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Goroka Grammar School
P.O. Box 1494
Goroka,
Eastern Highlands Province,
Papua New Guinea
Telephone: (675) 732 2559
Fax:(675) 732 2559
Email: ggs@daltron.com.pg
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APPLICATION FOR ENROLMENT
1. STUDENT
INFORMATION
Date:
______________
Surname: ________________________ Given Names:
________________________
Gender:
Male / Female:
______________
Grade:
______________
Nationality:
________________________
Address:
________________________________________________
________________________________________________
PHONE:
Home:
________________________
Father:
________________________
Mother:
________________________
Date
of Birth:
________________________ Age:
______________
Religion:
________________________
Previous School:
________________________________________________
________________________________________________________________________________________________
2.
FAMILY INFORMATION
Father's Name:
________________________
Occupation: ________________________
Mother's Name:
________________________
Occupation:
________________________
Guardian's
Name:
________________________ Phone:
______________
________________________________________________________________________________________________
3.
ESSENTIAL INFORMATION
Is
there any information regarding your son's / daughter's health, educational or
social development that the school should know about?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________________________
4.
STATEMENT OF
CONSENT
I
give permission for my son / daughter to take part in Official School Excursions
and Sports Activities. If there are limitations to the above, please
specify.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Signed:
________________________
Parent
/ Guardian
________________________________________________________________________________________________
NOTE: A non-refundable deposit of
K400.00 is required to
secure enrolment. This will be
deducted from fees when full payment
is made. Fees can be paid direct to the school account
on:
11270022 at ANZ bank, Goroka.