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PICKUP AUTHORIZATION FORM
INPUT YOUR WARD'S DETAILS
(1) FIRST STUDENT (Compulsory)
SurName1
*
FirstName1
*
LastName1
*
PresentClass1
*
Select
CR
TD
RC
TR
1
2
3
4
5
6
7
8
9
10
11
12
(2) SECOND STUDENT (Optional)
SurName2
FirstName2
LastName2
PresentClass2
Select
CR
TD
RC
TR
1
2
3
4
5
6
7
8
9
10
11
12
(3) THIRD STUDENT (Optional)
SurName3
FirstName3
LastName3
PresentClass3
Select
CR
TD
RC
TR
1
2
3
4
5
6
7
8
9
10
11
12
(4) FOURTH STUDENT (Optional)
SurName4
FirstName4
LastName4
PresentClass4
Select
CR
TD
RC
TR
1
2
3
4
5
6
7
8
9
10
11
12
AUTHORIZED PARENTS
FIRST PARENT (Compulsory)
ParentName1
*
ParentHomeAddress1
*
ParentPhoneNumber1
*
ParentRelationship1
*
Select
Father
Mother
Brother
Sister
Cousin
Niece
Guardian
Uncle
Aunty
Driver
Others
ParentEmail1
PARENT 1 PICTURE
SECOND PARENT (Optional)
ParentName2
ParentHomeAddress2
ParentPhoneNumber2
ParentRelationship2
Select
Father
Mother
Brother
Sister
Cousin
Niece
Guardian
Uncle
Aunty
Driver
Others
ParentEmail2
PARENT 2 PICTURE
THIRD PARENT (Optional)
ParentName3
ParentHomeAddress3
ParentPhoneNumber3
ParentRelationship3
Select
Father
Mother
Brother
Sister
Cousin
Niece
Guardian
Uncle
Aunty
Driver
Others
ParentEmail3
PARENT 3 PICTURE
Submit
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