Photo Identification Form
Required for Academic Selective Entry Test Day
Photo Identification Form
PLEASE ATTACH
A CURRENT
PHOTOGRAPH OF
THE
PROSPECTIVE
STUDENT HERE.
(PASSPORT
SIZE)
Prospective Student’s Name (Legal Name of Prospective Student):
............................................................................................................................................................................
Prospective Student’s Date of Birth (dd/mm/yyyy): ..............................
Parent/Carer Declaration
I, ...................................................................................
(Parent/Carer’s Name)
declare that the attached photograph (below) is a true
and accurate record of my child.
Parent/Carer’s Signature:
.......................................................................................
Date: ..............................
Primary School Principal or JP Certification
I, ............................................................................
(Name of Primary School Principal or JP)
................................................................................
(Name of Primary School)
verify that this is a true and accurate photograph of
................................................................................
(Legal Name of Prospective Student)
Principal’s/JP’s Signature:
................................................................................
Date: ..............................
School Stamp or JP Stamp
MUST be placed over the edge of photograph
Prospective Student Declaration:
I, ......................................................................... declare that this is a true and accurate photograph of myself.
(Prospective Student’s Legal Name)
Prospective Student’s Signature: ........................................................ Date: ..............................
Place
Stamp
Here
click to sign
signature
click to edit
click to sign
signature
click to edit