LORETO

DAY SCHOOL

A Unit of Loreto House Educational Society of Calcutta, Affiliated to the ICSE & ISC Board, New
Delhi
65, Bepin Behari Ganguly Street, Calcutta - 700012, School Website: www.loretobowbazar.in
APPLICATION FORM FOR NURSERY 2022-23 (This form does not
guarantee admission)

Application Id: N/2022-23/334 Date : 31-08-2021

Name of C hild : Shivanya C hakraborty

Date of Birth : 2017-10-23
Religion of
C hild (If
C atholic, copy
Blood Group : O negative of Baptism : Hinduism
C ertificate is to
be enclosed
with this form)
Residential
: Nu Mans P ark P ost Office : P ailan
Address
P olice Station : Bishnupur Mobile Number : ******665
Father's School
Attended &
Father's Name : Shuvajoy C hakraborty : MA (Sociology), MBA (HR)
Educational
Qualifications
Father's Senior Manager at P unjab National Father's Annual
: : 900000
Occupation Bank Income
Father's Office P unjab National Bank Matchandipur Father's Email
: : s******************1@ gmail.com
Address branch ID
Father's Mobile
: ******665
Number

Mother's
: P riyanka C hakraborty
Name
Mother's
School
Sodepur C handrachur Budyapith Mother's
Attended & : : Manager at Indian Bank
for Girls. Qualification is MC A Occupation
Educational
Qualifications

Mother's Mother's Office

: 800000 : Indian Bank Rashmoni More b
Annual Income Address
Mother's Email Mother's
: p*******************4@ yahoo.com : ******097
ID Mobile Number
Name of
School Last
: Little Laureates
Attended By
the C hild

Information about own brothers/sisters (not cousins)

Date: ____________________

Signature of Father: ___________________________

Signature of Mother: __________________________

Please Note: Application Form to be submitted on, Timings: 07/09/2021 to 10/09/2021 (8:30 am to 11:30 am)

Attachments should be in order:

1. Application Form

2. P hotocopy of Birth C ertificate

3. P roof of Residence e.g., Ration C ard, Telephone Bill, Electric Bill etc.

4. P roof of Occupations

5. P hotocopy of C aste C ertificate (only for SC /ST/OBC )

6. Immunization C ard

7. P lease make a note of the Applicant ID generated after submitting the form.

8. A printout has to be taken of the form after submission.

9. The hard copy has to be submitted along with the documents mentioned in the school website notice on the
scheduled dates and time.

LETTERS OF RECOMMENDATION OR PRESSURE FROM A NY SOURCE WHATSOEV ER WILL A UTOMATICA LLY

DISQUA LIFY THE CA NDIDATURE