Section 29 Appeals Board - Enrolment Appeal Form

Enrolment Appeal Form

Foirm Chláraithe - Foclaíocht

Appellant's Details

Sonraí an Achomharcóra

Step 1 of 5

Céim 1 de 5

Appellant's First Name Céadainm an Achomharcóra*

Appellant's Surname Sloinne an Achomharcóra*

Title Teideal*

Address Seoladh*

Eircode Éirchód*

County Contae*

Telephone Number Uimhir Ghutháin

Mobile Phone Number Uimhir Fón Póca*

E-mail Address Seoladh Ríomhphoist*

Email is the preferred method of this Department’s communication therefore, please ensure your email details are correct Is é ríomhphost an rogha modh cumarsáide na Roinne seo, cinntigh mar sin go bhfuil do shonraí ríomhphoist i gceart

Confirm E-mail Address Deimhniú Seoladh Ríomhphoist*

Relationship To Student Gaol leis an Dalta*

Student's Details

Sonraí an Dalta

Step 2 of 5

Céim 2 de 5

Student's Full Name Ainm Iomlán an Dalta*

Student's Date of Birth Dáta Breithe an Dalta*

Sex of Student Inscne an Dalta

Student's Address Seoladh an Dalta

Special Educational Needs Riachtanais Speisialta Oideachais

Special Educational Needs Details Sonraí Riachtanais Speisialta Oideachais

School details – where the student has been refused enrolment

Sonraí na scoile - áit a ndearnadh rollú a dhiúltú do scoláire

Step 3 of 5

Céim 3 de 5

Class or School Year Rang nó Scoilbhliain*

Year/class of student Bliain/rang an dalta

Educational Setting Suíomh Oideachais

School Scoil*

Please enter school details where the student has been refused enrolment Cuir isteach sonraí na scoile áit a ndearnadh rollú a dhiúltú do scoláire le do thoil

Appeal Details

Sonraí Achomhairc

Step 4 of 5

Céim 4 de 5

Appeal Type

BoM Refusal Date Dáta Diúltaithe an Bhoird Bainistíochta*

Enter the date of the Board of Management’s original decision refusing admission, as printed on the refused admission letter. Cuir isteach dáta chinneadh bunaidh an Bhoird Bainistíochta ag diúltú cead isteach, mar atá clóite ar an litir iontrála diúltaithe.

Date BoM Review was Requested

Dáta Iarrtha ar Athbhreithniú an Bhoird Bainistíochta

Enter the date you requested a Board of Management review as printed on the BOMR1 form Cuir isteach an dáta ar iarr tú athbhreithniú ar an mBord Bainistíochta mar atá ar an bhfoirm BOMR1

Date of BoM review decision Dáta Chinneadh Athbhreithnithe an Bhoird Bainistíochta

Enter the date of the Board of Management review decision, this is the date printed on the review outcome letter Cuir isteach dáta chinneadh athbhreithnithe an Bhoird Bainistíochta, seo é an dáta atá ar litir toraidh an athbhreithnithe

Grounds of Appeal Forais Achomhairc*

Documentation

Cáipéisí Tacaíochta

Step 5 of 5

Céim 5 de 5

You may upload up to files.
Accepted file formats are .
Max file size is MB.

Is féidir leat suas le chomhad a uaslódáil.
Formáidí comhaid a nglactar leo
Uasmhéid comhaid MB

This browser is not supported.
Use a newer browser to be able to upload files.

Níl tacaíocht leis an mbrabhsálaí seo .
Bain úsáid as brabhsálaí níos nuaí le bheith in ann comhaid a uaslódáil.

Summary

Réamhamharc ar Iarratas

Preview

Appellant's Details

Sonraí an Dalta

Title Teideal	Not Entered Gan scríofa
First Name Céadainm	Not Entered Gan scríofa
Surname Sloinne	Not Entered Gan scríofa
Address Seoladh	Not Entered Gan scríofa
County Contae	Not Entered Gan scríofa
Phone Uimhir Ghutháin	Not Entered Gan scríofa
Mobile No Uimhir Fón Póca	Not Entered Gan scríofa
E-mail address Ríomhphost	Not Entered Gan scríofa
Relationship To Student Gaol leis an Dalta	Not Entered Gan scríofa

Student's Details

Full Name Céadainm	Not Entered Gan scríofa
Date of birth Dáta Breithe	Not Entered Gan scríofa
Sex Inscne an Dalta	Not Entered Gan scríofa
Address Seoladh an Dalta	Not Entered Gan scríofa
Special Educational Needs Riachtanais Speisialta Oideachais	Not Entered Gan scríofa
Special Educational Needs Details Sonraí Riachtanais Speisialta Oideachais	Not Entered Gan scríofa

School Details

Sonraí Scoile

Class / Year Rang nó Scoilbhliain	Not Entered Gan scríofa
Educational Setting Suíomh Oideachais	Not Entered Gan scríofa
School Name Scoil	Not Entered Gan scríofa
School Roll Number School Roll Number	Not Entered Gan scríofa

Appeal Details

Sonraí Achomhairc

Board of Management Refusal Date Dáta Diúltaithe an Bhoird Bainistíochta	Not Entered Gan scríofa
Date When Review was Requested Dáta Iarrtha ar Athbhreithniú an Bhoird Bainistíochta	Not Entered Gan scríofa
Board of Management Decision Date Dáta Chinneadh Athbhreithnithe an Bhoird Bainistíochta	Not Entered Gan scríofa
Grounds of Appeal Forais Achomhairc	Not Entered Gan scríofa

Documentation

* required fields * ag teastáil

Roll # Roll #		Name Name
Level Level		Address Address IE

Section 29 Appeals

Achomhairc Alt 29

Section 29 Appeals

Achomhairc Alt 29

Enrolment Appeal Form

Foirm Chláraithe - Foclaíocht

Appellant's Details

Sonraí an Achomharcóra

Student's Details

Sonraí an Dalta

School details – where the student has been refused enrolment

Sonraí na scoile - áit a ndearnadh rollú a dhiúltú do scoláire

Appeal Details

Sonraí Achomhairc

Documentation

Cáipéisí Tacaíochta

Summary

Réamhamharc ar Iarratas

Appellant's Details

Sonraí an Dalta

Student's Details

Student's Details

School Details

Sonraí Scoile

Appeal Details

Sonraí Achomhairc

Documentation

Documentation