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Connections UK Guardianships Ltd - page 5 / 13

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Please ask your English teacher to tell us about your standard of English, written and spoken, and how you are likely to cope with being at school in the UK.  

We also need your most recent school report, showing your grades/marks.  Thank you.

Name of Student: …………………………………………Date of birth: ………………………..

School Address………………………………………………………………………………………

………………………………………………………………….Phone Number…………………….

Head teacher / contact name…………………………………………..

Date last attended this school……………………………………….

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Teacher's name: ……………………………………………………………………………………….

Signature: ………………………………………………………………. Date ………………………

Stamp of School/College

MEDICAL REPORT

Page 5 of 13

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