Dwarka, New Delhi

Website: www.ShreeRam.in Email: info@ShreeRam.in

(Session: 2019-2020)

Application No.:SRWSAPP202421
General Instruction:
Registration will be treated as incomplete and will be rejected if the Physical Registration Form along with the required necessary documents &
Registration Fee of Rs. 25/- Cash are not received before 15:00 hrs, 07th January, 2019.

Details of the Student

First Name: KAVIR Last Name: BHALLA

Date of Birth: 2015-11-02 Date of Birth(in words): SECOND NOVEMBER TWO THOUSAND AND FIFTEEN
Nationality: INDIAN Class Applying For: Pre-School
Aadhaar No. of the Child: 225170532758
Place of Birth: NEW DELHI Mother Tongue: PUNJABI Gender: Male

Parents Details Father Mother Guardian

Photographs:

Name: NAMAN BHALLA MANSI BHALLA MANSI BHALLA

Profession/Occupation: BUSINESS HOUSE MAKER BUSINESS
Name of Organization: OM SONS NA OM SONS
Designation: MANAGER NA OWNER
Office Address: 6120 MAIN ROAD SADAR BAZAR NA 6120 MAIN ROAD SADAR BAZAR
DELHI-110006 DELHI-110006
Telephone Office: 9999179790 0113535048
Telephone Residence: 01125463792
Mobile Number: 9654652652 9999179790 9811997723
Email: mansi.bhalla111@gmail.com mansi.bhalla111@gmail.com mansi.bhalla111@gmail.com
Aadhaar No.: 458101042260 960051237931 2147483647

Address:

Present Address: I-26 KIRTI NAGAR NEW DELHI Permanent Address: I-26 KIRTI NAGAR NEW DELHI -
110015 110015

Other Details:

Other Details(Category): General

Details of children:

i) No. of children(Including the child): 1

ii) Details of school going children

 Child-1 Child-2 Child-3

Name of child
Class
Institution
Admission No.

Siblings

Please Mark the category for application, if applicable

Real Sibling: NA
Is a sibling of the student studying in this school?: No

Information on Criteria adopted by the school:

Neighborhood - (Distance of the School from the Residence)

Neighborhood / Distance: Beyond 8 kms

Is the school Transport required? YES

UNDERTAKING

I, __________________________________ father/mother/guardian of __________________________ hereby declare that

information given above by me is based on facts and authentic records. I fully understand that the school, on accepting the
registration form of my ward is not bound to grant admission and I also agree that the decision of the school authority regarding
admission will be final and binding on me. Admission of my child may be cancelled if any information is found to be false.

Date of Submission of Form: ______________________

Sign of Mother: ______________________ Sign of Father: ______________________

Name of Mother: ______________________ Name of Father: ______________________