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Class :

Pre-School

Form No.

MBS10000183

Registration No.
Name of the Applicant

DANZY TYAGI

Date of Birth

04/07/ 2011

Gender

Female

Nationality INDIAN

Photographs
Photographs
(Applicant's Father)

Photographs
(Applicant's Mother)

Photographs
(Applicant)

Paste within box only

Paste within box only

Paste within box only

Father:Name

MANIKSHA DEV

Educational Qualification

B-COM HONOURS

Regular

Yes

Correspondance No

(Highest Qualification)
Occupation

STOCK BROKER

Designation

Organisation Name

OWNER
LANDMARK INTERNATIONAL

Organisation Address
Contact

NA

Phone No(s).

8882221313

Email

MANIKDEV@GMAIL.COM Nationality

Mother:Name

SANDHYA TYAGI

Educational Qualification

BA

Mobile No(s).

Regular

8882221313
INDIAN

Yes

Correspondance No

(Highest Qualification)
Occupation

Contact

1.

Residential Address

HOUSEWIFE

Designation

NA

Organisation Name

NA

Organisation Address

NA

Phone No(s).

9911000272

Mobile No(s).

Email

MANIKDEV@GMAIL.COM Nationality

9911000272
INDIAN

JF -31 GROUND FLOOR KHIRKI EXTN . MALVIYA NAGAR

NEW DELHI

http://admission.manavabharati.net/print.html

03/01/15

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2.

Sibling

Yes

(Real brother/sister in Manava Bharti if

Yes,give details)

(Tick the
appropriate)

No

Sibling Name
Class - Section

3.

School Alumni

(If Yes, year of passing out)

(A) Father
(B) Mother

4.

Girl Child

Yes

No

Yes

No

Yes

No

5.

First Child

Yes

No

6.

Transfer Case

Yes

No

(Tick the
appropriate)

(Tick the
appropriate)

(Only after 01/01/2014)

CERTIFICATE FROM THE PARENT
I/we 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, false or incomplete the ward shall be automatically debarred from selection/admission process without any correspondence
in this regard. I/we also understand that the application / registration / short listing 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.
Name Of Mother
Signature:____________________________
7.

Schools Transport:
(Tick Approprite and Enclose Supporting
Documents)

http://admission.manavabharati.net/print.html

Name Of Father
Signature:____________________________
Yes

No

Route No.

Bus Stop

03/01/15