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

577

Submission Date

About the child

Name of the Child

ADHIRA KOTHIWAL

Date of Bith

Oct 24, 2017

Nationality

Indian

ADHIRA KOTHIWAL
ADHIRA KOTHIWAL

Religion

Mother Tongue

Hindu

Hindi

Any Special Need

Residential Address

Distance from School

Within 5 Km

322,D.A flats NIMRI Colony Ashok vihar ph.4

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

DEEP CHAND BANDHU HOSPITAL ASHOK VIHAR PH4

Father's

Arvind kumar jatav

Nursing officer

GOVERNMENT OF NCT DELHI

Mother's

Daya kumari

House wife

Phone No.

8512072023

E-Mail :

Area In which they can contribute

Medical

Sibling

No

Name

Arvind Kumar

Class

Admission No.

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.