Mar 31, 2017 - Please use only a blue / black ball pen to fill the form. 3. Do not enter the registration number yoursel
For Office Use Only
Please paste the latest photograph of the child here
Registration. No. _____________ Date of Submission ___________
MODERN SCHOOL Vasant Vihar
Verifying Authority: __________
APPLICATION FOR REGISTRATION PRE-SCHOOL (NURSERY) ACADEMIC SESSION 2017-18
Approving Authority: _________
Please read the instructions overleaf. ‘Certificate from the parent’ (overleaf) must be signed for acceptance of this form. Incomplete form will not be accepted. (PLEASE FILL IN BLOCK LETTERS) 1. Please indicate the category to which you are applying with a Alumni Name of the Child
3.
Date of Birth:
in the relevant box :
Defence
Sibling
2.
√
General Boy / Girl __________
_______________________________________
DD
MM
Age as on 31.03.17 ____________
YYYY
Date of Birth in words ________________________________________________________________ 4.
Details of Child’s Parents :
____________________________
___________________________
Residential Address :
____________________________
___________________________
____________________________
___________________________
____________________________
___________________________
____________________________
___________________________
____________________________
___________________________
____________________________
___________________________
(Mobile) : E-mail Id : Details of Alumni (Please put a Mother 6.
Mother
Name :
Tel No. (Residence) :
5.
Father
√
in the appropriate box):
Father
Grandparent(s)
Details of Sibling(s) studying at Modern School, Vasant Vihar : Name of the Sibling(s)
Class
Admission No.
_________________________
___________
___________
_________________________
___________
___________
P.T.O.
MODERN SCHOOL Vasant Vihar New Delhi-110 057 General Instructions: 1. Kindly fill in the form in CAPITAL LETTERS only. 2. Please use only a blue / black ball pen to fill the form. 3. Do not enter the registration number yourself. 4. Use appropriate tick mark as
√ in the relevant box given in section 1 and 5.
5. Please attach the following documents on the day of submission of form. a) Proof of residential address (Photocopy of any one of the following documents is to be enclosed): Ration Card issued in the name of parents (mother/father having name of the child) / Domicile Certificate of child or of his/her parents / Voter ID / MTNL Telephone Bill / Electricity Bill / Water Bill /UID Card / Passport b) Self-attested photocopy of the Date of Birth Certificate of the child. c) In case of sibling applicant, duly signed certificate from the school office. d) In case of parent / grandparent being an alumnus, duly signed certificate from the school office. e) In case applied under Defence Forces quota, a certificate from current employer on the employer’s letterhead. 6. Kindly note that the school DOES NOT provide transport facility for Pre-School (Nursery). CERTIFICATE FROM THE PARENT I / We accept the process of admission undertaken by the school and I / we will abide by the decision taken by the school authorities. I / We also understand that the application/registration/wait listing does not guarantee admission to my/our ward. I / We hereby certify that the above information provided by me / us is correct. I / We understand that if the information is found to be incorrect or false now or later, my / our ward will be automatically debarred from the admission / continuance without any correspondence in this regard.
