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* 1. Full name of Applicant:

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* 2. Date of Birth:

Date

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* 3. Present School:

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* 4. Applying to be a:

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* 5. Mother/Legal Guardian 1 - Contact Information

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* 6. Father/Legal Guardian 2 - Contact Information

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* 7. Please select ONE of the following Scholarship categories your son will be applying for:
(You will be given an opportunity to select another category further in this application)

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