Profession Reg.

No 647

Date 13/03/2023 Class VI

Session 2023 - 2024

Plot 20 A,Sector Techzone- IV, Greater Noida West (Noida Ext.) UP- 201306Ph. :919205992385
Sign
E-mail : admissions@lotusvalleynoidaextension.com Website : www.lotusvalleynoidaextension.com

REGISTRATION FORM

1. PARTICULARS OF THE CHILD

i. Name of the child : PRISHAA

ii. Date of Birth (in figures) : Date 03 Month Septembe Year 2012

(in words) Third September Two Thousand Twelve

iii. Age (as on 31st March 2023) Years Months Days

10 6 28 Email ID narinvent@gmail.com

iv. Name of the present School RYAN INTERNATIONAL

v. Place of Birth DELHI

vi. Mother Tongue HINDI

vii. Other language (s): the child

can speak and understand
viii. Nationality INDIAN ix. Aadhar No.
x. Present Address J 201 AJNARA HOMES SECTOR 16B GREATER NOIDA WEST

xi. Residential Telephone No. 9711179302 Mobile 9711179302

xii. City GAUTAM BUDH NAGAR State UTTAR PRADESH Country INDIA
xiii. Birth Certificate No.
xiv. Country INDIA
xv. Leaving Reason NON AC SCHOOL
xvi. Last Class V
xvii. School Address NOIDA EXTENSION

xviii. Fee to be Paid

2. PARTICULARS OF PARENTS
Father Mother
Name NEERAJ SINGH GUJELA REENA SINGH
Age 42 40
Educational & Prof. Qualification ACCOUNT MANAGER B.A.
Occupation CHARTERED ACCOUNTANT HOME MAKER
Designation ACCOUNT MANAGER TEACHER
Name & Address HSBC INDIA NA
of organization Unitech building beside AMBIENCE mall, Na
gurgaon
Office Tel. No 8860787816

Mobile No. 9711179302 8860787816

Email ID narinvent@gmail.com narinvent@gmail.com

Monthly income 100000 0

Office Timing 10.30am to 9pm Na

3. OTHER PARTICULARS OF THE FAMILY
i. Number of members in the family living together : 3

SNo. Name Relation to child Age Educational Qualifications Profession

1

ii. Whether the family is joint / Single Unit / Single Parent Single Unit

iii. Real Brother / Sister No

Sibling 1 Sibling 2
Name
Class
Name of school

4. TRANSPORT DETAILS

Bus Stop Bus Route

5. OTHER PARTICULARS

i. As parents, our aspirations for our child are To be confident and vocal

ii. Our expectations from the School and the teachers with respect to our child are To build her confidence and be
friendly

iii. Our Child, when free, loves to

iv. As a mother, how much time do you spend with the child and how ?

v. As a father, how much time do you spend with the child and how ?

vi. How would you contribute to the growth of your child ?

vii. In case both parents are working who looks after your child at home till you return?
viii. Does your child suffer from a disability or ailment where the School has to be cautious in handling him/her? Her skin is
intolerant to excessive heat n sweat. But this generally results in rashes only.

ix. What values would you like to inculcate in your child

x. How do you help and encourage your child to learn?

xi. How would you handle if your child cannot copeup with School work? We support her in studies and morally

5. PARENTS SIGNATURE AND PHOTO

Signature of Father : Signature of Mother :

Note: Submission of the form does not guarantee admission. Only Short-listed candidates will be called for a meeting with the principal