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Application Form Pre-School - Bright Start

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1 BBRRIIGGHHTT SSTTAARRTT N U R S E R Y S C H O O L TELEPHONE 011 316 4555 32 Cliff Cnr. Thomas Street EMERGENCY 083 741 8791 Clayville West FAX 086 630 8723 OLIFANTSFONTEIN Email 1666 MIDRAND Application form PERSONAL DETAILS Learner s name & ...................................... .............. Name of previous school ........................................ .............. Residential address ........................................ .......................Age ......... Parent s contact numbers (Work) Contact details: [H] Cell: PARENT / GUARDIAN DETAILS PARENTS / GUARDIAN MOTHER FATHER Name & Surname Identity number Employer s numbers Work telephone numbers Home address Person responsible for payment of fees [please sign].

1 BRIGHT START N U R S E R Y S C H O O L TELEPHONE 011 316 4555 32 Cliff Cnr. Thomas Street EMERGENCY 083 741 8791 Clayville West

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