MDH form

MDH INTERNATIONAL SCHOOL
POCKET-2, PLOT NO.-3, SECTOR-6, DWARKA, NEW DELHI-110075
REGISTRATION FORM SESSION 2025-2026
Mother's Photo
Father's Photo
Child's Photo
APPLICATION NO. :142 CLASS APPLIED FOR : I
STUDENT'S DETAILS
1. NAME OF THE CHILD : AADVIK GOEL
2. DATE OF BIRTH (in figures) : 26/12/2019
(AGE AS ON 31 MARCH 2025) : 5 Years 3 Months
3. GENDER : MALE
4. RELIGION : HINDU
5. MOTHER TONGUE :
6. NATIONALITY : INDIAN
7. BLOOD GROUP : O+
8. AADHAAR NO. :
9. PEN NO. :
10. STUDENT TYPE : GENERAL
11. SOCIAL CATEGORY : GENERAL
12. SINGLE PARENT : NO PARENT STATUS :
13. LAST CLASS ATTENDED: KG LAST ATTENDED SCHOOL : SHRI RAM WONDER YEARS
14. LAST ATTENDED SCHOOL ADDRESS : SECTOR-18, DWARKA, NEW DELHI
RESIDENTIAL ADDRESS :
B 302, K M APARTMENTS, PLOT 12, SECTOR 12, DWARKA
SECTOR 12, DWARKA
PINCODE : 110078
MOBILE NO. FOR SMS CORRESPONDENCE : 9611192590
WHETHER SCHOOL TRANSPORT REQUIRED ? : NO
PICKUP POINT : DROP POINT :
DOES STUDENT HAS ANY SIBLING IN THIS SCHOOL :
NAME ADM No. & CLASS

PARENT INFORMATION
FATHER MOTHER
a). NAME MR. ANCHIT GOEL DR. NISHI GUPTA
b). MOBILE NO. 9611192590 9958375100
c). TEL. NO.
d). OCCUPATION PRIVATE SERVICE GOVERNMENT SERVICE
e). EMAIL ID anchitgoel@gmail.com nishigupta99@gmail.com
f). QUALIFICATION POST GRADUATE POST GRADUATE
g). DESIGNATION DIRECTOR ASSISTANT PROFESSOR
h). ORGANIZATION NAME ALCHEMY PAY GURUGRAM UNIVERSITY
i). ORGANIZATION ADDRESS SINGAPORE SEC-51 GURUGRAM, HARYANA
j). ANNUAL INCOME 2500000 1000000
GUARDIAN INFORMATION
GUARDIAN NAME : MOBILE NO. :
ADDRESS :
MEDICAL INFORMATION
Height (C.M) : Weight (K.G.) :
Does the child have any medical problem/history,(Please Specify) : NO
DECLARATION BY THE PARENT/GUARDIAN

I / We MR. ANCHIT GOEL Father/Mother/Guardian of AADVIK GOEL hereby certify that the above information provided by me/us are
correct and I/we understand that if any of the given information are found to be incorrect or false , my /our ward shall be automatically
debarred from selection/admission process without any correspondance in this regard. I/we also understand that the application/
registration / short listing does not guarantee admission to my/our 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.
New Delhi
Date :
Signature of Father Signature of Mother Signature of Guardian
FOR OFFICE USE
Application No :
: AADVIK GOEL
Name
Document Submitted
1. Date of Birth Proof 2. Residence Address Proof
3. Alumni Proof 4. Sibling Proof
*To be submitted along with Acknowledgment receipt

GUIDELINES
1). HARD COPY of the Form along with the requisite self-attested documents need to be submitted in school
within the SCHOOL OFFICE HOURS (9:00 am TO 12:00 noon) latest by 20-12-2024.
2). All distance will be measured from school through Google map (aerial distance).Applicable on Pre School &
Pre-Primary Only.
3). Self-attested copy of the Date of Birth certificate needs to be attached.
4). Self -attested copy of the documents valid as Residential Proof (any of the below mentioned).
a. Ration card in the name of Parents having name of the Child in Ration card.
b. Domicile certificate of child or his/her parents.
c. Voter I Card of any of the parents.
d. Electricity Bill/MTNL Telephone bill/Water bill.
e. Unique Identity Card (Aadhar) of Mother/Father/Child issued by Govt. of India.
f. Passport in the name of any of the parents or child.
5). Copy of latest paid fee bill of the sibling, if studying in MDH International School, Dwarka (No information of cousin is
allowed)
6). Self-attested scanned Copy of Aadhar card of both the parent.
7). Caste certificate issued by SDM is required in case of SC/ST/OBC/Other, applicant and the parent.
8). Original transfer certificate duly signed by the respected Education Officer (E.O) is required for admission in
Class-I onwards.
9). Medical certificate issued by Govt. Hospital is required in case of child with special needs/disabilities.
10). Fill in the particulars of the child (name, parents’ names and date of birth) correctly. The date of birth filled in the
FORM MUST TALLY WITH THE ONE RECORDED IN THE DATE OF BIRTH CERTIFICATE . No
corrections will be done after submission of the form.
11) Complete information of both parents is to be provided.
.12). Incomplete application forms or wrong application is liable to rejection.
*To be submitted along with Acknowledgment receipt

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MDH INTERNATIONAL SCHOOL

POCKET-2, PLOT NO.-3, SECTOR-6, DWARKA, NEW DELHI-110075

REGISTRATION FORM SESSION 2025-2026

APPLICATION NO. :142 CLASS APPLIED FOR : I

1. NAME OF THE CHILD : AADVIK GOEL

2. DATE OF BIRTH (in figures) : 26/12/2019

(AGE AS ON 31 MARCH 2025) : 5 Years 3 Months

10. STUDENT TYPE : GENERAL

11. SOCIAL CATEGORY : GENERAL

12. SINGLE PARENT : NO PARENT STATUS :

14. LAST ATTENDED SCHOOL ADDRESS : SECTOR-18, DWARKA, NEW DELHI

B 302, K M APARTMENTS, PLOT 12, SECTOR 12, DWARKA

SECTOR 12, DWARKA

MOBILE NO. FOR SMS CORRESPONDENCE : 9611192590

WHETHER SCHOOL TRANSPORT REQUIRED ? : NO

PICKUP POINT : DROP POINT :

DOES STUDENT HAS ANY SIBLING IN THIS SCHOOL :

NAME ADM No. & CLASS

j). ANNUAL INCOME 2500000 1000000

DECLARATION BY THE PARENT/GUARDIAN

Signature of Father Signature of Mother Signature of Guardian

FOR OFFICE USE

3. Alumni Proof 4. Sibling Proof

*To be submitted along with Acknowledgment receipt

*To be submitted along with Acknowledgment receipt

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