write, his mark must be witnessed.' by one of the promoters of the School.