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Off Roll Notification

1Off roll

2Child

3Parents

4New address

5Social care

6Reason

7Referrer

Please complete this form when deleting a compulsory school-age child from the school roll.

If you have any questions about this form please contact CME@redbridge.gov.uk

Date off roll(Required)

Day

Month

Year

School(Required)

CTF issued?(Required)

Yes

No

Child's details

Pupil name(Required)

First Last

Gender(Required)

Male

Female

Year group(Required)

Date of birth(Required)

Day

Month

Year

Last day child attended school(Required)

Day

Month

Year

Details of first parent

Parent's full name

Home address

Street Address Address Line 2 Town County Postcode

Telephone

Email

Borough of residence

Details of other parent

Parent's full name

Telephone

Email

Borough of residence

New address

New home address

Street Address Address Line 2 Town County Postcode

Date of move to new address

Day

Month

Year

Social care details

Does the child have an EHCP?(Required)

Yes

No

Does the child have any social care involvement?(Required)

Yes

No

Social Worker/Early Help Practitioner

Important information about this child

Reason for deletion

Education (Pupil Registration) (England) Regulations 2006, Section 8- The following are prescribed as the grounds on which the name of a pupil of compulsory school age shall be deleted from the admission register.

Reason for deletion(Required)

a. LA changing provision via School Attendance Order

b,c. Registered at another school

d. Elective Home Education

e. Home - school distance deemed unreasonable

f. Failure to return from leave of absence

g. Medically unfit to pursue education (must be certified by School Medical Officer)

h. Continually absent for 20 days or more

i. In custody for four months or more; on final order

j. Death of child

k. Child above statutory school age

l. Leaving independent school

m. Permanent exclusion

n. Not moving to Reception from Nursery

School/provision name(Required)

Name of school(Required)

Start date(Required)

Day

Month

Year

LA notified by school(Required)

Yes

No

Date(Required)

Day

Month

Year

Supplementary information to be provided:

Attendance - past three full academic terms
Fixed term exclusions – past three full academic terms
Permanent exclusions – any history
SEN information
Parent letter of intent to educate electively home

Please send this information to CME@redbridge.gov.uk.

New address provided(Required)

Yes

No

Date of original CME referral(Required)

Day

Month

Year

To be agreed with LA

Please give reason(Required)

Details of referrer

Name(Required)

Position(Required)

Email(Required)

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