2017-2018 Form No :MARYIM-2017-2018-1012467-Jr KG-0382

St. Mary Kindergarden

Form for Class Jr KG

Applicant Name TRISHA ARUN VISHWAKARMA

Sr. No. Name of Document Submitted Online Physical Verification

1 Applicant's Photo

2 Family Photo

3 Applicant's Birth Certificate

4 Recent Semester / Term Marksheet

5 Leaving Certificate

6 Caste Certificate

7 Disability Certificate

8 Baptism Certificate

9 Father's Aadhar Card

10 Mother's Aadhar Card

11 Address Proof(Father) - Ration Card

12 Address Proof(Mother) - Ration Card

13 Father's Identity Proof - Aadhar Card

14 Mother's Identity Proof - Voter Id

15

16

Date of Online Submission : 29-Jan-2017

OFFICE USE ONLY

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COMMENTS : _________________________________________________________________________________________
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RECEIVED BY INSPECTED BY

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St. Mary Kindergarden MARYIM-2017-2018-1012467-Jr KG-0382
Receipt
Received from Mr./Miss : TRISHA ARUN VISHWAKARMA an application for Admission for Class Jr KG

Date : _____________________ For St. Mary Kindergarden

Note : This is a receipt of acceptance of form.
2017-2018 Form No. : MARYIM-2017-2018-1012467-Jr KG-0382

St. Mary Kindergarden

Dear Manager/Principal/Trustee,

I wish to apply for a place in abovementioned Class in the coming Academic Year 2017-18 for my child/ward. I have
supplied the information requested in the attached form; I declare that it is true and accurate. I agree that, if it is later
discovered that any information has been suppressed or found to be incorrect, this application may be rejected and
could lead to termination from the school.

I fully appreciate the fact that acceptance of this application is entirely left to the discretion of the school authorities, and
does not in any way guarantee admission.
I hereby state that by clicking on the link below and filling out the application form (digitally or otherwise) implies
unconditional acceptance of all the School’s admission procedures and process, rules, regulation and fees in force and
as may be changed from time to time.

I am conscious, agree and acknowledge the Constitutional Right of the Management to administer this minority
educational institution according to their choice, and accept their decision on admission, favourable or otherwise, as
final and binding.

I further accept that trying to bring influence in any form or from any person or quarter shall summarily disqualify
application and admission.
I have taken note of the long-standing stated policy of the school banning donations linked with admissions. To prevent
unscrupulous individuals and intermediaries taking advantage of gullible parents, I undertake to bring any such
information and details to the notice of: THE VIGILANCE CELL, ARCHBISHOP’S HOUSE, 21, N. PAREKH MARG,
MUMBAI 400001

PLEASE NOTE:
1.There is NO DONATION-LINKED ADMISSION. Do not pay money to anyone for seeking admission. Beware of
unscrupulous intermediaries (middle men and persons posing as agents) who, for their personal gain, offer to intervene
on your behalf. You could be deprived both of admission of your child as well as your hard earned money.
2.In order to tackle the menace of intermediaries taking advantage of gullible parents any attempt to bring influence will
disqualify candidature. Your bringing to the notice of our Vigilance Cell, any information that will help us keep the
admission process free from intermediaries will be treated with utmost confidence and will not jeopardise your child’s
admission.
3.Admission to Junior K.G. does not guarantee an automatic admission to Std. I.
4.On account of inadequate good quality schools, the number of applications that we receive is well in excess of the
number of children that we can admit. This, therefore, results in disappointment to all who cannot be accommodated.
While we do understand your concern as a parent, we trust you will appreciate our constraints in case your child is not
admitted. After announcement of the admissions (as all seats would be filled up), it would not help to seek an
appointment to put forward your case for special consideration.

Your co-operation would be appreciated.

Yours faithfully,

_____________________ _____________________

ARUN VISHWAKARMA SUREKHA VISHWAKARMA

(Father / Guardian) (Mother / Guardian)
2017-2018 Form No :MARYIM-2017-2018-1012467-Jr KG-0382

St. Mary Kindergarden

Form for Class Jr KG

Date of Online Submission :

29-Jan-2017
Receipt No. : __________

Child Details :
Child Name TRISHA ARUN VISHWAKARMA
Date of Birth 16-Aug-2013 Place of Birth Mumbai, MAHARASHTRA
Permanant , l m road , Shivaji nagar, Borivali (W), Mumbai, MAHARASHTRA, India - 400103
Address
Current Address , l m road , Shivaji nagar, Borivali (W), Mumbai, MAHARASHTRA, India - 400103
Distance from
Gender Female Blood Group Not Known 0.80 K.M
school
Nationality Indian Religion Hindu Caste OPEN
Main Language Last school Grade / Standard
Hindi N/A N/A
Spoken attended Passed
Residential Tel +91 Has special needs? No Disability Type None

Parental Details:
Details Father Mother
Name ARUN RAJARAM VISHWAKARMA SUREKHA ARUN VISHWAKARMA
Relation with Child Father Mother
Maritial Status Married Married
Age 32 31
Nationality Indian Indian
Religion Hindu Hindu
Mobile no. +91 9702749474 +91 7666257999
Country of Residence India India
Is school alumni? No No
SMT. KAMLADEVI GAURIDATTA MITTAL GURUKUL VEDIC SANKRUTI VIDYALAYA -
Name of Institute COLLAGE , MALAD SIRATHU
Institute City MUMBAI UTTAR PRADESH
Highest Qualification XII Pass/Diploma XII Pass/Diploma
Occupation Business Person Home maker/Unemployed
Employers Name SELF N/A
Office Address OPERATED FROM HOME N/A
Email LICINDIA.ARUN@GMAIL.COM
Annual Income 120,001 - 2,40,000 0 - 120,000
Dependants 6

Sibling Details :
No. of Siblings 2 No. of Brothers 0 No. of Sisters 2
Name Age Gender Class/Div Roll No. School Name
Mary Immaculate Girls' High
SNEHA VISHWAKARMA 11 Female VI / C 18 School, Borivli
Mary Immaculate Girls' High
NANDINI VISHWAKARMA 9 Female IV / E 2 School, Borivli

_____________________ _______________________
(Father / Guardian) (Mother / Guardian)