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

502

Submission Date

About the child

Name of the Child

IZMA

Date of Bith

Sep 25, 2017

Nationality

INDIAN

IZMA
IZMA

Religion

Mother Tongue

ISLAM

HINDI

Any Special Need

Residential Address

Distance from School

Within 5 Km

6221, 4TH FLOOR, PAKKI GALI, BARA HINDU RAO, DELHI 110006

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

601, PEARL OMAXE TOWER 1, NSP PITAMPURA, DELHI 110034

NOT APPLICABLE

Father's

AZIM UL ISLAM

PRIVATE SERVICE

CARE HEALTH INSURANCE

Mother's

NAGMA HASHMI

HOME MAKER

NOT APPLICABLE

Phone No.

9711099393

E-Mail :

Area In which they can contribute

Any Other

Sibling

No

AS PER SCHOOL NEEDS

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

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.