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Relationship with Child:
Guardian
Father
Mother
National Identity Number (NIN):
Enter your 4 Digit PIN: :
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Parent Personal Information
Relationship with Child:
Guardian
Father
Mother
Parent Profile Picture: *
National Identity Card: *
National Identity Number (NIN):
Enter Names as per NIN Card:
Enter Surname as per NIN Card:
Email Address: *
Create a 4 Digit PIN:
Please enter a valid 4-digit PIN.
Date of Birth:
Gender:
Male
Female
Marital Status:
Single
Married
District:
Anse Aux Pins
Anse Boileau
Anse Etoile
Anse Royale
Au Cap
Baie Lazare
Baie Ste Anne Praslin
Beau Vallon
Bel Air
Bel ombre
Cascade
English River
Glacis
Grand Anse Mahe
Grand Anse Praslin
La Digue
Les Mamelles
Mont Buxton
Mont Fleuri
Perseverance 1
Perseverance 2
Plaisance
Port Glaud
Pte Larue
Roche Caiman
St Louis
Takamaka
Home Address:
Parent Home Number:
Mobile Number: *
Employment Information
leave blank if unemployed
Place of Work:
Work Address:
Work Mobile Number:
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