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

35

Submission Date

About the child

Name of the Child

MARIYAM

Date of Bith

Sep 18, 2017

Nationality

INDIAN

MARIYAM
MARIYAM

Religion

Mother Tongue

MUSLIM

HINDI

Any Special Need

Residential Address

Distance from School

Within 5 Km

HOUSE NO-B-2/16-C DDA FLATS INDERLOK DELHI-110035

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

Father's

ABDUL JABBAR

PRIVATE WORK

Mother's

SAMREEN BEGUM

HOUSE WIFE

Phone No.

9810590667

E-Mail :

Area In which they can contribute

Sibling

Yes

Name

MAHIRA

Class

7TH E

Admission No.

10845

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.