School application for children in reception to
year 11 at schools and academies Directorate for Children and
maintained by Manchester City Council Commissioning Services
If you have any questions regarding this form please read the attached notes of guidance. If you still have questions you
can contact the Integrated Admissions Team by:
Phone:0161 245 7166 Email:school.admissions@manchester.gov.uk Web:www.manchester.gov.uk/admissions
Please Note
• Section D must be completed by your child’s current school/academy. Any incomplete forms will be returned to the
parent/carer.
• If you are new to the UK please complete sections A, B and C only. You will need to provide a form of identification
to clarify your child’s date of birth, e.g. A photocopy of a birth certificate/home office ID card.
• This form must be completed using BLOCK CAPITALS.
Section A. Child details
Child’s Surname: Child’s Forename: Date of birth:
FAROOQ ZAINAB 24 02 2009
Circle as appropriate
Gender: Male Female Is the child new to the UK? Yes No Baptised Catholic: Yes No
Is the child currently or previously a looked after child?* Yes No
Is the child subject to a private fostering arrangement?* Yes No
*Please see the Notes of Guidance for further information on these questions.
Home address: this must be the child’s normal place of residence
MANCHESTER
7 LECESTER ROAD,
CHEETAM HILL,
Postcode: M8 0GZ
Section B. School/academy details
Name of requested school/academy:
We would advise you name at least 3 schools/academies. 1. EDEN GIRLS LEADERSHIP ACADEMY
You can name more if you wish.
2. ABRAHAM MOSS HIGHSCHOOL
THE KING DAVID COMMUNITY SCHOOL
3. THE KING DAVIDHIGHSCHOOL
LEVENSHULME HIGH SCHOOL
Reason for requesting a new school/academy (continue on a separate sheet if necessary)
I MOVED FROM THE KINGDOM OF SAUDIA ARABIA TO MANCHESTER UK,
AND AM LOOKING FOR AN ADMISSION . KINDLY NOTE THAT,I HAVE COMPLETED MY FIRST
YEAR OF SECONDARY SCHOOL EDUCATION (GRADE 9) WITH 94% (GPA:4.7).
Do you have another child already attending the preferred school/academy?
If yes, please enter their details below.
Surname: Forename: Date of birth: Relationship to applicant:
Combined School Application Form v5 Final.doc
Section C. Parent/Carer details
Parent/carer Surname: Parent/carer Forename: Relationship to child:
YASMIN MEENA MOTHER
Email address: Home telephone number: Mobile telephone number:
ayesha480f@gmail.com 07990093906
Please inform us if any other agencies are involved with the child, e.g. Social services, educational psychologists, youth
offending team, etc. Continue on a separate sheet if necessary
Agency: Named contact: Contact telephone number:
I declare that all the information I have provided is true. I understand that any school place offered on the basis of fraudulent
or intentionally misleading information will be withdrawn. I consent to the information given on this form being shared with
appropriate agencies.
Signed: Date:
Section D. Current school/academy information
(Leave this section blank if the child is new to the UK)
To be discussed with and completed by the headteacher/principal of the current school/academy. If questions 4-11 are
answered yes or question 12 answered no, the headteacher should attach further information.
1. Name of current School/Academy
2. How long has the pupil attended your school/academy?
3. Is the pupil still attending? Yes No –Date Last Attended:
4. Does the pupil have a statement of special educational needs? Yes No
5. Does the pupil have a current pastoral support plan in place, parenting contract or order for
Yes No
behaviour or attendance?
6. Is the pupil subject to a child protection plan? Yes No
7. Does the pupil have a common assessment framework (CAF) in place? Yes No
8. Has the pupil been permanently excluded from two or more schools? Yes No
9. Has the pupil attended a Pupil Referral Unit (PRU) during the last 12 months? Yes No
10. Has the pupil resided within a local authority secure children's unit within the last 6 months? Yes No
11. Has the pupil received any fixed term exclusions in the past 12 months? If yes please give details Yes No
12. Do you support the parent’s request to transfer their child? Yes No
Headteacher/nominated representative
signature: Position: School/Academy stamp:
Print name: Date:
Contact Number: Additional Information Attached?
Yes – Pages: No
Please return this form by post: or in person:
Integrated Admissions Customer Contact Centre
Manchester City Council Manchester Contact Centre
P.O. Box 532 Town Hall Extension
Town Hall Extension Albert Square
Manchester Manchester M60 2LA (sat nav M2 5DB)
M60 2LA
Combined School Application Form v5 Final.doc
