ETHNICITY Mixed White Chinese White & Black Caribbean White - British Chinese White & Black African White- Irish White & Asian Traveller of Irish Heritage Other Arab Any other mixed background Gypsy/Roma Iranian White - Eastern European Kurdish Black or Black British White - Western European Other ethnic group Black Caribbean White other Black - African Asian or Asian British Refused Any other Black background Indian Pakistani Bangladeshi Any other Asian background (as described on pupil passport or European Economic area identity card). More than one nationality can be NATIONALITY recorded. COUNTRY OF BIRTH RELIGION o Buddhist o Christian o Catholic o Hindu o Jewish o Muslim o Sikh No Religion o Other please state_____________________ – CHILD’S FIRST LANGUAGE Albanian / Shqip Japanese Turkish Arabic Lithuanian Urdu Bengali Pashto / Pakhto Chinese Persian / Farsi English Polish French Portuguese German Romanian Other please state – Hindi Russian Greek Spanish Hungarian Slovak Italian Tagalog/Filipino Do you consider yourself or your child to have a disability: YES / NO If please give details: ‘yes’ Is your child privately fostered (this means living with someone who does not have legal parental responsibility for a period of 28 days or more): YES / NO Any other information which you feel may be relevant: ADDITIONAL INFORMATION SCHOOL HISTORY (for parents / carers to complete) PREVIOUS EDUCATION DETAILS (Most Recent First) Date of Date of School / Contact Details Reason For Leaving entry leaving Pre-School Name (dd/mm/yy) (dd/mm/yy)
ETHNICITY White White - British White- Irish Traveller of Irish Heritage Gypsy/Roma White - Eastern European White - Western European White other Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background Mixed White & Black Caribbean White & Black African White & Asian Any other mixed background Black or Black British Black Caribbean Black - African Any other Black background Chinese Chinese Other Arab Iranian Kurdish Other ethnic group Refused NATIONALITY (as described on pupil passport or European Economic area identity card). More than one nationality can be recorded. COUNTRY OF BIRTH RELIGION o Buddhist o Christian o Catholic o Hindu o Jewish o Muslim o Sikh No Religion o Other – please state_____________________ CHILD’S FIRST LANGUAGE Albanian / Shqip Arabic Bengali Chinese English French German Hindi Greek Hungarian Italian Japanese Lithuanian Pashto / Pakhto Persian / Farsi Polish Portuguese Romanian Russian Spanish Slovak Tagalog/Filipino Turkish Urdu Other – please state Do you consider yourself or your child to have a disability: YES / NO If ‘yes’ please give details: Is your child privately fostered (this means living with someone who does not have legal parental responsibility for a period of 28 days or more): YES / NO Any other information which you feel may be relevant: ADDITIONAL INFORMATION SCHOOL HISTORY (for parents / carers to complete) PREVIOUS EDUCATION DETAILS (Most Recent First) School / Pre-School Name Contact Details Date of entry (dd/mm/yy) Date of leaving (dd/mm/yy) Reason For Leaving
Pupil%20Registration%20Form-32415.docx