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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: Noah Evagorou

School: St Mark's Primary School Fawkner
Class:LA9
Date of Birth:26/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:14/08/2026

Name: Jackson Thom

School: St Simon the Apostle Primary School
Class:Blue
Date of Birth:19/03/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:14/08/2026

Name: Manuel Kevork Keshishian

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:11/10/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:14/08/2026

Name: Thea Cummings

School: St Mark's Primary School Fawkner
Class:LA2
Date of Birth:10/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:14/08/2026

Name: Jasper Qi

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:21/11/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:14/08/2026

Name: ASEES KAUR

School: Derrimut Primary School
Class:A
Date of Birth:24/02/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:14/08/2026

Name: Annant Singh Dhillon

School: Balambalam
Class:B
Date of Birth:28/12/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Aryan Nawabi

School: Balambalam
Class:5-6P
Date of Birth:17/09/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/08/2026

Name: SWARA SHYAM SUNDER

School: St Mark's Primary School Fawkner
Class:La3
Date of Birth:19/11/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Kai Johnston

School: Derrimut Primary School
Class:A
Date of Birth:12/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Thomas Hobley

School: St Mark's Primary School Fawkner
Class:LA4
Date of Birth:02/04/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Orlando Jovanoski

School: Derrimut Primary School
Class:2C
Date of Birth:08/08/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Lyla Staikuras

School: St Mark's Primary School Fawkner
Class:L4
Date of Birth:02/11/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Lily Lubamba

School: Derrimut Primary School
Class:C
Date of Birth:18/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Athanasius Trafficante

School: St Mark's Primary School Fawkner
Class:LA2
Date of Birth:02/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Zelia Trafficante

School: St Mark's Primary School Fawkner
Class:LA9
Date of Birth:10/05/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Abdul Kareem Shah

School: Derrimut Primary School
Class:D
Date of Birth:06/04/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Sahaj Shrestha

School: St Mark's Primary School Fawkner
Class:LA1
Date of Birth:07/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/08/2026

Name: Adam Arun Jeromias

School: Balambalam
Class:B
Date of Birth:04/05/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/08/2026

Name: Zorawar Singh SIDHU

School: Balambalam
Class:1B
Date of Birth:05/01/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/08/2026