Admissions interest list form | London Borough of Barking and Dagenham

Child's details

Child's first name

Child's last name

Date of birth

Gender

Female

Male

Reference number /INY1

This reference number will be at the top of the letter we sent to you. It will be a four or six digit number that ends with /INY1

School preference 1

School preference 2

School preference 3

Do you have a child already attending one of these schools?

Yes

No

Other child at preferred school

School name

Child's first name

Child's last name

Child's date of birth

Add another child already attending one of these schools?

Yes

No

Second child at preferred schools

School name

Child's first name

Child's last name

Child's date of birth

Parent or carer details

First name

Last name

Relationship to child

Do you have parental responsibility for this child?

Yes

No

Home address

Address line 1

Address line 2

Town

Postcode

Daytime phone number

Email address

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