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

383

Submission Date

About the child

Name of the Child

VISHAKHA SHUKLA

Date of Bith

Jun 4, 2017

Nationality

Indian

VISHAKHA SHUKLA
VISHAKHA SHUKLA

Religion

Mother Tongue

HINDU

HINDI

Any Special Need

Residential Address

Distance from School

Within 5 Km

2B, DDA Flats, Shastri Park, Delhi - 110053

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

Plot No. 4, Unit 610,DDA Complex, Laxmi Nagar, Delhi

Plot No. 1&2, Tower A, 4th Floor, Smart Works, Noida - 201303

Father's

RADHA RAMAN SHUKLA

WORKING

TELEPORTERS TRAVEL SOLUTIONS

Mother's

Vaishali Verma

WORKING

Meinhardt Singapore Pte Ltd

Phone No.

9899467413

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

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.