CONFIRMATION OF REGISTRATION FOR CLASS: NURSERY - XI (2024-2025)
Applicant's Name : Master AHAAN KHAN DOB : 29-Aug-2016
Class : II Age as on (01-04-2024): 7 Years 7 Months 2 Days
Registration Number : F0181-24 Child with Special Needs : No
Nationality : INDIAN Religion : Muslim
Gender : MALE First choice Email-ID :
[email protected]First choice Mobile No. : 9999854116 Case : Single Child
Category : General
Father's Details : Mother's Details :
Name : Mr. IRFAN KHAN Name : Mrs. SHAKRA KHAN
School Alumni : No School Alumni : No
Qualification: 12 TH Qualification: 10 TH
Single Parent : No Single Parent : No
Occupation : RUCTION TSNOC Occupation : IFE OW ESUOH
Profession/Designation : REGANAMCTION URTSNOC Profession/Designation :
Name of the Organization RUCTION TSNOC Name of the Organization:
Office Address : 1.ON ESUOH 55 CES ESUOH Office Address :
Annual Income : hkal 2 Annual Income :
Res Address : HOUSE NO 1 SEC 56 SECTOR-56 - 121004
State : HARYANA Res Phone No 9999854116
Previous School Details :
Last School Attended : DBN PUBLIC SCHOOL SEC 55 Last School Attended State:
Present Class studying : UKG Family Id / PPP:
Reason for leaving : SEEKING NEW OPPORTUNITIES AND A MORE
Previous TAILORED
Class EDUCATIONAL
Marks/Grade Percentag ENVIRONMENT.
96
Medium of Instruction in ENGLISH Affiliation to Board : CBSE
Previous School : Proficiency in games :
Payment Details :
Payment Type. : Online Pay Transaction Id: 260905109 Amount. : RS 1000/-
Undertaking / Declaration
Ø I certify that I am the bonafide guardian of the student being registered.
Ø The registration does not confirm admission. Admission is based on availability of vacancy and performance in entrance
test.
Ø I declare that I am in a position to pay the prescribed fees and funds and will not ask for Fee Concession.
Ø Registration Fee and Fee deposited at the time of Admission will not be refunded at any stage except Caution Money /
Refundable Security Deposit.
Ø I understand that the fee may increase as per the decision of the School Management.
Ø The name & date of birth of my ward as spelled above is correct and I shall not request for its change at a later stage.
Ø It would be my responsibility to ensure that my ward confirms to age criteria mentioned. My ward will be denied admission or
he/she will be asked to withdraw, if he/she is over-age or under-age or his/her age is found to be wrong at any stage.
Ø I have carefully read the rules & regulations regarding fee schedule / detail in the online School Prospectus available on
School Website.
Ø I hereby certify that my ward and myself shall follow all the rules, regulations and procedures as laid down by the school
from time to time.
Ø Registration Form of my ward will stand rejected if it is incomplete in any way and no correspondence / claim will be made
by me in this regard.
Ø I understand that the decision of the Management of the School shall be final & binding on me.
Ø I understand that further correspondence would be done through email.
Documents to be attached with Registration Form:
Ø Copy of Birth Certificate from Municipal Corporation / Authority will be required in support of Date of Birth.
Ø Copy of Aadhar Card of Student, Father & Mother.
Ø Copy of Residence Proof is mandatory.
Note:
Ø The candidate will be considered only for the class for which he/she is registered.
Ø The Registration Form duly completed should be submitted before the last date of registration.
Ø Please log on to School Website www.dav14faridabad.ac.in for process of admission and regular updates.
I certify and confirm that the above declarations and all the details provided by me are correct and complete. In case,
the information is found to be incorrect or false, my ward shall be automatically debarred from selection/admission
process without any correspondence to me in this regard at any stage/date.
Signature of Mother : Signature of Father :
Name : Mrs. SHAKRA KHAN Name : Mr. IRFAN KHAN
For Office use Only
Registration Number : F0181-24 DOB : 29-Aug-2016
Applicant's Name : Master AHAAN KHAN Class : II
Admission No : Date of Admission :
First choice Mob: 9999854116 First choice Email-ID :
[email protected] Authorized Signatory
Date & Time for Entrance Test : Reporting Time 9:00 a.m. (Primary Building) on 20.01.2024 (Saturda
All are requested to report at School Reception (Primary Building) alongwith copy of Registration
Form and required documents.