THE SW☺T SH☺P

for intellectual excellence

Director Building C, 8 Columbia Way
Ros Wolfers Norwest Business Park
Baulkham Hills 2153
9634-2000
Email: entrytest@swotshop.com.au
ABN 31 050 562 902

APPLICATION FOR ENTRY TESTING – FOR YEAR 3, 4, 5, 6 and 7 in 2023

I have read The Swot Shop brochure or visited the website and understand that:
• The Swot Shop provides extension and enrichment programmes for students with academic
potential
• many students who are assessed are not offered enrolment
• the results of the test will be valid for enrolment for the next three months
• students can only sit another assessment after a period of 12 months
• late students cannot be admitted to the examination
• parents will be provided with raw test scores for their child but decisions relating to admission to
programmes rest totally with the Director
• the examination papers cannot be released or shown to parents
• successful students may still be required to spend time on a waiting list until a position on a specific
day becomes available.
• this assessment is not relevant for entry to the OC or Selective Preparation programmes

The date below is the next testing session for students in grades 3, 4, 5, 6 or 7 in 2023:

• Sunday 2nd July 2:30 – 4:00pm

I submit the non-refundable, non-transferable fee of $30.00 (credit card).

28/06/2023
Parent’s signature: ___________________________________ Date: __________________
FOR CREDIT CARD PAYMENT (Visa and Mastercard only) Office use:

Card No:__ __ __ __ / __1330

5280 __ __ __ / __2177
__ __ __ / __ 5167
__ __ __ ca/cc_____________

Amount: $30 Expiry Date: __02 84 __

__ / __ Date: ______________

Sajib Kamal
Card Holder’s Name: ____________________________________________ Conf: ______________

Card Holder’s Signature: __________________________________________ Comp: ______________

Saira Kamal 4
Child’s Name: ________________________________Year:______________

Is the student currently enrolled at Swot Shop?  yes  no

Has the student attempted an entry test in the last 12 months?  yes  no
PLEASE ENSURE BOTH PAGES ARE RETURNED TO US
STUDENT INFORMATION

Kamal
SURNAME:__________________________ Saira
FIRST NAME: ________________________

26/03/2014
DATE OF BIRTH: _______________________ GENDER: male / female

HOME PHONE: ____________________ WORK PHONE (for emergencies): _______________

0433195482
Mum’s Mobile: ____________________ 0433172949
Dad’s mobile _________________________

Parklea Public School

SCHOOL: __________________________________

SCHOOL GRADE/YEAR 2023 4

mumusag@gmail.com
MUM’S EMAIL ADDRESSS (see Privacy Policy) _________________________________________

sajibmk@gmail.com
DAD’S EMAIL ADDRESS (see Privacy Policy) ___________________________________________

ANY DISABILITIES OR HEALTH ISSUES (the teacher should know about):

No
______________________________________________________________________

______________________________________________________________________

THE SWOT SHOP PRIVACY POLICY

The Swot Shop will collect, manage, use and disclose personal information only in accordance with all
relevant legislation and standards.

• The information provided will never be given or sold to a third party with the exception of
details of students competing in competitions organized by The Australian Maths Trust who are
furnished with names and birth dates only.
• We will never contact a child’s school or disclose any information about a child to the school
(unless requested by you).
• Email addresses will not be used to send general information or advertising. If you have
submitted a query, or we have had trouble catching you at home on the phone, then the use of
email seems efficient and sensible.

PLEASE ENSURE BOTH PAGES ARE RETURNED TO US