1. <lfill?lb> presents
Supported by
WORLD'S LARGEST
DESIGNf', I ldea )
cl{ANcr
SCHOOL CHALLENGE
Supported by
Submission F
Form
Kindly fill out the following form that contains your "Story of Change",
along with your choice of documentation
( Video / Text & lllustration / Photo & Text / Power point )
and post it to us in the enclosed self addressed envelope.
Name of School:
Address: W
MaYux. V;lr-ah El , DoLL; - 16
schoot Leadert JM. S, SoJAabrNd/ ( hLrM;fall
Name: J'Irs,. S.Sdfu.w!
b tl - 2?-6 2 4 2,9( E-mail:
Mentor Teacher: _l,z|zs. 0rl r,uf4r^, K ur trrrar
Student Hhnlt lcAD/ 7":rrt'at'7afi2/ ; t/c. pgal
tnformation:-
to e"4t- /*rn :
5t *
1) Name:
" V;s h nu S.ln^,.47n fl; Pct-d
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Age: f4Yra 5rn Grade: lX 6
2) Name: Ta,'o* Scljl'a
Age: l.fYta *m Grade: X A
3) Name: S h*v Anv
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ttVr.a 3rn Grade , Vl 6
4) Name: S,^te*ltt Ca*A
Age: t SYta I nu
- Grade: X I e
5) Name: M h'l- DrZs h^d-
Age: 11 Yv6 7 n't Grade : Xll C
We hereby give a free perpetual and irrevocable licence to DFC to use the content provided in or along
with our ipplication for publishing, promotion or {or such other purposes as the DFC team may see fit.
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