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

23

Submission Date

About the child

Name of the Child

AAFIA KHANAM

Date of Bith

Nov 13, 2017

Nationality

INDIAN

AAFIA KHANAM
AAFIA KHANAM

Religion

Mother Tongue

MUSLIM

URDU

Any Special Need

Residential Address

Distance from School

8 - 10 Km

L-150, MCD FLAT SUNDER NAGRI SHAHADRA DELHI

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

CH. NO. F-602, KKD COURTS DELHI

NILL

Father's

KHALID MIYAN

ADVOCATE

KHAN & ASSOCIATES

Mother's

RAHMAT BEE

HOUSE WIFE

NILL

Phone No.

9818521664

E-Mail :

Area In which they can contribute

Culture

Sibling

Yes

Name

SAIMA KHAN

Class

5 E

Admission No.

11684

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.