ST.

GREGORIOS PRE-PRIMARY SCHOOL

(An Unaided Christian Minority Institution established in 1981)
B-2, Janakpuri, New Delhi-110058
Tel : 011-25505526, 011-25086626
www.stgregoriosschooldelhi.com
ADMISSION FORM FOR PRE SCHOOL ,YEAR 2014-15

For Office Use Only

Form No.

-------------Affix Photo
here

1. Name of the Child (In Block Letters): _____________________________________________

2. Gender (Tick the appropriate)

: Boy / Girl

3. Date of Birth (DD/MM/YYYY)

: _______________________________________________

4. Fathers Name

: _______________________________________________

5. Mothers Name

: ______________________________________________

6. Residential Address

: ______________________________________________
_____________________________________________
_____________________________________________

Phone No.(s)

: (Resi:)_________________________________________
Father (M________________Mother (M)____________

E-mail Address (if any)

7. Sibling in St.Gregorios School
(Own brother/ sister only)
(Tick the appropriate)
If Yes, give details

: ____________________________________________
Yes / No

1. Name: ___________________________________
Class & Sec: ________ Admn. No: __________
2. Name: ___________________________________
Class & Sec: ________ Admn. No: __________

8.

St. Gregorios Alumni

(Tick the appropriate)
(a) Father
Yes / No If Yes, year of passing: ___________
(b) Mother

Yes / No

If Yes, year of passing: ___________

9. (a) Father's Qualification

& Occupation
:__________________________________________________
Office Address

:__________________________________________________
___________________________________________________
Tel. No. : _________________________________________

(b) Mothers Qualification

& Occupation
:__________________________________________________
Office Address

: ________________________________________________
_________________________________________________

Tel. No. : _________________________________________

10. Religion : _______________
11. If Christian, specify the Denomination

: ____________________________

12. Whether want to avail transportation on the existing routes ( ) : (Yes / No)
13.Applied under Christian minority Quota/ Staff Quota / Girl Child / Open Seat Quota.
DECLARATION FROM THE PARENTS
I / We hereby declare that the above information provided is correct and I/ We understand that if the
information is found to be incorrect or false and the necessary supporting documents are not
enclosed, the ward shall be automatically debarred from selection / admission process without any
correspondence in this regard. I/ we also understand that the application / registration / short listing
do not guarantee admission to my ward. I/ we accept the process of admission undertaken by the
school and I / we will abide by the decision taken by the school authorities.

Signature of the Mother

.
Signature of the Father

For office use only

Remarks:
Principal

Date: ___________

Attested photocopies of the following to be submitted along with the form:

1)

Birth Certificate issued by Municipal Corporation / Tehsil / Gram Panchayat.

2)

Proof of Residence Only Electricity / Water / Telephone Bill / Voter's I- Card.

3)

Proof for Alumni (wherever applicable).

4)

In the case of Christian, Baptism certificate.

5)

Orthodox Christian students shall submit Parish/ Vicar ' Certificate.

6)

Family Photograph (together )

Imp. Note: 1) Those parents who are applying under different categories will be considered
admission in that category only, but not in any other category (i.e if parent applies under Staff
quota will not be considered under Open seat.
2) Incomplete application forms will be rejected.

The duly filled in forms should be submitted from 21 st January to 31st January 2014
between 9 am to 12 noon in the school office at St. Gregorios School ,Sector-11,Dwarka,
along with Rs.25/- (application cost)
Principal