enrolment application pgs copy 4[2]...indicate the level of your child’s general health: *...

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OUR MISSION To provide a caring Christian environment where st;dents can work, lear? and play, whilst endeavouring to achieve their f;ll spirit;al, social, mental and physical development. PRIMARY CAMPUS Address: 18 First Ave, BICKLEY WA 6076 T: (08) 9291 6399 F: (08) 9291 9850 E: [email protected] SECONDARY CAMPUS Address: 210 Glenisla Rd, CARMEL WA 6076 T: (08) 9293 5333 F: (08) 9293 5307 E: [email protected] www.carmelcollege.wa.edu.au APPLICATION TO ENROL 3 Year Old Kindy - Year 12 CARMEL ADVENTIST COLLEGE Established 1907

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Page 1: Enrolment Application pgs copy 4[2]...Indicate the level of your child’s general health: * Excellent * Good * Fair * Poor Describe any health concern (physical or emoKonal) or problems

OUR MISSION

To provide a caring Christian environment where

st;dents can work, lear? and play, whilst

endeavouring to achieve their f;ll spirit;al, social,

mental and physical development.

PRIMARYCAMPUS

Address:18FirstAve,BICKLEYWA6076T:(08)92916399F:(08)92919850E:[email protected]

SECONDARYCAMPUS

Address:210GlenislaRd,CARMELWA6076T:(08)92935333F:(08)92935307 E:[email protected]

www.carmelcollege.wa.edu.au

APPLICATIONTOENROL3YearOldKindy-Year12

CARMELADVENTIST COLLEGE

Established 1907

Page 2: Enrolment Application pgs copy 4[2]...Indicate the level of your child’s general health: * Excellent * Good * Fair * Poor Describe any health concern (physical or emoKonal) or problems
Page 3: Enrolment Application pgs copy 4[2]...Indicate the level of your child’s general health: * Excellent * Good * Fair * Poor Describe any health concern (physical or emoKonal) or problems

WearepleasedtoreceiveyourenrolmentapplicaKontoCarmelAdvenKstCollegeforyourchild’seducaKon.ToenableustoprovideyouwithanoutcomeofyourapplicaKon,pleaseprovidecopiesofthefollowingapplicablesupporKngdocumentaKon,foreachchildapplying.

Step1-ApplicaKon

PleasesubmitthefollowingtoCollegeAdministraKon:

Please'ck:

* EnrolmentapplicaKon

* Yourchild’sbirthcerKficate(includinganychangeofnamedocuments)

* Yourchild’simmunisaKonrecords

* Yourchild’smostrecentschoolreportandNAPLANtestresults

* Yourchild’sspecialistassessmentreports(Occupa'onalTherapy/Speech/Psychological/IEP)

* Yourchild’svisadocumentaKon(ifapplicable).IfparentsarebornoutsideofAustralia,please supplycopiesofvisa,passportorAustralianciKzenshipcerKficate

* Copyofmedicarecard(Year7-12only)

* Courtorders(ifapplicable)

* Non-refundableenrolmentapplicaKonfeeof$250perstudent(Note:$150willbecreditedtoyourfirst term’sfeesifyouproceedwiththeenrolment).

Step2-InterviewandOffer

• Parents/GuardianstosubmitthecompletedapplicaKonalongwiththelistedsupporteddocuments.

• ThePrincipalconsiderstheapplicaKon,ifnecessaryreferstotheSchoolCouncil,andanoutcomewillbeprovided.ThePrincipalmayrequestaninterviewwiththeParents/Guardian,beforeanoutcomeisreached.

• Ifinterviewisrequired,familieswillbenoKfiedwithin5workingdaysoftheoutcome.

• Alloffersareforfeitediftheenrolmentfeeisnotpaid;orthestudentfailstocommenceattheagreeddate.

IfyouhaveanyqueriesinregardstothisapplicaKon,pleasedonothesitatetocontacttherelevantEnrolmentOfficer:

PrimaryCampus: NarelleDuncan Ph:92916399 E:[email protected]

SecondaryCampus: JulieMcCutcheon Ph:92935333 E:[email protected]

ADMISSIONPROCEDURES

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JANINETAYLOR(PRINCIPAL—PRIMARYCAMPUS) IbelievethatCarmelAdvenKstCollegePrimaryisahappy school with great spirit and a sense thatanything and everything is possible. Our coreaspiraKonsarethatduringtheirKmewithus:• every student will develop a deep love for

learningthatwillstaywiththemfortheirenKrelife• eachstudentwillrecognisetheirGod-givengigs,talentsandnaturalabiliKesand

willuseanddevelopthemtotheirfullpotenKal.TuckedinamongstthetreesinthebeauKfulBickleyValley,thenaturalenvironmentsurrounding theschoolenriches the livesof thosewhostudy,workandplay in itsbeautyandtranquillity.

MRNICHOLASTHOMSON(PRINCIPAL—SECONDARYCAMPUS)Itiswellknownthatittakesacommunitytoraiseachild.Acommunity is somethingweallwant tobelongto.It’ssomethingweogenarewillingtogotoextremestojoinandsomethingthatcanchangeourlivesforthebekerandenrichitinsomeway.CarmelAdvenKstCollegeoffersallwhowalkthroughthegatesaplaceofbelonging,acommunity.Whetheryouarethereasastudent,ateacherorafamilymember,weneedyoutobecomeapartofourChrist-centered,schoolcommunity.Itisherethatweseektoimparttheknowledgeandwisdomneededtoguideyoutomakethebestlifechoices.Choicesthatwillonedaybringaboutachange,notjusttotheindividual,buttothewidercommunitytheyareapartof.

THEPRINCIPALS

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Surname:_______________________________ Inwhichcalendaryearisentrydesired:20_____

Givennames:_______________________________ Entrygradetobeenrolled:_________

Dateofbirth:_______________________________ IsyourchildAboriginalorTorresStraitIslanderorigin:

Age:_______ *Aboriginal

Gender:Male/Female *TorresStraitIslander

CountryofBirth:____________________________ *Aboriginal&TorresStraitIslander

NaKonality:_______________________________ ResidencyStatus:

ResidenKaladdress:__________________________ *AustralianCiKzen(pleasesupplyacopyifbornoutsideAustralia)

___________________________________________ *PermanentResident(PR)VisaNo:____________________

____________________PostCode_______________ *TemporaryResident(TR)VisaNo:____________________

Postaladdress(ifapplicable):___________________ ExpiryDate: ____/____/____

___________________________________________ DateenteredAustralia: ____/____/____

____________________PostCode_______________ PassportNo:_____________________________

StudentUSINumber(SecondaryOnly): (ifPRorTRsupplyacopyofyourchild’svisa&passportwithapplica'on)

___________________________________________Languagespokenathome:____________________ DoesyourchildrequireBoarding(Secondaryonly-Years7-12)

StudentCRNNumber:__________________________________ *No *Yes-7days *Yes-5days

Nameofmostrecentschoolakended:_________________________________________________________________________

Addressofschool:_________________________________________________________________________________________

Pupil’spreviousacademiclevelofworkwas: *Aboveaverage*Average*Belowaverage

DescribeanyspeciallearningdifficulKeswithwhichyourchildwillrequireassistance:(ifyes,pleasesupplycopiesoftheir

IndependentEduca'onPlan(IEP)orSpecialistreports)

________________________________________________________________________________________________________

Listanyspecialacademicachievementsorawards:______________________________________________________________

________________________________________________________________________________________________________

Hasyourchildeverbeenrefusedadmissiontoanotherschool,suspended,expelledorhaddisciplinarydifficulKes?*Yes*No

Ifyes,pleasespecify:______________________________________________________________________________________

Indicateyourchild’slevelofpastconduct: *Excellent *Good *Poor

Pleasespecifythemodeoftransportyourchildwillusetotraveltoandfromtheschool

*Private *Car *SchoolBus *Other(Specify)_______________________________

Willyourchild/childrenbeusingtheAdvenKstChrisKanSchools’BusService? *Yes*No

Ifyes,pleasecompleteaBusApplicaKonformwhichisintheprospectusandreturnwithapplicaKon.

APPLICATIONFORENROLMENT

STUDENTINFORMATION

EDUCATIONALINFORMATION (forstudentstransferringfromanotherschool)

TRANSPORTINFORMATION

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Surname:_______________________________ Inwhichcalendaryearisentrydesired:20_____

Givennames:_______________________________ EntryGradetobeenrolled:__________

DateofBirth:_______________________________ IsyourchildAboriginalorTorresStraitIslanderorigin:

Age:_______ Aboriginal

Gender:Male/Female TorresStraitIslander

CountryofBirth:____________________________ Aboriginal&TorresStraitIslander

NaKonality:_______________________________ ResidencyStatus:

ResidenKalAddress:_________________________ AustralianCiKzen(pleasesupplyacopyifbornoutsideAustralia)

__________________________________________ PermanentResident(PR)VisaNo:_________

____________________PostCode______________ TemporaryResident(TR)VisaNo:_________

PostalAddress(ifapplicable):__________________ ExpiryDate: ___/___/___

___________________________________________ DateenteredAustralia: ___/___/___

____________________PostCode_______________ PassportNo:________________________

StudentUSINumber(SecondaryOnly): (ifPRorTRsupplyacopyofyourchild’svisa&passportwithapplica'on)

___________________________________________

Languagesspokenathome:____________________ DoesyourchildrequireBoarding(Secondaryonly-Years7-12)___________________________________________ No Yes-7days Yes-5days

Name Schoolakending Age Enrolled/Applying Year

__________________________ _________________________________ ______ YN _______

__________________________ _________________________________ ______ YN _______

__________________________ _________________________________ ______ YN _______

Family’sReligion/Church:_________________________________ PlaceofWorship:_____________________________

Regularlyakendschurch:Father*Yes *No Mother*Yes *No

HastheapplicantbeenbapKsed? *Yes*No BapKsmDate__________________________

PleasegivethenameandtelephonenumberoftworefereesfortheapplicaKon.

Name:____________________________________OccupaKon:___________________Phone:_____________________________

Name:____________________________________OccupaKon:___________________Phone:_____________________________

FAITH/RELIGIONINFORMATION

PARENT/GUARDIANINFORMATION

OTHERCHILDRENINTHEFAMILY

REFEREES

PARENT/GUARDIAN1 PARENT/GUARDIAN2

Surname:_________________________________________ Surname:__________________________________________

Firstname:________________________________________ Firstname:_________________________________________

Title:MissMsMrsMrPrDr(Circle) Title:MissMsMrsMrPrDr(Circle)

NaKonality:________________________________________ NaKonality:________________________________________

Religion:__________________________________________ Religion:__________________________________________

OccupaKon:_______________________________________ OccupaKon:_______________________________________

HomePhone:______________________________________ HomePhone:______________________________________

WorkPhone:______________________________________ WorkPhone:______________________________________

Mobile:___________________________________________ Mobile:___________________________________________

Email:____________________________________________ Email:____________________________________________

MaritalStatus:_____________________________________ MaritalStatus:_____________________________________

IsEnglishspokenathome:*Yes*No IsEnglishspokenathome:*Yes*No

Ifno,pleasespecifylanguage:________________________ Ifno,pleasespecifylanguage:_________________________

RelaKonship:_______________________________________ RelaKonship:_______________________________________

Studentresideswith:(please'ck)*father*mother*stepfather*stepmother*guardian

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Indicatethelevelofyourchild’sgeneralhealth: *Excellent*Good*Fair*Poor

Describeanyhealthconcern(physicaloremoKonal)orproblemsofwhichtheCollegeshouldbeaware(ie.ADHD,MentalHealth

issues,Diabetes,Asthma,Anaphylaxisetc.)_____________________________________________________________________

________________________________________________________________________________________________________(PleaseaUachrelevantdocumenta'onfromhealthprofessionalsinvolvedie.Psychologists,Paediatrician,MedicalAc'onPlans)

DoesthestudenthaveanyallergiesordisabiliKes?Ifyes,pleasespecify. *Yes *No

________________________________________________________________________________________________________

HasthestudentparKcipatedintheHealthDepartment’simmunisaKonschedule? *Yes *No(Pleasesupplytheschoolwithacopyofyouruptodateimmunisa'onrecordswiththisapplica'on.)

DoesthestudenttakeregularmedicaKon?Ifyes,pleasespecify. *Yes *No

________________________________________________________________________________________________________

DoesthestudenthaveAmbulanceCover? *Yes *No

IsthechildamemberofaPrivateHealthFund? *Yes *No

NameofHealthFund:___________________________________ MembershipNo:________________________________

MedicareNumber:_______________________________ Expires:____________ Child’sreferencenumberoncard:____

FamilyDoctor:__________________________________________ Telephone:____________________________________

Emergencycontactdetails(NOTparents):

Name:_____________________________ PhoneNumber:_____________________RelaKonship:______________________

IauthorisethefollowingmedicaKontobegiventomychildasrequired:Pleasefillindosenormallygiven.

Panadol/Paracetamol*Yes*No Dose:_____________________________________

Ponstan/Naprogesic*Yes*No Dose:_____________________________________ (Years7-12only)

AnKhistamine *Yes*No Dose:_____________________________________ (Years7-12only)

Signature:________________________________(UnlessthissecKonissigned,NOmedicaKoncanbegiventothestudent.)

HastheFamilyCourtplacedanyrestricKonsuponparentalaccesstothestudent?*Yes*No

Ifyes,pleasegivedetails:___________________________________________________________________________________

NOTE:PleaseakachacopyoftheCourtOrdertothisapplicaKonform.

FAMILYCOURTORDERS

MEDICAL/HEALTHINFORMATION

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ThefollowingpersonalinformaKoniscollectedaspartofthisSchool’songoingcommitmenttotheNaKonalReporKngon

SchoolinginAustraliaIniKaKve.

ForfurtherinformaKonontheNaKonalReporKngonSchoolinginAustraliainiKaKve,werefertotheMinisterialCouncilonEducaKon,EarlyChildhoodDevelopmentandYouthAffairswebsitehkp://nap.edu.au/

AswithallpersonalinformaKoncollectedbytheSchool,thispersonalinformaKonwillbehandledstrictlyinaccordancewithourPrivacyPolicy.AcopyofourPrivacyPolicymaybeobtainedfromtheschooloffice.

Nameofstudent_____________________________________

1.Whatisthehighestyearofprimaryorsecondaryschooltheparents/guardianshavecompleted?

(Forpersonswhohaveneverakendedschool,mark‘Year9orequivalentorbelow.) Mark one box only in each column Mother/Guardian 1 Father/Guardian 2

Year12orequivalent………………………..……. * …………… * Year11orequivalent……………………..………. * …………… * Year10orequivalent……………………………… * …………… * Year9orequivalentorbelow……………….… * …………… *

2.WhatisthelevelofthehighestqualificaKontheparents/guardianshavecompleted?

Mark one box only in each column

Mother/Guardian1 Father/Guardian2

Bachelordegreeorabove………………………….….. * …………… * Advanceddiploma/Diploma………………………….. * ……………. *

CerKficateItoIV(includingtradecerKficate)… * ……………. *

Nonon-schoolqualificaKon…………………………… * …………… * 3.PleaseselecttheappropriateoccupaKongroupfromthea]achedlist-

(a)WhatistheoccupaKongroupofthemother/guardian1? (b)WhatistheoccupaKongroupofthefather/guardian1?

Pleasenote:

• Ifthepersonisnotcurrentlyinpaidworkbuthashadajobinthelast12monthsorhasreKredinthelast12

months,pleaseusetheperson’slastoccupaKon.

• Ifthepersonhasnotbeeninpaidworkinthelast12months,enter‘8’intheabovebox.

GOVERNMENTREQUIREDDATACOLLECTION

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Group1:SeniormanagementinlargebusinessorganisaKon,governmentadministraKonanddefence,andqualifiedprofessionals

SeniorexecuKve/manager/departmentheadinindustry,commerce,mediaorotherlargeorganisaKon.Publicservicemanager(SecKonheadorabove),regionaldirector,health/educaKon/police/fireservicesadministratorOtheradministrator[schoolprincipal,facultyhead/dean,library/museum/gallerydirector,researchfacilitydirector]DefenceForcesCommissionedOfficerProfessionalsgenerallyhavedegreeorhigherqualificaKonsandexperienceinapplyingthisknowledgetodesign,developoroperate

complexsystems;idenKfy,treatandadviseonproblems;andteachothers.Health,EducaKon,Law,SocialWelfare,Engineering,Science,CompuKngprofessionalBusiness[managementconsultant,businessanalyst,accountant,auditor,policyanalyst,actuary,valuer]Air/seatransport[aircrag/ship’scaptain/officer/pilot,flightofficer,flyinginstructor,airtrafficcontroller]

Group2:Otherbusinessmanagers,arts/media/sportspersonsandassociateprofessionals

Owner/manageroffarm,construcKon,import/export,wholesale,manufacturing,transport,realestatebusinessSpecialistmanager[finance/engineering/producKon/personnel/industrialrelaKons/sales/markeKng]Financialservicesmanager[bankbranchmanager,finance/investment/insurancebroker,credit/loansofficer]Retailsales/servicesmanager[shop,petrolstaKon,restaurant,club,hotel/motel,cinema,theatre,agency]Arts/media/sports[musician,actor,dancer,painter,poker,sculptor,journalist,author,mediapresenter,photographer,designer,illustrator,

proofreader,sportsman/woman,coach,trainer,sportsofficial]Associateprofessionalsgenerallyhavediploma/technicalqualificaKonsandsupportmanagersandprofessionals.Health,EducaKon,Law,SocialWelfare,Engineering,Science,CompuKngtechnician/associateprofessionalBusiness/administraKon[recruitment/employment/industrialrelaKons/trainingofficer,markeKng/adverKsingspecialist,marketresearch

analyst,technicalsalesrepresentaKve,retailbuyer,office/projectmanager]DefenceForcesseniorNon-CommissionedOfficer

LISTOFPARENTALOCCUPATIONALGROUPS

Group3:Tradesmen/women,clerksandskilledoffice,salesandservicestaff

Tradesmen/womengenerallyhavecompleteda4yearTradeCerKficate,usuallybyapprenKceship.Alltradesmen/womenareincludedinthisgroup.

Clerks[bookkeeper,bank/POclerk,staKsKcal/actuarialclerk,accounKng/claims/auditclerk,payrollclerk,recording/registry/filingclerk,bewngclerk,stores/inventoryclerk,purchasing/orderclerk,freight/transport/shippingclerk,bondclerk,customsagent,customerservicesclerk,admissionsclerk]

Skilledoffice,salesandservicestaff. Office[secretary,personalassistant,desktoppublishingoperator,switchboardoperator] Sales[companysalesrepresentaKve,aucKoneer,insuranceagent/assessor/lossadjuster,marketresearcher] Service[aged/disabled/refuge/childcareworker,nanny,meterreader,parkinginspector,postalworker,courier,travelagent,tour

guide,flightakendant,fitnessinstructor,casinodealer/supervisor]

Group4:Machineoperators,hospitalitystaff,assistants,labourersandrelatedworkers

Drivers,mobileplant,producKon/processingmachineryandothermachineryoperators.Hospitalitystaff[hotelservicesupervisor,recepKonist,waiter,barakendant,kitchenhand,porter,housekeeper]Officeassistants,salesassistantsandotherassistants. Office[typist,wordprocessing/dataentry/businessmachineoperator,recepKonist,officeassistant] Sales[salesassistant,motorvehicle/caravan/partssalesperson,checkoutoperator,cashier,bus/trainconductor,Kcketseller,service

staKonakendant,carrentaldeskstaff,streetvendor,telemarketer,shelfstacker] Assistant/aide[trades’assistant,school/teacher'saide,dentalassistant,veterinarynurse,nursingassistant,museum/gallery

akendant,usher,homehelper,salonassistant,animalakendant]Labourersandrelatedworkers DefenceForcesranksbelowseniorNCOnotincludedabove Agriculture,horKculture,forestry,fishing,miningworker[farmoverseer,shearer,wool/hideclasser,farmhand,horsetrainer,

nurseryman,greenkeeper,gardener,treesurgeon,forestry/loggingworker,miner,seafarer/fishinghand] Otherworker[labourer,factoryhand,storeman,guard,cleaner,caretaker,laundryworker,trolleycollector,carparkakendant,

crossingsupervisor]

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PersonResponsibleforfees:_________________________________________________________________________________

Postaladdress:____________________________________________________________________________________________

Telephone:_______________________________________ Mobile:________________________________________

Email:___________________________________________________________________________________________________

DriversLicenceNumber:________________________________ D.O.B:___________________________

*I/Wewilljointlyandseverallyresponsibleforthepaymentoffeescharged

*I/Wewillpayeachfeebillingbytheduedate

*I/WeunderstandthatanyoverdueFeeaccountswillbesenttothedebtcollectorsandI/Wewillincuranycostsassociatedwiththeprocess

Signature:__________________________________________________ Date:___________________________________

Signature:__________________________________________________ Date:___________________________________

DoesanycompanyoftheSeventh-dayAdvenKstChurchemployeitherparent/guardian?*Yes*No

PosiKon:___________________________________ Company/Department:__________________________________

IpromisetoholdupthevaluesoftheCollege,byparKcipaKnginallacKviKes,maintainthestandardsoftheCollegeasa

ChrisKaninsKtuKonandupholdingthemission,visionandvaluesoftheschool.

Student’ssignature:________________________________________________ Date:___________________________

HowdidyoufirsthearaboutCarmelAdvenKstCollege:(circle)Radio,Newspaper,Friends,Other_________________________

ReasonforselecKngCarmelAdvenKstCollegeforyourchild’seducaKon:_____________________________________________

________________________________________________________________________________________________________

STUDENTAGREEMENT(10YEARSANDABOVE)

FINANCIALINFORMATION

GENERALINFORMATION

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Tobesignedbythestudent’sParents/Guardians

• I/WeapplytohaveourchildnamedinthisapplicaKontobeconsideredforenrolmentatCarmelAdvenKstCollege• I/WeencloseallthesupporKngdocumentsasrequested

• I/WewillprovideanyfurtherinformaKonconcerningthestudentseducaKonandmedicalhistory

• I/WeendorseandsupporttheChrisKanvaluesofCarmelAdvenKstCollege• I/WeconsenttothereleaseofappropriatemedicalinformaKonincaseofemergency

• I/Wedeclare,tothebestofourknowledge,thatalltheinformaKondisclosedonthisformistrueandcorrect• I/Werealisethatmy/ourchildwillbeinvolvedinaChrisKanCollegeandam/arewillingtoupholdandsupportthe

ChrisKanPhilosophyandvaluesoftheCollege

• I/Werecognisethatforourchildtoprogressacademically,itisessenKalthatwehaveconfidenceintheteachersand willthereforeensurethatourchildrespectsandobeystheCollegestaff.Shouldwehaveissuewithanystaffmember

wewillfollowthedueprocessofdealingwithcomplaints• I/WeauthorisetheCollegetoiniKateanymedicalassistancenecessarytourgentlyakendtoourchild’sneedsiftheyare

physicallyinjuredwhileundertheCollege’scare,understandingthattheCollegewillmakeit’sbesteffortstocontact

me/usinsuchanunlikelyevent• I/WegivepermissionfortheCollegetousephotographsofmy/ourchildinpromoKonalmaterial,newslekers,school

FacebookpageandmediaarKcles

MOTHER/GUARDIANDECLARATION:________________________________________(signature)DATE:_________________

FATHER/GUARDIANDECLARATION:_________________________________________(signature)DATE:_________________

SUBMITAPPLICATION

PleaseforwardthisapplicaKonformwithsupporKngdocumentsandenrolmentfeeto:

CarmelAdvenKstCollegePrimary

18FirstAvenue,BICKLEYWA6076or

EMAIL:[email protected]

CarmelAdvenKstCollegeSecondary

210GlenislaRoad,CARMELWA6076or

EMAIL:[email protected]

ThankyouforyourapplicaKon

GENERALAGREEMENT

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