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Reg. No. CK87/17906/23

MOTHER’S DETAILS

Full name Identity Number Occupation Company Name Company address Work phone number Home phone number Fax number Cellular number Marital status Home address Postal address Email address

FATHER’S DETAILS

Full name Identity Number Occupation Company Name Company address Work phone number Home phone number Fax number Cellular number Marital status Home address Postal address Email address

I hereby acknowledge that the onus is on me,., the parent/guardian of my child, to keep the school informed of any changes regarding the contact details as listed above knowing that this may be of benefit to my child.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

20 Jarra Street Sharonlea Tel/Fax 011-4621810

71 Ebberhout Street Sharonlea Tel/ Fax/011-7041030 kerri@sharonleachildcare.co.za rita@sharonleachildcare.co.za

P.O.Box 527 Olivedale 2158

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