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New Horizon Public School & Penguin Kids: ADMISSION FORM (2019-20)

This document is an admission form for Ms. Kunjan Rakshe seeking admission to New Horizon Public School for Nursery class. It provides personal details of the student such as name, date of birth, religion, category, and identification marks. It also includes contact and income details of the parents - Mr. Sachin Rakshe who is a privately employed doctor and Mrs. Rajashri Rakshe who works for the government as a hospital employee. The residential address of the family in Navi Mumbai is also listed, along with the last school attended. The parents sign to agree to follow school rules if admission is granted.

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173 views2 pages

New Horizon Public School & Penguin Kids: ADMISSION FORM (2019-20)

This document is an admission form for Ms. Kunjan Rakshe seeking admission to New Horizon Public School for Nursery class. It provides personal details of the student such as name, date of birth, religion, category, and identification marks. It also includes contact and income details of the parents - Mr. Sachin Rakshe who is a privately employed doctor and Mrs. Rajashri Rakshe who works for the government as a hospital employee. The residential address of the family in Navi Mumbai is also listed, along with the last school attended. The parents sign to agree to follow school rules if admission is granted.

Uploaded by

suhasshinde88
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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New Horizon Public School & Penguin Kids

CBSE Affiliation No. 1130164

Sector-13, Khanda Colony, New Panvel (W), Navi Mumbai -410206

Contact : 27461567 / 27461568

ADMISSION FORM (2019-20)


S. No. .................. G.R. No. ...................................

Saral ID ......................................... Student ID. NHPSPSTD

Shift. .......................................

To,
The Principal,

I am seeking admission for my ward in Grade / Class NURSERY in your School.

1. Pupil's Full Name : MS. KUNJAN RAKSHE

2. Date of Birth : 07/09/2015 Place of Birth : MUMBAI District : MUMBAI

State : MAHARASHTRA

3. Nationality : INDIAN Religion : HINDU Category : GENERAL

Caste : ..................... Mother Tongue : MARATHI

4. Aadhaar Card No : .....................

5. Father's Full Name : MR. SACHIN RAKSHE

Qualification : GRADUATE Occupation : PRIVATE EMPLOYED Annual Income : 2 LACS - 5 LACS

Name of the Organization & Address : DR.SINGH CITY HOSPITAL, KALAMBOLI, SECTOR-4

Mobile : 9987925411 Telephone : ..................... Email ID : [email protected]

6. Mother's Full Name : MRS. RAJASHRI RAKSHE

Qualification : UNDER GRADUATE Occupation : GOVERNMENT EMPLOYED Annual Income : 2 LACS - 5 LACS

Name of the Organization & Address : J.J.HOSPITAL, BYCULLA, MUMBAI

Mobile : 9819117379 Telephone : ..................... Email ID : [email protected]

7. Guardian's Full Name :


Relation with Pupil : .....................

Qualification : ..................... Occupation : ..................... Annual Income : .....................

Name of the Organization & Address : ,

Mobile : ..................... Telephone : ..................... Email ID :

8. Residential Address : ROOM NO-304, TIRUPATI SOCIETY, PLOT NO-21, SECTOR-22, KAMOTHE, NAVI
MUMBAI

Area : KAMOTHE City : PANVEL

PIN Code : 401209 State : MAHARASHTRA

9. Last School Attended : LITTLE SCHOOL HOME

City : ..................... State : MAHARASHTRA

10. Any identification mark on the body : .....................

I hereby declare that I shall cooperate with the school authorities and abide by all the rules and regulations of school and the
information stated above is true to the best of my knowledge.

Father's Signature ............................. Mother's Signature ........................... Guardian Signature .............................

For Office Use Only


MS. KUNJAN RAKSHE having Date of Birth 07/09/2015 is given Provisional / Regular admission in Grade
NURSERY Div._______ on _______/_______/20_______

Documents Received -

Original Birth Certificate / Notarised copy of Birth Certificate (NURSERY - GRADE I)

Original School Leaving Certificate (GRADE II ONWARDS)

Photocopy of Previous Year Report Card (JR. KG ONWARDS)

Authorised Signatory Principal

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