NRS-3829-2-[5-17774]-5-17774 Bundle A Tamworth West - Flipbook - Page 3
`ANNEX TO APPLICATION FOR ESTABLISHMENT OF A PUBLIC SCHOOL
Al
Q)1
WE the undersigned Parents (or Guardians) of Children residing within the undermentioned distances
from the site of the Proposed Public School at
tolGrr,i-1,4(7-err
undertake that our Children, whose mimes are inserted below, shall attend the said School.
hereby. undertake
NAME OF PARENT OR GUARDIAN.
(To be written by himself)*
DISTANCE
FROM
SCHOOL.
NAME OF CHILD.
AGE.
RELIGIOUS DENOMIN ION.
/Le
0
1
,114444,
Ao7fray4
12._
rr 41,
-a
We'
4
34-4,,k.
If the l'a,r;lit or titarclivoi 1i unable to write.
mark intt,t
wiiiie,c(1 by it N'tember of the Local Committee.
aAA4.-t
