Bluebells School International

Kailash, New Delhi - 110048

APPLICATION FOR PRE-SCHOOL
R/2014/649 Registration 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
KHUSHI
23-03-2010
03 YEARS/11MONTHS/8DAYS
as on 31st March,2014
RHJI.. 16 HGFEG
Nationality INDIAN
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:
HINDI
FEMALE
Colony/Locality LAJPAT NAGAR
Telephone
Language Spoken at home : HINDI
5467897899 :
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) TEWNTY THREE MARCH TWO THOUSAND TEN
Pincode : 110056
No
PARENT INFORMATION
Name Father's Age RAGHU : : 30 Nationality INDIAN
School Attended College Attended : :
Office Addres
Father's
Telephone
Mobile 880768907 Email
:
: : ISHASINGH0089@GMAIL.COM
Is the job
transferable
:
NO
Inter State Transfer
:
Within Delhi
Transfer
:
No. of Times
Transferred
:
No. of Times
Transferred
:
Religion : hindu
Caste GENERAL :
Name Mother's Age RANI : : 29 Nationality INDIAN
School Attended College Attended : :
Office Addres
Mother's
Telephone
Mobile Email
:
: :
Is the job
transferable
:
NO
Inter State Transfer
:
Within Delhi
Transfer
:
No. of Times
Transferred
:
No. of Times
Transferred
:
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?
: :
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
Copy of he transfer order
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 Sports
and 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.
raghu rani 21/01/2014 Father's Name: Mother's Name: Date:
raghu Date: rani Father's Name: Mother's Name: 21/01/2014
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Copy of caste Certificate,Wherever applicable.
Copy of income Certificate (in case of EWS candidate).