Application for Admission in 2015

Please complete a separate form for each child you wish to be admitted.

Data Protection Act 1998: The information you supply will be held by the school and be used only for allocating school places and associated matters. It may be shared with the Derby Local Authority and any other admissions authorities to which you are applying for a school place. It will not be divulged to any third party outside the school admission system.

Child's Full Name(*)
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Date Of Birth(*)
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Sikh Faith or Community Place(*)

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Gender(*)

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Address(*)
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Telephone(*)
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Email
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Looked After Children

Parent's Name(*)
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Relationship to the child(*)
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Do you have parental responsibility for the child?(*)

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If you are applying for a place at this school for a brother or sister, please give the other child’s name:
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Is the child currently in the care of a local authority?(*)

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By which local authority?
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Has the child ever been in the care of a local authority?(*)

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By which local authority?
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I confirm that the child is resident at the address stated. I certify that the information given by me on this and any supplementary form is complete and true and I understand that the admission authority will take such steps as it considers necessary to verify the information. I understand that giving misleading or fraudulent information may result in the withdrawal of the offer of a school place.

Declaration confirmation(*)

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Captcha(*)
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