REGISTRATION FORM PRE- SCHOOL Registration No. ______

Admission to Class :______

ShreeRam World School

Website : Email :

Sector-10,Dwarka, New Delhi-110075

[Managed and run by Mata PhoolanWanti Educational Society (Regd.)]

Session: 20____- 20____ )

Passport size
photograph of Father / Passport size
photograph of Mother / Passport size
photograph of the Child

Instructions for filling the form:

  • Write in capital letters.
  • Please give complete and correct information and all columns to be filled.
/
  • Attach Photocopy of the Transfer Certificate/Birth Certificate issued by competent authority.
  • Please attach 2 different proofs of your residence.

Details of the Child

First Name / Last Name
Date of Birth (in figures) / Date of Birth (in words)
Date / - / Month / - / Year
Place of Birth -
Nationality
Mother Tongue
Aadhar No. of the child
Parents Details / Father / Mother / Guardian
Name
Profession/Occupation
Name of Organization
Designation
Office Address
Tel.(Office)
Tel. (Residence)
Mobile
Email
Aadhar No.

Address

Present Address / Permanent Address

Other Details (Tick (√) the appropriate with proof)

General / OBC / SC / ST / Minority Community
(Specify)

Details of Children

i)No. of children (including the child) ______

ii)Details of school going children

Name / Class / Institution / Admission No.
(If in this school)
Yes / No

Is the school Transport required?

Please register my ward named above in your school. I shall produce the original documents at the time of admission.

SIGNATURE OF PARENT/GUARDIAN

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.

SIGNATURE OF PARENT/GUARDIAN

ShreeRam World School, Dwarka

School Specific Parameters for Admission

During the year 2017 -18

Please attach proof of residence and for sibling if applicable

Name of the Child : ______

Class : ______Registration No. : ______

1)Neighbourhood

a)Place of Residence (Address) :______

______

b)Distance of Residence from School (tick the applicable)

0 -1 Kms 1 – 3 Kms

3-6 Kms Beyond 6 Kms

(For distance please see overleaf)

2)Sibling

a)Is a sibling of the child studying in this school

(Please reply with reference to real sister/ brother only)

b)If yes, please give following details of the sibling

Name of the Child : ______

Class &Section : ______

Admission No. : ______

Signature of the Parents/Guardian

Localities/Sublocalities Area identified by the School for admission session 2017-18
0-1 KMS / 1-3 KMS / 3-6 KMS
SECTOR – 6, DWARKA / SECTOR – 1, DWARKA / SECTOR – 14, DWARKA
SECTOR – 7, DWARKA / SECTOR – 2, DWARKA / SECTOR – 16, DWARKA
SECTOR – 9, DWARKA / SECTOR – 3, DWARKA / SECTOR – 16B, DWARKA
SECTOR – 10, DWARKA / SECTOR – 4, DWARKA / SECTOR – 17, DWARKA
SECTOR – 11, DWARKA / SECTOR – 5, DWARKA / SECTOR – 23B, DWARKA
RAMPHAL CHOWK
SEC-7, DWARKA / SECTOR – 25, DWARKA
SECTOR – 8, DWARKA / SECTOR – 26, 27,28A, 29, DWARKA
SECTOR – 12, DWARKA / SHAHBAD MOHAMMADPUR
SECTOR – 13, DWARKA / MATIALA
SECTOR – 18, DWARKA / DABRI
SECTOR – 18A, DWARKA / NAWADA
SECTOR - 19, DWARKA / POCHAN PUR
SECTOR – 19B, DWARKA / DULSIRAS VILLAGE
SECTOR – 20, DWARKA / VIKAS PURI, HASTAL VILLAGE
SECTOR – 21, DWARKA / RANAJI ENCLAVE, LAXMI VIHAR
SECTOR – 22, DWARKA / VIJAY ENCLAVE, TAMIL ENCLAVE
SECTOR – 23, DWARKA / CHANDER NAGAR, PREM NAGAR
PALAM VILLAGE / SHIV NAGAR, JANAK PURI, HARI NAGAR,PRATAP NAGAR, JAIL ROAD
RAJ NAGAR PART 1 & 2 / MANGLAPURI, NASIRPUR
BAGDOLA VILLAGE / SAGAR PUR, SEWAK PARK
AMBERHAI VILLAGE / GOYLA DIARY/VIHAR
RAJA PURI / GULAB BAGH/QUTUB
MADHU VIHAR / BHARAT VIHAR, MILAP NAGAR
PALAM COLONY / VIKAS VIHAR, VIPIN GARDEN
MAHAVIR ENCL. 1,2,3 / PRAHLADPUR, KESHO RAM PARK
BINDAPUR / NASIR PUR, DASRATH PURI
SADH NAGAR 1 & 2 / UTTAM NAGAR, KAKROLA, NSIT
SITA PURI / JEEVAN PARK, JAIN COLONY
SHYAM VIHAR/ CHANDRA PARK KAKROLA
NANGAL VILLAGE, SHIV PURI
BIJWASAN, PUSPANJALI