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NRS-3829-2-[5-17774]-5-17774 Bundle A Tamworth West - Flipbook - Page 7


ANNEX TO APPLICATION FOR ESTABLISHMENT OF A PUBLIC SCHOOL
WE the undersigned Parents (or Guardians) of Children residing within the undermentioned distances
from the site of the Proposed Public School at
2i/ Ot;;//PIV4err7&-'
hereby
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.
'1,IL
AGE.
RELIGIOUS DENOMINATION.
2t4
/13
hald
‘/"4"C/4•d ?‘C-:
l;%-c
(/2
11,
oaX1/4,
/4
7
0avtai
---i/ 44.1MMOINIMINI.1111111111111....
* if the Parent or thtaralan be tunable to write. hi--= mark must be witneed by a nember of the Local Committee,

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