Presentation Convent Senior Secondary School

S.P. MUKHERJEE MARG , DELHI - 110 006

TELEPHONE NUMBER : 23862862

Registration Form for Pre Primary for the Academic Year 2010-11

Reg.No A/0297
1 Name of the Child
2 Date of Birth (attach proof)
3 Physically Challenged Child No
4 Father’s Name
Profession & Designation (Professionals: attach proof)
Office Address & Tel No.
Defence Personnel/Transferable Job(attach proof) No
Are you a staff member of this school If yes, attach proof No
5 Mother’s Name
Profession & Designation (Professionals: attach proof)
Office Address & Tel No.
Defence Personnel/Transferable Job(attach proof) No
Are you a staff member of this school If yes, attach proof No
.
6 Has the mother been a past pupil of this school No
If yes, Mother’s Maiden Name
Year of joining School Year of leaving School Last class passed (attach proof)

7 Are you a National Award Winner? If yes, attach proof. No

8 Religion
If Catholic, Name and address of Church
9 Nationality
10 Do you belong to Economically Weaker Section No
(income below Rs.5000/- p.m.) If yes, attach proof
11 Present Residential Address & Tel No. (attach proof)
No. of years you have been staying in this house

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12 Name(s) and Class(es) of Sister(s) studying Name Class
in this school (not cousin - attach proof) Na
Na
NA
13 Is the school transportation required Yes
If no, are you in a position to provide safe transportatio No
n to the child to and from School
Certificate by Parents
I/We hereby certify that the above information provided by me/us is correct and I/we understand that if the information is found to be
incorrect or false, my/our ward shall be automatically debarred from selection/admission process without any correspondence in this
regard. I/We also understand that the application/registration/short listing does not guarantee admission to my/our ward. I/ We accept
the process of admission undertaken by the school and I/We will abide by the decision taken by the school authorities

Date Signature of Mother Signature of Father

Tick Mark the list of Attested documents/Photocopies with Registration Form

1 Baptism Certificate AND Letter from Parish Priest (for Catholic only)
2 Address proof (for all)
3 Proof of staff member of this school
4 Elder Daughter’s last result / fee slip (if applicable)
5 Alumni (if applicable)
6 Economically Weaker Section (if applicable, income certificate from the competent authority or below poverty line certificate
issued by the local authority)
7 Photocopy of the National Award Certificate/Newspaper write-up
8 Proof of Defence Service/Paramilitary forces/Transfer case (if applicable)
9 Proof of Professional (membership card/letter from the employer or Head of Department on Official letterhead and
professional degree)
Father/Mother/Both (strike out what is not applicable)
10 Birth certificate from the Municipal Corporation (for all)
11 DD in favour of Presentation Convent Senior Secondary School (in original) for Rs. 25/- (for all)

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 Presentation Convent Senior Secondary School
S.P. MUKHERJEE MARG , DELHI - 110 006
TELEPHONE NUMBER : 23862862

Registration Form for Pre primary for the Academic Year 2010-11

ACKNOWLEDGEMENT

Received Registration form A/0297 of Aafia Mehak daughter of Mohd. Hamid and Fahima Hamid

On .................... Signature ............................

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