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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