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V1 Consultants

M-44 LGF, LAJPAT NAGAR-II NEW DELHI-110024

9810225823; 9810230638

Format for Submisson of forms for nursery Admissions (2012-13)

Name of the Child: Father Name: Mother Name: Date of Birth:

Residential Address

Address: City:

P.T.O.

State: Pin: Phone: Mobile: Email: Nationality: Gender: Indian Other

Male Female ST Gen Yes No

Category: SC

Child with special needs:

Is there any medical information about your ward which the school should be aware of: Asthma None Epilepsy Juvenile Diabetes Heart Disorder

Single parent:

Yes

No No

Whether Alumni of the school: Yes If yes please provide schools name: First child: Yes No

P.T.O.

No. of siblings: Is Sibling studying in any school: Yes No If yes, Siblings Schools Name: Whether school transport required: Yes No

Are you in a position to provide safe transportation to child to and from: Yes No

Name of the previous school/pre-school/Nursery/Creche

Approximate Distance from Residence to the school applied for: S. No.: Name of School Branch Approximate Distance from Residence

P.T.O.

P.T.O.

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