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St. Michaels and St. Patricks N.S.,Cootehall, Boyle, Co. Roscommon F52 TV26. Roll No. 19720P Tel: (071) 9667264 Email: cootehallns@gmail.com www.cootehallns.com Application FormName of Child:Date of Birth:Home Address:PPSN of Pupil:Telephone:Nationality:Eircode:Religion:Ethnic or Cultural Background:White Irish Asian or Asian Irish any other Asian backgroundIrish TravellerBlack or Black Irish AfricanRomaBlack or Black IrishAny other

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