Chronicle-2001

OLD BOYS'UPDATE Surname: Date ofBirth: Telephone: Home: Wotk: Cell: Fax: Email: Web page: Years at Kearsney: Senior HouseFirst names: Nickname: Spouse's Name: Address: Line 1: Line 2: Line 3: Code: Children's names and Surname: 1 - - - 2- -- - 3 Sex; Date ofBirth: Name relatives who attended Kearsney 1 2 Do you currently play any ofthe following sports? Cricket D Golf Rugby n Squash Other Interests: □ Hockey □ Tennis □ Run/Walk D Waterpolo □ □ Occupation: Employer: Are you interested in advertising in the Chronicle YES □ NO □ Company Name: Description of business: 173 o

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