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

183

Submission Date

About the child

Name of the Child

Maira

Date of Bith

Feb 18, 2018

Nationality

Indian

Maira
Maira

Religion

Mother Tongue

Islam

Hindi

Any Special Need

Residential Address

Distance from School

Within 5 Km

995 neem Street ballimaran chandni chowk Delhi 110006

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

1807 g.f chandni chowk Delhi

Father's

Monis Rashid

Business

Watch zone

Mother's

Munira Monis

House wife

Phone No.

9711424141

E-Mail :

Area In which they can contribute

Culture, Sports, Acadmics, Any Other

Sibling

No

Dancing acting

Name

Class

Admission No.

Christian Candidate

Alumni

Single Parent

No

Yes

Name and Address of Church

CBSE Roll No

9651503

Passing Year

2015

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.