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The document is a registration form for admission under the EWS/DG/Freeship category for the session 2023-24 in Delhi. It includes personal details of the child, parents' information, proof of income, and selected schools. The father of the child, Naveen Gupta, declares the information provided is accurate and understands the consequences of any false information.

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0% found this document useful (0 votes)
9 views3 pages

Slippp

The document is a registration form for admission under the EWS/DG/Freeship category for the session 2023-24 in Delhi. It includes personal details of the child, parents' information, proof of income, and selected schools. The father of the child, Naveen Gupta, declares the information provided is accurate and understands the consequences of any false information.

Uploaded by

np942594
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2/11/23, 2:40 PM https://edustud.nic.in/studentadmission/print.

aspx

REGISTRATION FORM FOR ADMISSION UNDER EWS/DG/FREESHIP


CATEGORY FOR THE SESSION 2023-24
EDUCATION DEPARTMENT, OLD SECRETARIAT, DELHI-110054
General Details of the Child (बच्चे का सामान्य विवरण)
Registration ID
20230044866
(पंजीकरण संख्या)
First Name (पहला
JANVI
नाम)
Middle Name (मध्य
नाम)
Last Name (आखिरी
नाम)
Gender (लिंग) Female
Date of Birth (जन्म
07/10/2019
तिथि)
Proof of Date of Birth Birth Certificate under the Birth, Death and Marriages Certification Act,
(जन्म तिथि का प्रमाण) 1969.
Mobile No. (मोबाईल
9716550487
नं.)
Email Address (ईमेल
एड्रेस)
Applied Category
EWS
(आवेदित वर्ग)
Proof of Income for
Economically Weaker
Income Certificate issued by a Revenue Officer not below the rank of
Section (EWS)
Tehsildar.
(ईडब्लूएस कै टेगरी का
आय प्रमाण )
Annual Income Proof
Certificate
Issued/Applied
Issued
(ईडब्लूएस प्रमाण पत्र
जारी हो गया है/आवेदन
किया गया है)
Issued Certificate No.
(जारी सर्टिफिके ट की 90550001763761
संख्या)
Issued Certificate Date
(जारी सर्टिफिके ट की 26/10/2022
तारीख)
Aadhar No. of the
Child (बच्चे का आधार 637741911052
संख्या)
Class (कक्षा) Nursery/Pre-School
Details of Parents/Guardian (माता-पिता/अभिभावक का विवरण )
Mother's
Mother's NEHA Mother's Mother's
7678478170 Aadhar HOUSE WIFE
Name GUPTA Mobile No. Profession
No.
Father's
Father's NAVEEN Father's Father's SELF
9716550487 Aadhar
Name GUPTA Mobile No. Profession EMPLOYED/BUSINESS
No.
Guardian's
Guardian's Guardian's Guardian's
Aadhar
Name Mobile No. Profession
No.
Total Annual Income
of both the Parents
from all sources
96000
(सभी स्रोतों से माता
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(सभी स्रोतों से माता-
पिता की कु ल वार्षिक
आय)
Residential Address
h no-B-6/321
(आवासीय पता)
Assembly
Constituency (Vidhan Rithala
Sabha)
Residential Area
(Locality,sub-
Rohini, Sector 17B, Pocket 6
Locality,sub-sub-
Locality Data)
Pin Code (पिन कोड) 110089
Proof of Present
Residential Address
Electricity bill/MTNL telephone bill/water bill.
(वर्तमान आवासीय
प्रमाण पत्र)
Selected Schools (चुने गये विद्यालय)
Priority
Distance
No. School ID (विद्यालय
Range (दू री School Name (विद्यालय का नाम)
(प्राथमिकता आई डी )
की सीमा)
संख्या)
OJAS PUBLIC SCHOOL ( RTE ) - A-7, SECTOR-17,
0 to 3 KM 1 1413322
ROHINI, NEW DELHI
MOUNT ABU PUBLIC SCHOL - SECTOR-
0 to 3 KM 2 1310418
18,ROHINI,DELHI
ROCKFIELD PUBLIC SCHOOOL - POCKET-
0 to 3 KM 3 1413197
A,SECTOR-16,ROHINI DELHI-10089
SACHDEVA PUBLIC SCHOOL - SECTOR-13
0 to 3 KM 4 1413217
ROHINI DELHI
TITIKSHA PUBLIC SCHOOL - SEC-11 ROHINI
0 to 3 KM 5 1413247
DELHI
VIDYA BHARTI PUBLIC SCHOOL - SECTOR-15,
0 to 3 KM 6 1413252
ROHINI, DELHI-85
ST. ANGELS SCHOOL - SECTOR-15, ROHINI,
0 to 3 KM 7 1413253
DELHI-85
HAPPY CHILDREN PUBLIC SCHOOL - PLOT NO.
0 to 3 KM 8 1310464 83/1, GALI NO.-8, NEAR CHOPAL, SAMAIPUR
DELHI
HAPPY HOME PUBLIC SCHOOL - POCKET B-4
0 to 3 KM 9 1413204
SECTOR-2 ROHINI DELHI
ALOK BHARTI PUBLIC SCHOOL - B-1 SECTOR-16
0 to 3 KM 10 1413215
ROHINI DELHI
DEV CONVENT SCHOOL - KH. NO. 80 GALI NO.
0 to 3 KM 11 1253416
11 RAILWAY ROAD SAMAIPUR DELHI
QUEEN MARY'S SCHOOL - SECTOR-
0 to 3 KM 12 1413180
25,ROHINI,DELHI-85
DELHI INTERNATIONAL SCHOOL - PKT-B-5
3 to 6 KM 1 1413210
SECTOR-3 ROHINI DELHI
MOUNT ABU PUBLIC SCHOOL - SECTOR-5
3 to 6 KM 2 1413239
ROHINI DELHI-110005
ROCKFIELD PUBLIC SCHOOL (JUNIOR WING OF
3 to 6 KM 3 1413332
SEC-16 ROHINI) - SECTOR-3,ROHINI,DELHI
3 to 6 KM 4 1413256 LANCERS CONVENT - PRASHANT VIHAR, DELHI
above 6
No School selected
KM
I NAVEEN GUPTA, Father of JANVI hereby declare that the information given above is true and
correct to the best of my knowledge and belief. I have read and understood all the provisions of
the notification in this regard. In case any information is found false or incorrect on
verification, the admission of my ward may be cancelled and I will be liable for the action to be
taken against me as per law.
मैं NAVEEN GUPTA, JANVI का पिता एतद् द्वारा घोषणा करता हूं कि मेरी पूरी जानकारी और विश्वास के अनुसार उक्त
जानकारी सत्य एवं सही है। मैंने इस संबंध में अधिसूचना के सारे उपबन्ध पढ़कर समझ लिये हैं। यदि सत्यापन करने पर कोई
जानकारी झूठी या असत्य पाई जाती है तो मेरे बच्चे का प्रवेश रद्द किया जा सकता है व मैं अपने विरुद्ध कानून के अनुसार की जाने
वाली कार्र वाई के लिए उत्तरदायी हूँ ।
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