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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 2021-22)

Registration No.

THJP-2021-0

607

Submission Date

4 March 2021

About the child

Name of the Child

LAIBA ANAS

Date of Bith

May 27, 2017

Nationality

INDIAN

LAIBA ANAS
LAIBA ANAS

Religion

Mother Tongue

ISLAM

HINDI

Any Special Need

Residential Address

Distance from School

Within 5 Km

8895, NAYA MOHALLA, PUL BANGASH, AZAD MARKET, DELHI-110006

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

2474-79 G/F PVT.NO.8 SHRI NATH MARKET,
TELIWARA CHAOWK, SADAR BAZR, DELHI110006

Father's

ANAS

BUSINESS

Mother's

UROOBA MUMTAZ

HOUSE WIFE

Phone No.

9818849019

E-Mail :

Area In which they can contribute

Acadmics

Sibling

No

Name

Class

Admission No.

Christian Candidate

Alumni

Single Parent

No

Yes

Name and Address of Church

CBSE Roll No

6633549

Passing Year

2009

No

Declaration From Parent

Total Points

40

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.