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STUDENT INFORMATION FORM For Office Use Only School Registration Date MyEdBC PEN Grade Division Student Information Gender MALE LEGAL Last Name USUAL p l e a s e p r i n t FEMALE First Name Preferred Home Phone Middle Name Birthdate DD/MM/YY Unlisted YES NO Address Apt. Name of Previous School City Province District Prov/Country Has Student attended a Burnaby school or StrongStart Program YES NO Postal Code Name of School Identified Learning Needs/Special Needs diagnosis Ministry of...
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