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AF00169536 School file Buninyong 5-15171.2 - Flipbook - Page 4


ANNEX TO APPLICATION FOR AID TO A PROVISIONAL SCHOOL.
WE the undersigned Parents (or Guardians) of Children residing within the undermentioned distances
from the site of the proposed Provisional School at
hereby undertake that our Children, whose names are inserted below, shall attend the said School.
NAME OF PARENT OR GUARDIAN.
(To be written by himself.)*
DISTANCE
FROM
SCHOOL.
NAME OF CHILD.
RELIGIOUS DENOMINATION.,
AGE.
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* If the Parent or Guardian be unable to write, his mar
e witnessed Wv a
Mem of LotiC

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