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part 2 About children - continued

First child Second child Third child

Care: £ Care: £ Care: £

Mobility: £ Mobility: £ Mobility: £

41. Do you pay any
childminding costs for this child
to a registered childminder,
nursery or after-school club?

How much do you pay a How much do you pay a How much do you pay a
week? week? week?
£ £ £
We need to see proof of We need to see proof of We need to see proof of
this. this. this.

Fourth child Fifth child Sixth child
42. Last name (family name)

43. Other names

44. Date of birth
/ / / / / /
45. What is the child’s sex?
46. The child’s relationship to
you
47. The child’s relationship to
your partner
46. Usual address if different
from yours

49. Child Benefit number

50. Who gets the Child
Benefit for them?
We need to see proof of this.

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