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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

105

Submission Date

21 February 2021

About the child

Name of the Child

Meera

Date of Bith

Aug 2, 2017

Nationality

Indian

Meera
Meera

Religion

Mother Tongue

Hindu

Hindi

Any Special Need

Residential Address

Distance from School

Above 10 Km

H NO 21 Gali NO 32 A1 Block Bangali Colony Sant Nagar Burari Delhi 110084

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

Delhi Police Head Quater

Father's

Vishal

Govt Employee

Cental Goverment

Mother's

Vandana

Business

Phone No.

9654100023

E-Mail :

Area In which they can contribute

Sibling

No

Name

Class

Admission No.

Christian Candidate

Alumni

Single Parent

No

No

Name and Address of Church

CBSE Roll No

Passing Year

No

Declaration From Parent

Total Points

15

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.