Arwachin Bharti Bhawan

ARWACHIN BHARTI BHAWAN
SENIOR SECONDARY SCHOOL
VIVEK VIHAR, NEW DELHI - 110095
Phones : 22141630, 22151630, 22151730

APPLICATION FOR REGISTRATION
(For L.K.G. and U.K.G.)

PHOTO

Sl. No. ...........

Date ...................
1 a. NAME OF THE PUPIL (in block letters) ..................................................................................
b. DATE OF BIRTH (in figures) ............................................ (in words) ....................................
2 a. PARENT'S NAME ................................................................................................................
FATHER ........................................................ MOTHER ........................................................
b. FULL RESIDENTIAL ADDRESS (in block letters) ........................................................................
TELEPHONE No. (RESIDENCE) .................................... (OFFICE) ...........................................
c. PROFESSIONAL/DESIGNATION
FATHER ........................................................ MOTHER ........................................................
d. MOTHLY INCOME
FATHER ........................................................ MOTHER ........................................................
e. OFFICE ADDRESS
FATHER ........................................................ MOTHER ........................................................
f. GENERAL EDUCATION
FATHER ........................................................ MOTHER ........................................................
3 a. NUMBER OF BROTHERS & SISTERS & THE POSITION OF THE CHILD AMONGST THEM
..........................................................................................................................................
b. NAME OF BROTHERS & SISTERS STUDYING IN THIS SCHOOL
1.  ........................................  2.   ....................................  3.   .........................................
c. REAL BROTHERS & SISTERS IN ANY OTHER SCHOOL
1.  ........................................  2.   ....................................  3.   .........................................
4 a. DO YOU OWN A HOUSE OR ARE YOU IN A RENTED HOUSE
 
OWN
 
RENTED
b. IF RENTED, SINCE WHEN
 
MONTH
 
YEAR
5 IN CASE YOUR CHILD IS ADMITTED, WHAT KIND OF TRANSPORT WOULD YOU LIKE TO USE FOR
HER/HIS COMMUTING TO SCHOOL
           

SCHOOL BUS

 TAXI CAR AUTO BICYCLE WALKING
 
6		  
ARE YOU IN A JOINT FAMILY
 
YES
 
NO
7 IN CASE BOTH ARE WORKING WHO LOOKS AFTER THE CHILD AT HOME TILL THE MOTHER OR FATHER COMES
BACK
8 IS SCHOOL DAY BOARDING REQUIRED
 
YES
 
NO
9 IS YOUR CHILD AN
 
INTROVERT
 
EXTROVERT
 
AMBIVERT
10 a.  WHAT KIND OF TOYS DOES YOUR WARD LIKE TO PLAY WITH
b. WHAT KIND OF GAMES DOES YOUR WARD LIKE TO PLAY
 
 
11 DOES SHE/HE PLAY ALONE OR WITH FRIENDS
 
ALONE
 
WITH FRIENDS
12 IS YOUR CHILD AFRAID OF A SITUATION SUCH AS
a. SLEEPING ALONE
 
YES
 
NO
b. DARKNESS
 
YES
 
NO
c. ANY ANIMAL
 
YES
 
NO
13 IS SHE/ HE GRIPPED WITH FRIGHT EASILY
 
YES
 
NO
14 HAS SHE / HE A PROBLEM OF BEDWETTING
 
YES
 
NO
15 WAS THE BIRTH OF THE CHILD
 
NORMAL
 
PREMATURE
 
DATE
                     SIGNATURE
                     MOTHER .............................................. FATHER ...............................................
 

NOTES

(1)

Age Two & half year for pre-Nursery, Three & half year for LKG & Four & half year for UKG on 30th Sept.

(2)

Incomplete application will not be entertained.

(3)

Registration does not mean reservation of seat.

(4)

Parents are requested to submit complete application form along with attested copy of original Date of Birth certificate issued by M.C.D./Municipal/B.D.O. No affidavit will be accepted for date of Birth.

(5)

Three passport size photos with name & address at the back of the photo.

(6)

School conveyance available only on existing routes.

(7) Photo of Parents and child ( for admission ) to be affixed.