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Worcestershire County Council
Notification Of Application Form
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The Admissions Authority of schools must notify the Local Authority of all occasions where an application for a school place is made at a time other than the normal admissions period.
This should be recorded on the form below. A copy of the Offer/Refusal Letter must also be sent to School Admissions.
1
Submission Details
Submitter First Name
Submitter Last Name
Submitting on behalf of
Email Address
Telephone Number
School Name (please use full School Name as registered with DFE)
School Postcode
2
Details of Child
First Name
Middle Name
Last Name
Child Date Of Birth
Day
--- Please Select ---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
--- Please Select ---
January
February
March
April
May
June
July
August
September
October
November
December
Year
--- Please Select ---
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
Gender
--- Please Select ---
Male
Female
Other
UPN Number
Lives with Parent or Carer at the same address
Yes
No
Has the child moved/is moving house/recently moved into area?
Yes
No
3
Additional Information
Please select the result of the application
Place offered
Place refused
Year Group
Copy of Offer/Refusal Letter sent to School Admissions
Form Complete
The Notification of Application form has been submitted successfully. Your reference number is #0
Before leaving this page please download a copy of the form you have submitted for your records.
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