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Application Form

Please fill out the available fields, the information is necessary for the proper conduct of the recruitment process and the child’s entry on the list of students.

To download: Application Form

    Please allow my child to the Radom Bilingual Primary School No. 1:

    Personal data of the child:

    Name and surname:

    Date and place of birth:



    Name and address of the local school:

    Personal data of the parent or legal guardian:

    Name and surname:


    Mobile phone.:

    Phone (workplace):

    Home phone:

    Home phone:


    I agree to the processing of the above-mentioned personal data for recruitment purposes in accordance with the Law of 29.08.1997. On personal data protection (Dz. U. 2002. No. 101, item. 926, as amended.).