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1/6/12 Confimaion : Pe-School Regiaion: 2012-2013

1/1 file:///F:/Confimaion Pe-School Regiaion 2012-2013.hm


CONFIRMATION OF REGISTRATION FOR PRE-SCHOOL (2012-2013)
GENERAL CATEGORY

Print this page now. Deposit its Photocop at school counter on or before Januar 16th, 2012 b 12:00 Hrs along with documents mentioned below.
Following details are being mailed to ou at rashi033@mail.com


Category : GENERAL
Form Number : F03147-12
Submitted on : 04 Jan 2012 08:31:58 PM
Applicant's Name : Miss GUNJAN
Gender : FEMALE
DOB : 11 Jan 2008
First Child : NO
Category(General/SC/ST/OBC) : SC/ST QUOTA
Child with Special Medical Needs: NO

Father's Details : Mother's Details :
Name : Mr. BRAHAM KUMAR Name : Mrs VIDHYA
Mobile No. : 9312233201 Mobile No. :
Alumunus : NO Alumunus : NO
Single Parent : NO Single Parent : NO
Qualification : GRADUATE Qualification : XII
Occupation : BUSINESS Occupation : HOUSEWIFE
Office Address: Office Address:
Res Address : 619/D/6 SHASTRI GALI, VISHWAS NAGAR , NEW DELHI - 110032
Colony (Area) : VISHWAS NAGAR
Res Phone No. :

ln case the chiId is shortIisted in ProvisionaI List, foIIowing is the Iist of Documents required for submission
1. Recent passport size, coloured photograph of the Child, Father and Mother.
2. Attested photocopy of Birth Certificate of Child issued by MCD/NDMC.
3. Proof Of Residence : Attested photocopy of parent(s) Ration Card/ Voter Identity Card/ Passport/ Electricity Bill/Water Bill/ Telephone
Bill/ Gas connection Receipt/ Driving License / Bank Account Statement / Registered Rent Agreement prior of January 2012 2013.
(Submit any two)
4. Proof of Old Student of DAV, Sreshtha Vihar i.e photocopy of Class XII Certificate.
5. Proof to validate status of single parent.
6. Proof to validate first child (Affidavit on Rs. 10/- stamp paper).
7. Proof to validate child with Special Medical Needs.
8. Proof to validate Sibling Application (Copy of last Fee Bill / I-Card / Report Card).
9. Parents Identity Card issued from the Workplace (If available).
Undertaking :
This is to certify that I/We shall produce the required documents at the time of admission. I/We further undertake that information submitted
above is true to the best of my/our knowledge and deemed to be signed by me/us. In case information provided above is found to be false,
I/We understand that Candidature / Provisional admission of my/our ward will stand cancelled without any further notice or discussion.
Sign Here : __________________ Sign Here : __________________
Father : BRAHAM KUMAR Mother : VIDHYA
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DAV PUBLIC SCHOOL
SRESHTHA VIHAR, DELHI-110092