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I have parental responsibility for or looked after the child named. To the best of my knowledge, the information I have given is correct and complete and this is the only application form I have completed. I will advise the School, in writing, of any charges to the information on this form. I understand that the provision of incorrect information could lead to the withdrawal of the offer of a school place. The information provided may be shared with local authorities for the purpose of verification of details provided including residence.
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