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Submitted Consent Forms

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Student Name:
School
Class
Date of Birth
Eligible
To Be Treated
Treatment Date
Paying?
Treatment Done
Date Submitted

Name: Mary Betilda Bacolod

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:08/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/10/2026

Name: Ritvi Singh

School: Kororoit Creek Primary School
Class:H06
Date of Birth:10/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/10/2026

Name: Max Murphy

School: St Peter Chanel Primary School
Class:M
Date of Birth:27/10/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/10/2026

Name: Archer Bivein Pathirana

School: Kororoit Creek Primary School
Class:HO 3
Date of Birth:10/07/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/10/2026

Name: Kayden Truong

School: St Peter Chanel Primary School
Class:G
Date of Birth:29/12/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/10/2026

Name: Kingston Nilo

School: Kororoit Creek Primary School
Class:H22
Date of Birth:27/12/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/10/2026

Name: Zelenah Nilo

School: Kororoit Creek Primary School
Class:H27
Date of Birth:14/05/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/10/2026

Name: LUCIA TANALGO

School: St Peter Chanel Primary School
Class:D
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/10/2026

Name: Noor Zehra Abbas

School: Kororoit Creek Primary School
Class:H40
Date of Birth:26/12/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/10/2026

Name: Muhammad Ali Abbas

School: Kororoit Creek Primary School
Class:H04
Date of Birth:21/10/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/10/2026

Name: Eadie Stone

School: St John XIII Primary School Thomastown
Class:1/2B
Date of Birth:21/12/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/10/2026

Name: ZEPHANIAH KAUTOKE LEFAI

School: St Peter Chanel Primary School
Class:3N
Date of Birth:11/11/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/10/2026

Name: Norah Gill

School: Northside Christian College
Class:Prep L
Date of Birth:08/12/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/10/2026

Name: ALANI ISRAEL LEFAI

School: St Peter Chanel Primary School
Class:5R
Date of Birth:12/03/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/10/2026

Name: YATHIRA WANISUNDERA

School: Kororoit Creek Primary School
Class:H25
Date of Birth:18/03/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/10/2026

Name: SITHIRA WANISUNDERA

School: Kororoit Creek Primary School
Class:H39
Date of Birth:06/05/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/10/2026

Name: METHIRA WANISUNDERA

School: Kororoit Creek Primary School
Class:H42
Date of Birth:01/01/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/10/2026

Name: Zeb Mateusz Resullar

School: St Peter Chanel Primary School
Class:C
Date of Birth:07/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/10/2026

Name: Yuken Thashitharan

School: Dandenong Primary School
Class:C
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/10/2026

Name: Zaraan Umar

School: Dandenong Primary School
Class:3A
Date of Birth:24/11/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/10/2026