AF00179886 NRS-3829-11-[14-7620]-4 Kooringal Public School - Flipbook - Page 2
AV AIL'B'
Aj
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Age.
Christian Name of
How long
whether in present child, (Give Surnnrne
if child is a Ward.)
Cwner, Home.
(Use a line for each
Lessee.
Child.)
etc.
ri 71sta
or
garr9iane
eliio
How is child being Edu
cated at present?If
attending a Schôol,give
name and distance from
Home by nearcst Practic
bie Route. Stte if
rece v-rie, CorresDonder?ee
Jistance of
Home from
proposer School
by shortest
practicable
Route.
IntrjcU.cn.
rs Mths. Ivi
Yrs Nths.
SCHOOL.
Chns.
14
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00 lf~
0
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7/7I
1stice.
tile Chns
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