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WALSINGHAM HOUSE SCHOOL CO MLE Le CHILD'S Peeters PASSPORT PRELIMINARY APPLICATION FORM sue PHOTOGRAPH ‘ThePrincipal, Walsingham House School, Mumbai -#00 005 Dear Madam, wish toseck admission for my daughter in class, forthe session beginning inMarch | fullyacknowledge thatthe submission of this form does not guarantee admission and acceptance or rejection isa the disereion of the School authorities. [hereby agsee to abide by thie decision, Yours faithfully, Date Mother's sign Father sign: Full name of the child: (Use Capital Letters) Surname Name Father's name Date of birth: (Date) (Month) (Year) Name of the previous school / schools attended by the child (Attach the relevant report card): 1. 2) 3. Name of sisters (if any) attending this school: 1. Name. Class, 2. Name. Class. 3. Name Class, Languages spoken athome: Mainly Also And, Address: Telephone number: Mobile number: Saleh Mother's name: Educational qualification: Name of school /colleges attended: Occupation: Office / business address: Telephone number: Mobile number: Email: Father's name: Educational qualification: Name of school / colleges attended: Occupation: Office /business address: ‘Telephone number: Mobile number: Email:

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