Immunisation Certificate definition

Immunisation Certificate. Staff initials: Date: _ / / 20_ Identity Verification: ❑ New Zealand birth certificate ❑ Foreign passport ❑ New Zealand passport ❑ Foreign birth certificate ❑ Other Staff initials: _ Date: _ / / 20_ NSN Number: Child - Tamaiti: Child’s first names: Middle Name(s): Name your child is known by: Surname: Female Child’s date of birth: D D / M M / Y Y Y Y Male Ethnic origin: ❑ New Zealand European ❑ Māori ❑ Australian ❑ American ❑ British/English ❑ Indian ❑ European (Please specify) ❑ Asian (please specify) _ _ ❑ Pacific Island (please specify) ❑ Other Iwi (s) your child affiliates with: Language(s) spoken at home: Child’s primary residential address: Postcode Child’s primary postal address (if different from above): Postcode Privacy Statement: We are collecting personal information on this enrolment form for the purposes of providing early childhood education for your child. We will use and disclose your child’s information only in accordance with the Privacy Act 1993. Under that Act you have the right to access and request correction of any personal information we hold about you or your child. Details about your child’s identity will be shared with the Ministry of Education so that it can allocate a national student number for your child. This unique identifier will be used for research, statistics, funding, and the measurement of educational outcomes. Parents / Guardians / Caregivers - Whānau: First Names: First Names: Surname: Surname: Relationship to child: Relationship to child: Main caregiver Yes / No Main caregiver Yes / No Address: Address: Post Code: Post Code: Phone (Home): Phone (Home): Phone (Work): Phone (Work): Phone (Mobile): Phone (Mobile): Email: Email: First Names: First Names: Surname: Surname: Relationship to child: Relationship to child: Main caregiver Yes / No Main caregiver Yes / No Address: Address: Post Code: Post Code: Phone (Home): Phone (Home): Phone (Work): Phone (Work): Phone (Mobile): Phone (Mobile): Email: Email: Person/s who CAN pick up your child: Name: Name: Relationship to child: Relationship to child: Phone (Mobile): Phone (Mobile): Name: Name: Relationship to child: Relationship to child: Phone (Mobile): Phone (Mobile): Name: Name: Relationship to child: Relationship to child: Phone (Mobile): Phone (Mobile): Emergency Contacts (also able to pick up child): First Names: First Names: Surname: Surname: Relationship to child: Relationship to child: Address: Address: Post Code: Post Code: Phone (Home): Phone (Home): Phone (Work...
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Examples of Immunisation Certificate in a sentence

  • If you have not supplied us with your child’s Birth Certificate, Immunisation Certificate and Parents’ Australian Permanent residency documents/Citizenship Certificate, enrolment will not be accepted.(If you have already submitted the above-mentioned documents, please do not resubmit).

  • AIR Immunisation History Form; or Immunisation Certificate issued by the Chief Health Officer ....

  • The Health Immunisation Certificate, Birth Certificate and Baptismal Certificate (if applicable) are to be attached to the Enrolment Application form.

  • Completed application forms should be returned to the Front Office together with the child’s original Birth Certificate, current Immunisation Certificate and proof of address (eg Utility Bill, Rental Agreement or Council Rates).

  • ENROLMENT:Parents enrolling a child at Prep level are required to present an extract of birth notice to confirm the child's age as being 5 years on the 30th April of the starting year and fulfil their obligations with regard to the School Entry Immunisation Certificate.

  • Australian Immunisation Register (AIR) Immunisation History Statement; (not more than two months old) or AIR Immunisation History Form; or Immunisation Certificate issued by the Chief Health Officer ....

  • You can provide one of the following:• Australian Immunisation Register (AIR) Immunisation History Statement that is not more than two months old; or• Australian Immunisation Register (AIR) Immunisation History Form for children on a catch up schedule that is not more than six months old; or• Immunisation Certificate issued by the Chief Health Officer.

  • Medicare Immunisation Certificate (AIR) Obtain this certificate via the https://my.gov.au/By downloading the pdf.

  • Since 1994, parents enrolling their children are required to provide the school with an Immunisation Certificate.

  • AIR Immunisation History Form; or Immunisation Certificate issued by the Chief Health Officer .....

Related to Immunisation Certificate

  • Information Certificate means the Information Certificate of Borrower constituting Exhibit A hereto containing material information with respect to Borrower, its business and assets provided by or on behalf of Borrower to Lender in connection with the preparation of this Agreement and the other Financing Agreements and the financing arrangements provided for herein.

  • Exemption Certificate is defined in clause (e) of Section 4.6.

  • Occupation Certificate means any occupation certificate as referred to in s 6.4 of the Act in respect of the Development Consent;

  • Completion Certificate means the certificate to be issued by the GIPCL when the work/ s have been completed to his satisfaction as per terms of the contract.

  • registration certificate means the certificate of registration or other documents in lieu thereof establishing that the Goods supplied under the Contract are registered for use in the Purchaser’s country in accordance with the applicable law.

  • Perfection Certificate is defined in Section 5.1.

  • Perfection Certificates is defined in Section 5.1.

  • Perfection Certificate Supplement means a certificate supplement in the form of Exhibit G-2 hereto or any other form approved by the Collateral Agent.

  • Allocation Certificate shall have the meaning set forth in Section 5.20.

  • Option Certificate means the certificate, substantially in the form set out as Schedule “A” hereto, evidencing an Option;

  • Satisfaction Certificate means the certificate materially in the form of the document contained in Call Off Schedule 5 (Testing) granted by the Customer when the Supplier has Achieved a Milestone or a Test;

  • Substantial Completion Certificate means the certificate issued and approved by the Authority indicating the date upon which the Trade Contractor Work (or a designated portion thereof) is Substantially Complete.

  • Tax Exemption Certificate means the Tax Exemption Certificate approved under the terms of this Resolution and to be executed by the Treasurer and delivered at the time of issuance and delivery of the Notes.

  • Final Completion Certificate has the meaning set forth in Section 11.6.

  • Collateral Information Certificate the Collateral Information Certificate to be executed and delivered by the Borrower pursuant to Section 5.1, substantially in the form of Exhibit J.

  • Written certification means a statement signed by a treating physician or referral physician that

  • Construction Completion Certificate means a document:

  • Participation Certificate means the original participation certificate, if any, that was executed and delivered in connection with a Participation Interest.

  • United States Tax Compliance Certificate has the meaning specified in Section 3.01.

  • License Certificate means evidence of a license provided by Licensor to Licensee in electronic or printed form.

  • Confirmation Letter means a letter issued by any applicable Rating Agency to the effect that neither (a) the resignation of Provident as Servicer under the Servicing Agreement and appointment of Litton as successor Servicer thereunder, nor (b) the amendments exxxxxxated by this Agreement, will adversely affect the then current ratings on the Certificates then being rated.

  • Affidavit of Small Business Enterprise Certification means the fully completed, signed, and notarized affidavit that must be submitted with an application for SBE certification. Representations and certifications made by the applicant in this Affidavit are made under penalty of perjury and will be used and relied upon by City to verify SBE eligibility and compliance with SBE certification and documentation requirements.

  • Seller Certificate means a certificate of transfer delivered in connection with the transfer of a Trust Certificate pursuant to Section 3.04(a), substantially in the form of Exhibit B.

  • Lien Certificate means, with respect to a Financed Vehicle, an original certificate of title, certificate of lien or other notification issued by the Registrar of Titles of the applicable state to a secured party which indicates that the lien of the secured party on the Financed Vehicle is recorded on the original certificate of title. In any jurisdiction in which the original certificate of title is required to be given to the Obligor, the term “Lien Certificate” shall mean only a certificate or notification issued to a secured party. For Financed Vehicles registered in states which issue confirmation of the lienholder’s interest electronically, the “Lien Certificate” may consist of notification of an electronic recordation, by either a third party service provider or the relevant Registrar of Titles of the applicable state, which indicates that the lien of the secured party on the Financed Vehicle is recorded on the original certificate of title on the electronic lien and title system of the applicable state.