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HISTORIC SCHOOLS RESTORATION PROJECT

Towards Centres of Cultural and Educational Excellence


Historic School Application

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School details

SCHOOL NAME:*

FULL ADDRESS OR NEAREST TOWN & PROVINCE (please include postal code):*

SCHOOL TELEPHONE:

SCHOOL FAX:

SCHOOL EMAIL:


Your details

TITLE (Mr/Mrs/Ms/Dr/Prof):*

FIRST NAMES:*

SURNAME:*

TELEPHONE (business hours):*

FAX NO:

CELLPHONE:

EMAIL:*

POSTAL ADDRESS (please include postal code):

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