SHEPHERDSFIELD INTERNATIONAL SCHOOLS, OYO

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					   SHEPHERDSFIELD INTERNATIONAL SCHOOLS, OYO
                         (Shepherdsfield International Nursery & Primary School)
                        2, Shepherdsfield Road, By Jaremily, Off Iseyin Road, Oyo
                                       08034434291, 08033881314
LOGO
                         ____________________________________________
                                     APPLICATION FORM
                                          FOR CRECHE
                         ____________________________________________

i. Crèche is formed in order to ease the stress of the working class mothers. In view of this, the services vary in
term of closing time, therefore the fees as well. As you fill this application form, please tick the type of service
required.

ii. The category of the pupils in this section ranges from three (3) months, 1 year, 9 months old.

1. NAME: _________________________________________________________________________
            Surname                 First Name              Others

2. Date of Birth: ____________________________________________________________________

3. Home Address: ___________________________________________________________________

4. Postal Address: __________________________________________________________________

5. GSM Number(s):_________________________________________________________________

6. Father’s Occupation: ______________________________________________________________

7. Mother’s Occupation: _____________________________________________________________

8. Father’s Place of Work: ___________________________________________________________

9. Mother’s Place of Work: ___________________________________________________________

10. Parent’s Religion: _______________________________________________________________

11. Does the Child suffer from any Disease? Yes                                     No

12. If Yes, state the nature ___________________________________________________________

13. Closing Time: Tick Your Choice;                 2 PM                         4 PM

14. Parent’s Name: _________________________________________________________________

15. Signature and Date:_____________________________________________________________

				
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posted:6/5/2012
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Lingjuan Ma Lingjuan Ma
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