Ethnicity Record Form

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Schools are required to hold a variety of information on its pupils at the request of the Department of Education (DfE). Such data is used to measure schools' performance and also for determining school funding. This information is kept securely and in line with the Data Protection procedures. At no point will the information collected on this form be passed to the Home Office. You have a right to request that this information is retracted at any point by contacting the school office.

Child's First Name *

Child's Surname *

Child's Class *

WHITE

British

Irish

Traveller of Irish Heritage

Gypsy/Roma

Greek/Greek Cypriot

Turkish/Turkish Cypriot

Kosovan

White European

White other

MIXED

White & Black Caribbean

White & Black African

White & Asian

Asian & Black

Other mixed background

ASIAN OR ASIAN BRITISH

Indian

Bangladeshi

Pakistani – Mirpuri

Pakistani – Kashmiri

Pakistani – other

Sri Lankan Tamil

Sri Lankan Sinhalese

Sri Lankan Other

Other Asian background

BLACK OR BLACK BRITISH

Caribbean

African

Ghanaian

Somali

Nigerian

Angolan

Congolese

Other Black background

OTHER

CHINESE

ANY OTHER BACKGROUND

COUNTRY OF BIRTH *

NATIONALITY *

LANGUAGE (Previously Mother Tongue) *

LANGUAGE SPOKEN AT HOME *

I do not wish an ethnic background category to be recorded

SIGNED *

DATE *

YYYY

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This form was created inside of Wanstead Church School. Report Abuse

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