CONFIDENTIAL FSM1
Directorate for Children, Young People and Families Free School Meals Corporate Mailroom, PO Box 634, BARNSLEY, S70 9GG Tel: (01226) 773513 Fax: (01226) 773599
APPLICATION FOR FREE SCHOOL MEALS 1
Your Surname ________________________ Forename(s) ______________________ (Mr/Mrs/Ms/Miss)
2
Date of Birth
_____________
National Insurance number ________________ NASS number
3
Address
________________
_____________________________________________________________ _____________________________________________________________ _____________________________________________________________
Post Code ___________________ Telephone Number _________________________
4
Relationship of Applicant to Pupil(s) _________________________________________
5
Please enter below the names of each dependent child who is: a) b)
living at home and is UNDER 16 or is OVER 16 and IN FULL TIME EDUCATION
Names (in full)
Date of Birth
Name of School Attending