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SECTOR - 30, NOIDA - 201303

SESSION - 2014 - 15

Class

PREPARATORY

Form No. :

Father

Mother

201401573

Child

1. Child's Particular
Name :

TANISHQ CHAUHAN

Date of Birth :

18/11/2001

Residential Address :

FLAT NO.407 SALASAR ABODES RAMGHAT ROAD QUARSI

Gender : MALE

City : ALIGARH
Telephone No. :

Nationality :

Pincode: 202001

2483355

INDIAN

State: UTTAR PRADESH

Mobile No. : 9756400020

Result
Subject

Marks/Grade

%age/Description

English
Hindi
Math
SST
Science
Third Language
Total
2. Cast Category GENERAL
3. Parents Particulars

Father's Particulars

Mother's Particulars

Name :

HIRENDRA KR CHAUHAN

Xth :

NAWAB SINGH CHAUHAN INTERCOLLEGE


KASIMPUR

XIIth :

NAWAB SINGH CHAUHAN INTERCOLLGE


KASIMPUR

Graduation :
Post Graduation :
Ad. Quali. (If any) :
Occupation :

BUSINESS

HEALTH AND
MEDICINE

CHAUHAN MEDICAL STORE KASIMPUR


POWERHOUSE ALIGARH UTTRA PRADESH
Designation :
Office Address :
Telephone No. :

2483355

Mobile No. :

9756400020

E-mail ID

coolabhist@gmail.com

4. Sibling Particulars
Name:

Admission No.:

Class/Sec.:

Remarks :

Name:

Admission No.:

Class/Sec.:

Remarks :

Name:

Admission No.:

Class/Sec.:

Remarks :

5. Alumini Particulars
Name:

Name of the School

Year:

6. Areas in which you could contribute to enrich school life in terms of time, skill etc.
CULTURAL, ACADEMIC
7. Transport

YES

I fully understand, that the school, on accepting the registration of my ward is not in any way to bound to grant
admission, as the admission is purely based on vacancies. I also understand that the decision of the Principal
regarding admission will be final and binding on me.

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