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

88

Submission Date

About the child

Name of the Child

IFRA

Date of Bith

Aug 14, 2017

Nationality

India

IFRA
IFRA

Religion

Mother Tongue

Islam

English

Any Special Need

Residential Address

Distance from School

Within 5 Km

122 D LIG DDA FLATS RANI JHANSI ROAD PAHAR GANJ NEW DELHI

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

B 102 S.P. MUKHERJEE MARKET RANI JHANSI ROAD KAROL BAGH NEW DELHI

N/A

Father's

MOHD JAVED

Business

M.P. PLASTIC WORKS

Mother's

RUKSANA

HOUSE WIFE

N/A

Phone No.

9810463770

E-Mail :

Area In which they can contribute

Medical

Sibling

Yes

Name

AQSA SIDDIQUI

Class

2 B

Admission No.

12699

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.