Pupil Intake Information

Pupil Intake Information 2023

The information requested in this form is intended to help in the School's dealings with the pupil, and correspondence with parents. The information will be held on computer, but will be treated in strict confidence.

Pupil's name*
Forename Surname Preferred Forename
Sex*
- Male
- Female
Date of birth*

Day
Month
Year
Place of birth*
Country of birth*
Parent/Carer details - Main Address
1. Parents living abroad must nominate a guardian living in the UK with whom the pupil would normally spend exeat weekends. 2. It is helpful to know the rank of members of HM forces, although this will not be used in correspondence to a private address for security reasons.
Name of parents/carer*
Title Forename Surname
Relationship to pupil*
Name of parents/carer
Title Forename Surname
Relationship to pupil
Main Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Name & address of parents with whom the pupil normally resides. Please note that the parents will receive all reports, accounts and notices (unless ticked in the Second Address box).
Home number*
Forces family*
- Yes
- No
*Current and those in service since 2016
Branch of Forces or occupations(s):
Parent/Carer details - Second Address
Name and address of second parent or guardian, not living at the main address or fee paying organisation.
Name of parents/carer
Title Forename Surname
Relationship to pupil
Name of parents/carer
Title Forename Surname
Relationship to pupil
Second Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Home number
Please tick second address mailings required
- Reports
- Accounts
- Notices
Parent/Carer contact details
Mobile number: Mother
Work Telephone number: Mother
Email: Mother
Nature of business: Mother
Place of work: Mother
Work Address: Mother
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Mobile number: Father
Work Telephone number: Father
Email: Father
Nature of business: Father
Place of work: Father
Work Address: Father
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Name of parents/carer: Other
Title Forename Surname
Relationship to pupil: Other
Mobile number: Other
Work Telephone number: Other
Email: Other
Nature of business: Other
Place of work: Other
Work Address: Other
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Is there anyone else who has parental responsibility?*
- Yes
- No
If Yes, please provide name and details below
Title Forename Surname
Relationship to pupil
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Place of work
Mobile number
Home number
Work number
Email
Please tick required mailing
- Duplicate Reports
- Notices
Emergency contact (other than parents/guardian)
Title Forename Surname
Relationship to pupil
Mobile number
Home number
Work number
Email
In case of emergency, please list your contacts in priority order below (starting with the first person to call)*
General Information
Is there any Court order regarding custody, access, etc*
- Yes
- No
If yes, please supply further details below
Details for Government returns
Ethnicity Group*
Religion*
First Language*
Nationality*
Previous school*
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Current school: From*
Current school: To*
Names of siblings at Sexey’s
Forename Surname
Current Year group
Names of siblings at Sexey’s
Forename Surname
Current Year group
Names of siblings at Sexey’s
Forename Surname
Current Year group
I confirm that all the information given is correct and accurate as of today's date*
- Tick to confirm
Name*
Title Forename Surname
Date*
MM slash DD slash YYYY

Pupil Intake Information

Pupil Intake Information 2023

Parent/Carer details - Main Address

Parent/Carer details - Second Address

Parent/Carer contact details

General Information

Details for Government returns