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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

471

Submission Date

2 March 2021

About the child

Name of the Child

Aqsa khan

Date of Bith

Dec 4, 2017

Nationality

Indian

Aqsa khan
Aqsa khan

Religion

Mother Tongue

Muslim

Hindi

Any Special Need

Residential Address

Distance from School

Within 5 Km

H-no 9914, Gali parde wali, Nawab Ganj, Azad Market. Delhi 110006

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

Shop-no 9045, Ram bagh road, Azad Market.

None

Father's

Samir khan

Businessman

Fitness lounge

Mother's

Mahin khan

Housewife

None

Phone No.

9868012463

E-Mail :

Area In which they can contribute

Professional

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.