Referral to the
Missing Children Register 2009/10
Register Number
(office use only)
Child's first name Surname
If the child is known by any other name, please give details
Last known address:
Contact Tel Nos:
Email Address
Last school / provision
Male D.O.B Name of
Female parent/guardian
UPN
(school children) Language spoken at home
Ethnic Origin
(for monitoring purposes only. (Please underline)
White Mixed/Dual Background Black or Black British Any other Ethnic Group
British White & Black Caribbean Caribbean Vietnamese
Irish White & Black African African Chinese
Traveller of Irish Heritage White & Asian Somali Any other ethnic group
Turkish/Turkish Cypriot Any other mixed background Other Black African
Greek/Greek Cypriot Any other Black Background
Gypsy/Roma Asian or Asian British Unknown
Indian Not obtained
Any other white background Pakistani Refused to say
White European Bangladeshi
White Other Any other Asian Background
Confirmation of checks Is the child on a Child Protection Plan? Yes No
undertaken - tick Yes or No Has a letter been sent to the last known home address? Yes No
Have all contact numbers been telephoned? Yes No
Have enquiries been made with friends of the the child and family? Yes No
Date started at school / provsion
Last day attended
Checks to be made before referral is passed to the Missing Children Register
Date Outcome Please include the name of the person you spoke to
Local housing office
check
Local benefits check
i.e free school meals/
housing
Framework I Check
Home visit to last
known address (Check
with Neighbours, Etc)
P.T.O.
