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International Pen Friends - Student Details Form

Please print out this form and return it with your School Class Application Form and admission fee to:


Julie Delbridge, International Pen Friends, PO Box 430, Paynesville, VIC 3880 Australia

Please complete the sections set out hereunder in respect of each student (aged 10-17 years - minimum of 10 students required for School Class Application). The particulars should be typed (or written clearly). It is particularly important that the correct year of birth is stated in each instance. The home address must always be stated. Any extra details you wish to give can be specified overleaf. (Please do not write in pencil.)

PLEASE WRITE CLEARLY

Full Name: _________________________
Home Address: ______________________
___________________________________
___________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
__________________________________
__________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
___________________________________
___________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
__________________________________
__________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
___________________________________
___________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
__________________________________
__________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
___________________________________
___________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
__________________________________
__________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
___________________________________
___________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________
Full Name: _________________________
Home Address: ______________________
__________________________________
__________________________________
Male or Female: _____ Year of Birth: ____
Languages: _________________________


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