Smt.Narbada Devi J.Agarwal Vivekananda Vidyalaya Sr.

Secondary School
3rd Main Road, MKB Nagar, Vyasarpadi, Chennai - 600039
Unit of Vivekananda Educational Society (Regd.)
Phone: +91 44 23452128 , 23452129 Email: sndjavv@vesonline.org
Website: http://www.sndjavv.org

L.K.G Application Form - 2020

Application No.: 041057

Date of Submission: 06/03/2020

Student Information:
Name of the Child: VARUN VENKATESH.K
Date of Birth: 03/10/2016
Gender (Sex) Boy
Blood Group B -VE
Aadhaar No 215952241113
Residential Addresss: NO.02, BHARATHI LANE, JUMBULI STREET
[Door No.& Street]

Locality: Muthamizh Nagar

Pincode: 600118
Phone (Res): 9176719794
Mother Tongue: Tamil
Religion: Hindu
Nationality: INDIAN
Community: BC Others , REDDY (GANJAM)
Additional Information: None

Parent & Guardian Information:

Description: Father Mother Guardian:
Name: V.KUMAR K.PARVATHI
Occupation: Private Employment Home Maker
Job/Occupation SELF - EMPLOYED HOUSEWIFE
Description:
Phone (office):
Income (Rs.): 200000.00 0.00 0.00
[per annum)]
Address (Office) 5C/8, MEENAMBAL SALAI, KKD
NAGAR, KODUNGAIYUR,
CHENNAI - 600118.
Mobile: 9176719795 9176719794
EMail:
Special Interest:

041057
Other Information:
Is the Parent a staff of Vivekananda Educational Society ? No

Whether the child is direct brother or sister of any student already studying in this school ? No

Is the parent an Alumni of this school ? No

contact for communication:

Relationship: Mother
Name: K.PARVATHI
Email: shanthikumar316@gmail.com
Mobile Number: 9176719794
Application Filled By: Mother

Password for modifying the form: DxeqT3

Last Date for Submission/Modification of Application is 06/03/2020 06:00:00 PM .
Admission Results will be published in www.vesonline.org

I declare that I shall abide by the rules and regulations of the Vidyalaya. The above information is complete and correct. I also understand
that if any information is found to be incorrect, the application will be rejected.

For office use only

041057
Birth Certificate :

041057
Proof of Address :

041057
Community Certificate:

041057