Bluebells School InternationalKailash, New Delhi - 110048

APPLICATION FOR PRE-SCHOOL

R/2014/649Registration Number:

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

PERSONAL DATA OF STUDENTPlease 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

NameFather's AgeRAGHU: : 30 Nationality INDIAN

School Attended College Attended ::

Office Addres

Father's

Telephone Mobile 880768907 Email: : : ISHASINGH0089@GMAIL.COM

Is the jobtransferable

: NO

Inter State Transfer :

Within DelhiTransfer

:

No. of TimesTransferred

:

No. of TimesTransferred

:

Religion : hindu

Caste GENERAL:

NameMother's AgeRANI: : 29 Nationality INDIAN

School Attended College Attended ::

Office Addres

Mother's

Telephone Mobile Email: : :

Is the jobtransferable

: NO

Inter State Transfer :

Within DelhiTransfer

:

No. of TimesTransferred

:

No. of TimesTransferred

:

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 rani21/01/2014 Father's Name: Mother's Name:Date:

raghuDate: raniFather'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).