0274

Holy Child Senior Secondary School paste recent colour

photo of the child with
parents (size 5cm x 4 cm)
NARENDER NAGAR, SONEPAT, HARYANA - 131001
PROFORMA FOR PRE PRIMARY (KG) ADMISSION 2018-19
PRE-PRIMARY ADMISSION 2018-19

Registration No. 0274

01 Name of the Child ANVI

Date of Birth (attach proof) 12/09/2014

Mother tongue Hindi

Gender Female

02 Father's Name SANDEEP NEHRA

Profession & Designation ADMIN. OFFICER, UNITED INDIA INSURANCE CO. LTD

Office Address SCO 57,58,59,GANDHI NAGAR, SCHEME NO 6,JIND 126102,01681255961

Mobile 9953998377

03 Mother's Name REENA

Designation LABOUR INSPECTOR, HARYANA

Office Address MINI SECTREATE, JIND

Mobile 8059312351

04 Whether Father/Mother staff member of this school NO

05 Religion Hindu

06 Category General

07 Residential Address HOUSE NO 2593,URBAN ESTATE, JIND

Residence Phone No 0

SMS No 9953998377

No. of years you have been staying in this Address 20

Locality Jind

Pin Code 126102

08 Details of Real Brother/Sister(s) in this school NA 00 0

(Enclose Proof) NA 0 0 0
09 School Alumni Father NA 0 0
Mother NA 0 0
entered as on . 2017-12-08 11:01:59

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 Declaration 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 ward. I/We will abide by decision taken by the school authorities.

Date :08-12-2017 Signature of Mother Signature of Father

Tick Mark the list of self attested documents/Photocopies with Registration Form

1 Baptism Certificate and Letter from Parish Priest (for Christian only)
2 Address proof (for all) – Ration Card / Election ID Card/ Driving license/MTNL land phone bill/Electricity bill in the name of father /mother

3 Elder Daughter’s identity card ( if applicable)

4 Alumni Registration proof (if applicable)
5 Age Limit:- 3 years 6 Months ( Approximately) on 1 st April 2018
6 Birth certificate from Municipality/ Sarpanch ( for all)
7 Adhar Card photo copy

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0274

HOLYCHILD SR. SECONDARY SCHOOL

NARENDER NAGAR, SONEPAT, HARYANA - 131001 paste recent colour

PROFORMA FOR PRE PRIMARY (KG) ADMISSION 2018-19 photo of the child with

parents (size 5cm x 4 cm)

APPLICATION

Application No Name Father's Name Mother's Name

0274 ANVI SANDEEP NEHRA REENA

Interaction with parents & child on _________________________________________(Bring this slip along with you)

Duly signed form along with required documents to be submitted in the school office on 14th & 15th December 2017 between 9.00 a.m – 1.00 p.m.

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