COTTESBROOKE INFANT & NURSERY SCHOOL
ETHNIC MONITORING FORM
Pupil’s surname____________________________________
First name_____________________________________
Date of Birth_______________________________________
 Male
 Female
Nationality_________________________________________ Country of Birth________________________________
Section1: Ethnic Origin: Please tick the box which best describes your child’s ethnic group
White
Asian or Asian British
Any Other Ethnic Group
British
WENG
WSCO
WWEL
WOWB
WIRI
WIRT
WCOR
WROM
English
Scottish
Welsh
Other White British
Irish
Traveller of Irish Heritage
Cornish
Gypsy/Roma
AIND
ABAN
Indian
Bangladeshi
Pakistani
AMPK
AOPK
AKPA
Mirpuri Pakistani
Other Pakistani
Kashmiri Pakistani
Any Other Asian Background
Any other White Background
WALB
WBOIS
WCRO
WGRK
WGRC
WITA
WKOS
WPOR
WSER
WTUK
WTUC
WEEU
WWEU
WOTW
Albanian
Bosnian-Herzegovinian
Croatian
Greek
Greek Cypriot
Italian
Kosovan
Portuguese
Serbian
Turkish
Turkish Cypriot
White Eastern European
White Western European
White Other
Mixed Dual Background
MWBC
MWBA
White & Black Caribbean
White & Black African
White and Asian
MWAP
MWAI
MWAO
White & Pakistani
White & Indian
White & any other Asian
Any Other Mixed Background
MAOE
MABL
MACH
MBOE
MBCH
MCOE
MWOE
MWCH
MOTM
Asian & any other ethnic group
Asian & Black
Asian & Chinese
Black & any other ethnic group
Black & Chinese
Chinese & any other ethnic group
White & any other ethnic group
White & Chinese
Mixed any other background
AAFR
AKAO
ANEP
ASNL
ASLT
ASRO
AOTA
African Asian
Kashmiri Other
Nepali
Sri Lankan Sinhalese
Sri Lankan Tamil
Sri Lankan Other
Other Asian
OAFG
OARA
OEGY
OFIL
OIRN
OIRQ
OJPN
OKOR
OKRD
OLAM
OLEB
OLIB
OMAL
OMRC
OPOL
OTHA
OVIE
OYEM
OOEG
Afghan
Arab
Egyptian
Filipino
Iranian
Iraqi
Japanese
Korean
Kurdish
Latin/South/Central American
Lebanese
Libyan
Malay
Moroccan
Polynesian
Thai
Vietnamese
Yemeni
Any Other Ethnic Group
Chinese
CHKC
CMAL
CSNG
CTWN
COCH
Hong Kong Chinese
Malaysian Chinese
Singaporean Chinese
Taiwanese
Other Chinese
REFU
I do not want ethnic origin recorded
Black or Black British
BCRB
Caribbean
Black African
BANN
BCON
BGHA
BNGN
BSLN
BSOM
BSUD
BAOF
Angolan
Congolese
Ghanaian
Nigerian
Sierra Leonian
Somali
Sudanese
Black Other African
Any Other Black Background
BEUR
BNAM
BOTB
Black European
Black North American
Other Black
NOV 2016
Section2: Religious Affiliation
BUD
CHR
ROC
HIN
JEW
MUS
NON
SIK
OTH
REF
Buddhist
Christian
Christian – Roman Catholic
Hindu
Jewish
Muslim
No Religion
Sikh
Any other (Please state) ______________________________________
Refused
Section3: First/Home Language
Please indicate the main language used in home or the community. Please note the list below is of most commonly spoken languages in
Birmingham and is for guidance only. School can record almost every language on the system. If your language is not listed below please tick
the ‘Any Other’ box and describe it in the space provided.
AFK
ALB
ARAI
ARAY
ARAA
BNGS
BNGA
SCBB
BSL
CCE
CHIC
CHIK
CHIM
CHIA
SCBC
CZE
DAN
DUT
ENG
TGLF
FRN
GER
GRE
GUJ
HIN
HDK
HGR
IGB
ITA
KAS
KOR
KUR
LIN
MLY
MLM
Afrikaans
Albanian/Shqip
Arabic (Iraq)
Arabic (Yemen)
Arabic (Any Other)
Bengali (Sylheti)
Bengali (Any Other)
Bosnian
British Sign Language
Caribbean Creole/Patois
Chinese (Cantonese)
Chinese (Hakka)
Chinese (Mandarin)
Chinese (Any Other)
Croatian
Czech
Danish
Dutch/Flemish
English
Filipino
French
German
Greek
Gujarati
Hindi
Hindko
Hungarian
Igbo
Italian
Kashmiri
Korean
Kurdish
Lingala
Malay/Indonesian
Malayalam
This information was provided by:
Parent
Pupil
NOR
PHR
PNJG
PNJM
PNJP
PNJA
PAT
PRS
POL
POR
RMN
RUS
SAM
SCB
SHO
SLO
SOM
SPA
SWA
SWE
TGLG
TAM
TEL
THA
TGR
TUR
URD
VIE
CYM
WOL
YOR
ZUL
Any other
REF
Norwegian
Pahari (Pakistan)
Panjabi (Gurmukhi)
Panjabi (Mirpuri)
Panjabi (Pothwari)
Panjabi (Any Other)
Pashto/Pakhto
Farsi/Dari/Persian
Polish
Portuguese
Romanian
Russian
Samoan
Serbian
Shona
Slovak
Somali
Spanish
Swahili/Kiswahili
Swedish
Tagalog
Tamil
Telugu
Thai
Tigrinya
Turkish
Urdu
Vietnamese
Welsh/Cymraeg
Wolof
Yoruba
Zulu
Please state_________________________________
Refused
Date: ___________________________________
Data protection Act 1988: In order to administer your child’s progress through the education system the information that we have on your child may be given to the
DfE, LA, other education and employment establishments and also to health and welfare practitioners with whom the child may become associated.
NOV 2016