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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: Harrison Stallbaum

School: Balambalam
Class:Foundation E
Date of Birth:08/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:24/08/2026

Name: Luca Chiaravalle

School: St Elizabeth Primary School
Class:1/2EM
Date of Birth:20/05/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:24/08/2026

Name: Thomas Anthony

School: St Elizabeth Primary School
Class:12 DC
Date of Birth:25/03/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:24/08/2026

Name: inayat sandhu

School: Balambalam
Class:c
Date of Birth:02/04/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:23/08/2026

Name: Gurnaaz kaur

School: Balambalam
Class:1 B
Date of Birth:30/06/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:22/08/2026

Name: NIKO OROFEO

School: Balambalam
Class:A
Date of Birth:28/12/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:21/08/2026

Name: KAI OROFEO

School: Balambalam
Class:D
Date of Birth:28/12/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:21/08/2026

Name: Arham Zain

School: Balambalam
Class:FB
Date of Birth:27/12/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/08/2026

Name: Leon Balmaceda

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:08/10/2020
Eligible:Yes
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/08/2026

Name: Savannah Ablahad

School: St Mark's Primary School Fawkner
Class:LA3
Date of Birth:23/04/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/08/2026

Name: Saha Shrestha

School: St Mark's Primary School Fawkner
Class:LA1
Date of Birth:15/12/1987
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/08/2026

Name: Sienna Granadeno

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:18/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/08/2026

Name: Layla Hunt

School: St Mark's Primary School Fawkner
Class:LA10
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/08/2026

Name: DJIMBA LWANGA

School: St Mark's Primary School Fawkner
Class:LA1
Date of Birth:01/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/08/2026

Name: Roddy Saladino

School: St Mark's Primary School Fawkner
Class:LA1
Date of Birth:20/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/08/2026

Name: Frankie Saladino

School: St Mark's Primary School Fawkner
Class:LA10
Date of Birth:05/11/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/08/2026

Name: ZIA MALHI

School: Balambalam
Class:B
Date of Birth:20/05/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/08/2026

Name: SAMAR MALHI

School: Balambalam
Class:C
Date of Birth:19/06/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/08/2026

Name: Martin Jimenez

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:02/10/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/08/2026

Name: Abeer Ahmad

School: Balambalam
Class:3/4A
Date of Birth:02/03/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/08/2026