Supplementary Information Form - Fronter补充资料表-前线.docxVIP

The Federation of St. Joseph’s R.C. Junior, Infant and Nursery School Junior Admissions Policy And SIF September 2013 Intake Reviewed September 2012 Supplementary Information Form St. Joseph’s Junior Please read the Admissions Policy and procedures before completing this form. If you would like help in completing this form or with translations of the questions please do not hesitate to contact the school office and this will be arranged. All information given is strictly confidential and will only be seen by the Admissions Committee and your nominated Priest. In the event of an appeal it will be released to the independent appeal panel. THIS FORM MUST BE RETURNED TO THE SCHOOL. THE CLOSING DATE IS 15th JANUARY 2013. Your Common Application Form should also be returned to the school before the closing date. PLEASE USE BLOCK CAPITALS Child’s Details Child’s Surname Child’s First Name(s) Male/ Female Date of Birth DD/MM/YY Home Address (this must be the address where the child normally lives) including postcode Please attach proof of residency e.g. copy of utility bill Name of Home Borough Religion Date of Baptism (please attach copy of Baptismal Certificate) Place Parish of Baptism Details of the Parent/ Carer/ Guardian signing the form Full name Title Mr/Mrs/Ms etc Address, including postcode Telephone number Home: Daytime: Religion Relationship to Child In the case of the application being made by a guardian/carer - proof of guardianship or care order must be given at the time of application. Details of ALL other brothers/ sisters (see Important Notes for details) of the child named above who are attending either St. Joseph’s Infant or Junior Schools at the time of applicant’s admission (Sept 2013) Full Name Year group in Sept 2013 Details of the Parish in which you live Name of the Parish (a) Name of Parish Priest (b) Address of Presbytery, including postcode and telephone number (c) Name Address of the priest to whom you will take this form in order to p