Admission Form Kartik

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12/3/24, 9:29 PM about:blank

Reg. No: ________________ (for office use only)


Serial No.: X25P/0286
Candidate's Name: KARTIK YADAV
Date of Birth: 16,Aug 2020
Age: 4 YEAR(S) 7 MONTH(S) 15 DAY(S)
Affix Passport Size
Religion: HINDUISM
Photograph of the
Gender: MALE Candidate (should have
been taken on or after
Address: G-407, DMRC STAFF QUARTERS, SHASHTRI PARK 1-11-2024)
Locality: DMRC COLONY (METRO VIHAR)
Others Locality: N/A
Pin Code: 110053
Aadhaar No. of the Child: 547079573252
Contact No.: 9650122477
For how long have you been
10 - 11 (year - month)
residing at this address :

Sibling (Real brother / sister studying in this school only)

Name of the Student Class & Sec Adm. No.


NAVYA YADAV 3B 23040

Father's Details Mother's Details


Name : MR. SANJEEV YADAV Name :MRS. DEEPA YADAV
Occupation :SERVICE Occupation :HOUSEWIFE
Dept./Organization DMRC
Office Address :N/A
SECTION ENGINEER
Email : NAVYA02JAN@GMAIL.COM
Office Address : METRO BHAWAN, BARAKHAMBHA
ROAD If alumni mention
the year of N/A
Email : SANJEEVYADAVEC@GMAIL.COM passing :
If alumni mention Aadhar No. : 752087404579
N/A
the year of passing :
Aadhar No. : 345974280598

Parent's Name : SANJEEV YADAV


Parent's Email : SANJEEVYADAVEC@GMAIL.COM
Parent's Contact Number : 9650122477

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CERTIFICATE FROM THE PARENT


I/We hereby declare that I/we have read and understood the contents of this form and the general information. I/We declare that
I/we abide by the same. I/We hereby certify that the above information provided by me/us is correct and I/we understand that if
the information is found to be incorrect or false, the ward shall be automatically debarred from selection/admission process
without any correspondence in this regard, at any point of time before/after admission. I/We also understand that the application /
registration / short listing do not guarantee admission to my ward. I/We accept the process of admission undertaken by the
school and I/we will abide by the decision taken by the school authorities.

Mother's Signature Father's Signature


Mother's Name : _________________________ Father's Name : ____________________
Date: _________________________

Affix 4"*6" size photograph of the family, with both the parents.

In case of sibling studying in this school, then he/she will be in winter uniform in the
family photograph.

Photograph should have been taken on or after 01-11-2024.

List of enclosures : (tick mark / mention the photocopy of the self attested documents)

1. i) Birth Certificate with the name of the Child mentioned on it.

2. Residence Proof : (any two of the following):

i) Ration card issued in the name of parents (Mother/Father having name of the child)
ii) Domicile Certificate of child or of his/her parents.
iii) Voter I-card (EPIC) of any of the parents.
iv) Electricity Bill / MTNLTelephone Bill / Water Bill / Passport in the name of any of the parents or child.
v) Aadhaar Card / UID Card issued in the name of any of the parents.
vi) Driving Licence
i) _______________________________ ii) __________________________________

3. Proof of religion (only for Christians)


i). Baptism Certificate ii) Letter from the Parish Priest / Pastor

4.Proof of Sibling (all siblings)


i) Nov, 2024 Fee Slip ii) Report Card (2023-2024)

5.Proof of Alumni
i) Mark Sheet (Std. 12) ii) DOXA Membership Card

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