St.

Mary's Kindergarten
Civil Lines, Moradabad, 244001 (UP)
(Class LKG 2021-2022)

Registration No. L-0071 STUDENT PHOTO

PERSONAL DETAILS:-
1. Name of the student: PARTHAVI MALIK
2. Gender : Female FAMILY PHOTO
3. D.O.B : 13 February 2017
In words THIRTEEN FEBRUARY TOW THOUSAND SEVENTEEN
4. Aadhar No. of Student (if any) (Attach proof):
(Attach Date of Birth Certificate issued by the Competent Authority)
5. Details of parents :-
Details Mother Father/Guardian
Name RASHMI ANKIT MALIK
Educational Qualification BED BA

Residential Address RAILWAY HARTHALA COLONY RAILWAY HARTHALA COLONY

Contact No. 9634439154

Email deolrashmi26@gmail.com
Occupation GOVERNMENT SERVICE GOVERNMENT SERVICE
Aadhar Number 564042783011 701711440029
Official Address
RAILWAY HARTHALA COLONY RAILWAY HARTHALA COLONY

Annual Income 300000 3000000

6. Whether the candidate is:-

(i) Single Girl Child : NO
(ii) Specially abled (Divyangjan): NO
(iii) Religion: Hindu
7. Category: (Attach proof): OBC
8. Details of siblings (if any)
Name Sister Age School studying in

DELCLARATION
I hereby declare that the above information including Name of the Candidate,
Father’s, Mother’s name and Date of Birth furnished by me
is correct to the best of my knowledge & belief. I shall abide by the rules of the
School.

Date & Time 20/03/2021 15:04:32 Signature of the Parent(s)/Guardian

Place Relation with candidate
 Fees For LKG Registration 2021-22
School Copy
Civil Lines, Moradabad, 244001 (UP)

Registration No. : L-0071 Date 20 March 2021

Student Name : PARTHAVI MALIK
Father's Name : ANKIT MALIK
Mobile No. : 9634439154
Registration Fees : 250:00
Rs. In Words : Rupees Two Hundred Fifty Rupees Only
Transaction ID. : 20210320070034

Office Seal Authorized Signatory

Fees For LKG Registration 2021-22

Parent Copy

Civil Lines, Moradabad, 244001 (UP)

Registration No. : L-0071 Date 20 March 2021

Student Name : PARTHAVI MALIK
Father's Name : ANKIT MALIK
Mobile No. : 9634439154
Registration Fees : 250:00
Rs. In Words : Rupees Two Hundred Fifty Rupees Only
Transaction ID. : 20210320070034

Office Seal Authorized Signatory