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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 2023-24)

Registration No.

THJP-2023-0

136

Submission Date

17 December 2022

About the child

Name of the Child

Khadija Khan

Date of Bith

Aug 14, 2019

Nationality

Indian

Khadija Khan
Khadija Khan

Religion

Mother Tongue

Muslim

Hindi

Any Special Need

Residential Address

Distance from School

Within 5 Km

202, 4503/B, Ali Manzil, Lambi Gali, Lal Kuan, Ajmeri Gate, Delhi 110006

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

Oxygen Business Park, Sector 144, Noida, Uttar Pradesh

249, Okhla Phase 3, New Delhi 110020

Father's

Shuaib Ali

Service

MetLife

Mother's

Huma Khan

Service

Nutriwell

Phone No.

9818052193

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

35

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.

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