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School

Madume Primary

Together we will do our best.

St. No. 6274, PO Box 490, Orange Farm, 1805 Tel 011 850 7810, Fax 011 850 7811 _____________________ __________________________

SURNAME INITIALS MTHETO M.R MOTUBEI D.M MOLOI S.B DUMA M.A NTHEBE D.A MOHATANE P.P ZONDI M.M XUBA S MOHAPI A

TIME OF ARRIVAL

SIGNATURE

TIME OF SIGNATURE DEPARTURE

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