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

613

Submission Date

About the child

Name of the Child

SARAH MIRZA

Date of Bith

Jan 23, 2018

Nationality

INDIAN

SARAH MIRZA
SARAH MIRZA

Religion

Mother Tongue

ISLAM

HINDI

Any Special Need

Residential Address

Distance from School

5 - 8 Km

294 , 2ND FLOOR SUJAN RAI STREET DELHI GATE DARYA GANJ NEW DELHI 110002

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

1972/73 , KATRA KHUSHAL RAI KINARI BAZAR CHANDANI CHOWK DELHI 110006

1972/73 , KATRA KHUSHAL RAI KINARI BAZAR CHANDANI CHOWK DELHI 110006

Father's

MOHD ZUHAIB MIRZA

BUSINESS

VENUS HANDICRAFTS

Mother's

RUBEENA MIRZA

BUSINESS HOUSEWIFE

VENUS HANDICRAFTS CORPORATION

Phone No.

9871067808

E-Mail :

Area In which they can contribute

Culture, Media, Sports, Acadmics, Medical, 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

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.