APPLICANTSINFORMATION

AppliedForClass

1.Nameofthechild:

2.DateofBirth:(MM/DD/YYYY)

3.Gender:

4.PlaceofBirth:

5.Nationality:

PAARTHMEENA

5/24/2010
MALE

ALWARRAJASTHAN

INDIAN

6.Religion:

HINDU

7.BloodGroup:

BIVE

8.Category:

GENERAL

9.Caste:

MEENA

10.Address:

B-89,NEW MIG FLATS, MAYUR VIHAR PHASE 3,

NEAR SALWAN
PUBLIC SCHOOL, DELHI -96

11.Phone(landline):

PARENTSINFORMATION(ForOfficialRecords)

12.Name:

9560609745

Father
RISHIRAJMEENA

Mother
KRISHNAKUMARI

13.EducationalQualification:

M.TECH

M.A.B.ED.

14.Profession:

GOVT.PSU

GOVT.TEACHER

15.Designation:

16.OfficeAddress:

SR.ENGGR.

TGTHINDI

KRIBHCOBHAWANSEC1
NOIDAUP201301

UNDERTRANSFER

17.Mobile:

9560609745

9717355788

18.Email:

krishnaskvcd@gmail.com

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19.Fax:

20.Language:
i.Spoken
ii.Written

HINDI,ENGLISH
HINDI,ENGLISH

HINDI
HINDI,ENGLISH

21.Sibling:

22.NameoflastschoolAttended

23.AddressoflastschoolAttended

24.BoardoflastschoolAttended

NO

TINYTULIPSCHOOL
SECTOR4DWARKADELHI
CBSE

SignatureandnameofFather

Date

SignatureandnameofMother

Date

FirstSiblingsName
SecondSiblings
Name

Class/Section

Class/Section

UNDERTAKING(TobesignedbytheparentonthePrintout)
I/Weherebycertifythattheaboveinformationprovidedbyme/usiscorrectandI/Weunderstandthatiftheinformationisfoundtobe
incorrect/false,my/ourwardshallbeautomaticallydebarredfromselection/admissionprocessandadmission,ifgranted,willbecancelled
bytheschool,withoutanyfurthercorrespondenceinthisregard.I/Wealsounderstandthattheregistration/shortlistingdoesnotguarantee
admissiontomy/ourwardaccepttheprocessofadmissionundertakenbytheschoolandI/wewillabidebythedecisiontakenbytheschool
authorities.Weunderstandthattheschoolisacceptingtheapplicationformwithoutprejudicetoitsrightsandinthisregardsalso,I/weshall
acceptthedecisionoftheschool.
Pleaseregistermychild,namedabove,foradmissiontoyourschool.Ishallproducetheoriginaldocumentsatthetimeofadmission/Verification.

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