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Sept 2025 - Record of Information - Admissions
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Email *
Pupil's legal forename *
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Pupil's legal surname *
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Middle name/s
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Pupil's preferred forename - if different from above
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Pupil's preferred surname - if different from above
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Date of birth *
MM
/
DD
/
YYYY
Gender *
Required
Adopted from care - Please tick if the pupil is adopted from care
Home address *
Home telephone number *
Domestic circumstances (Please tick the box which is applicable for the majority of the time, Monday to Friday *
Required
If the pupil does not live with either parent please complete the following details for the responsible adult with whom the pupil lives.                                                                        
Carer's name
Relationship to pupil
Contact telephone number
Email address
Is there a court order pertaining to this child? *
Required
Name/s of sibling/s attending Long Ditton St Mary's Junior School
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