The Helen Jerwood Preparatory School

Queen Mary's School, Tis Hazari, Delhi-11054

(A Christian minority institution under the management of the Helen Jerwood Memorial Education Society of the Diocese of Delhi, Church of North India)

Registration Form For Pre School (Academic Session 2021-22)

Registration No.

THJP-2021-0

153

Submission Date

About the child

Name of the Child

MARYAM FAISAL

Date of Bith

May 24, 2017

Nationality

INDIAN

MARYAM FAISAL
MARYAM FAISAL

Religion

Mother Tongue

ISLAM

HINDI

Any Special Need

Residential Address

Distance from School

Within 5 Km

2468 CHOTA RANG MAHAL KHARI BAOLI TILAK BAZAR BEHIND NOVELTY CINEMA DELHI-110006

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

1199 PUNJABI PHATAK BALLIMARAN CHANDNI CHOWK DELHI-110006

NA

Father's

FAISAL JAMIL

BUSINESS

DEHLVI DISTRIBUTORS

Mother's

RAKSHANDA SAMREEN

HOUSE WIFE

NA

Phone No.

7011942086

E-Mail :

Area In which they can contribute

Sibling

Yes

Name

ADIBA FAISAL

Class

8TH D

Admission No.

10257

Christian Candidate

Alumni

Single Parent

No

No

Name and Address of Church

CBSE Roll No

Passing Year

No

Declaration From Parent

I hereby certify that the above information provided by me/us is correct and I/we understand that if the information is found to be incorrect or false, my ward shall be automatically debarred from selection/admission process without any correspondence in this regard. If admitted, her admission will stand cancelled. I/we also understand that the application/ registration/ shortlisting does not guarantee admission to my ward. I/we accept the process of admission undertaken by the school and I/we will abide by the decision taken by the school authorities.