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Relationship with Child
Guardian
Father
Mother
National Identity Number (NIN)
Password
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Parent Personal Information
Relationship with Child
Guardian
Father
Mother
Parent Profile Picture
*
National Identity Card
*
National Identity Number (NIN)
First / Given Name(s) — as per NIN Card
Surname — as per NIN Card
Email Address
*
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Date of Birth
Gender
Male
Female
Marital Status
Single
Married
District
— Select 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
Contact & Employment
Home Address
Home Phone Number
Mobile Number
*
Employment
— leave blank if unemployed
Place of Work
Work Address
Work Phone Number
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