Newman Catholic College

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First Name

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Last Name

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Initial

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Gender

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Date of Birth

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Addresses

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House name or number

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Street

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Town/City

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County

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Please verify your date of birth!

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Please verify your date of birth!

This date of birth would suggest that you (or the person you're filling the form out for) would be less than one year old! Are you sure?

Change date of birth Yes - This date is correct

Please verify your date of birth!

This date of birth would suggest that you (or the person you're filling the form out for) would be less than one year old! Are you sure?

Change date of birth Yes - This date is correct

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