Old Boys' Contact Details Form
Title: *
Initials: *
Your answer
Surname: *
Your answer
First Name: *
Your answer
Middle Names: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Number and Street:
Your answer
R D or PO Box:
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Suburb: *
Your answer
Town: *
Your answer
Postcode:
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Region: *
Country: *
Your answer
Phone Landline:
Your answer
Phone Cell:
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E-mail address: *
Your answer
Starting Year at NPBHS : *
Your answer
Last Year at NPBHS: *
Your answer
Era at School: ( use starting year) *
Dayboy or Boarder: *
Required
House at School: *
Required
Boarding House at School:
What were your Academic strengths/interests at school:
What were your Cultural/Sporting strengths/interests at school:
If you received a Tiger Jacket - what was it for and when?
Your answer
Significant Achievements since leaving school:
Your answer
Occupation:
Your answer
Have any family members attended NPBHS
(if yes please state their name and relation to you)
Your answer
Other information about your time at school:
Your answer
Would you like to be invited to Old Boy functions; *
Required
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