International Pen Friends Student Details Form

International Pen Friends - Student Details Form

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

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: _________________________