admission_report.pdf

8/10/2019 Admission_Report.pdf

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Bluebells School International

Kailash, New Delhi - 110048

APPLICATION FOR PRE-SCHOOL

R/2015/3179Registration Number:

Child's Photo Father's Photo Mother's Photo

PERSONAL DATA OF STUDENT

Please tick the category you fit in: Alumni Sibling Both None

Name in full(child's name)

Date of Birth(dd-mm-yyyy)

Age

Gender

Mother Tongue

Residence Address

ANIKA

25-01-2012

03 YEARS/2MONTHS/6DAYS as on 31st March,2015

G-507, SRINIWASPURI,GOVT. QTR, NEAR POLICESTATION, NEW DELHI

Nationality INDIAN

:

:

:

:

:

:

:

ENGLISH

FEMALE

Telephone

Language Spoken at home : HINDI

9891818559:

Child with special needs,if any:

You are the child's

:

:

03 +X X

ABOUT YOURSELF

Are you single parent

Date of Birth(in words) TWENTY FIFTH JANUARY TWENTY TWELVE

Pincode : 110065

No

First Child : NO


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PARENT INFORMATION

NameFATHER's AgeRAVINDER KUMAR: : 43 Nationality INDIAN

School Attended BANGLORE College Attended BANGLORE::

Office Addres

FATHER's

2 PANK AND 2ND FLOOR VIKASH MARGNEW DELHI 110092

Telephone 22023355 Mobile 9268560408 Email: : : [email protected]

Is the jobtransferable

: NO

Inter State Transfer:

Within DelhiTransfer

:

No. of TimesTransferred

:


:

Religion : HINDU

Caste GENERAL:

NameMOTHER's AgeSHAMA KUMARI: : 42 Nationality INDIAN

School Attended HIMACHAL PRADESHUNIVERSIY SHIMLA

College Attended JAMMU AND SHIMLA::

Office Addres

MOTHER's

G-507, SRINIWASPURI NEW DELHI

Telephone Mobile 9650086905 Email: : : [email protected]

Is the job

transferable

: NO

Inter State Transfer:

Within DelhiTransfer

:


:


:

Religion : HINDU

Caste GENERAL:

Old Students Association of Bluebells(OSAB)

Father's year of Passing Mother's year of Passing

Old Students Association of Bluebells(OSAB)

What has been your contribution to the school

SIBLING INFORMATION(NOT COUSINS)

Is the School Transportation required?*

If no,are you in a position to provide safe transportation to the student to and from the school?

: :

Both's year of Passing :


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CERTIFICATES REQUIRED AT THE TIME OF ADMISSION

Attested copy of Date of Birth Certificate of the Child.

Medical certificate of the child(for children with special needs)

Vaccination Certificate and Blood Group certificate

Proof of Residence

INFORMATION

Kindly note that due to limited number of seats,it will not be possible to admit all applicants.The

application made here does not,in any way,entitle the candidate to be admitted to th school.

Transportation is available only on existing school routes.

The school is progessive and comprehensive in nature and lays a great deal of emphasis on Sportsand Games,Hikes and Excursions,Co-curricular,Cultural and Creative activities for Positive

Development.Participation in all activities is compulsory.Full co-operation is expected from the

parents.

INDEMNITY BOND

I understand that one month notice needs to be given to the school in case I wish to withdraw my

child.

UNDERTAKING

Certified that I am the bonafide parent of the child and to the best of my knowledge information

furnished above is correct.I will abide by the school rules and procedures of the school in all respects.

I hereby declare the information given above by me is correct.Admission of my child may be

cancelled if any information is found to be false.

30/12/2014Date:

30/12/2014

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Date:

Father NameRAVINDER KUMAR Mother Name SHAMA KUMARI

RAVINDER KUMAR Mother NameFather Name

SHAMA KUMARI

Affidavit from notary public certifying that the child is first born.

admission_report.pdf

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