CLASS: PRE-SCHOOL (ACADEMIC YEAR: 2021-2022) General Instructions: - Kindly fill all the details carefully. - No modifications allowed once the form is submitted. - Please attach all the requisite documents, otherwise form will be considered as incomplete. - Last date of submission of Form is 04.03.2021 (Thursday). - Do not Fill duplicate Form. Admission Application No.: ______ (For office use only) Category Applied for: Open Seats Name of the Student : Date of Birth (In words) : Date of Birth (In figures) : Age as on 31.03.2021 (In figures) : 01 Year02 Years03 Years04 Years05 Years 00 Months01 Month02 Months03 Months04 Months05 Months06 Months07 Months08 Months09 Months10 Months11 Months12 Months 00 Days01 Day02 Days03 Days04 Days05 Days06 Days07 Days08 Days09 Days10 Days11 Days12 Days13 Days14 Days15 Days16 Days17 Days18 Days19 Days20 Days21 Days22 Days23 Days24 Days25 Days26 Days27 Days28 Days29 Days30 Days31 Days Sex (Tick whichever is applicable) :MaleFemale Student’s Aadhar No. : Mother’s Name : Father’s Name : Present Residential Address : Tel. No. (Resi.) : Mobile No. (Mother) : Mobile No. (Father) : Email Id. : Is a Sibling of the student studying in Aadharshila Vidyapeeth? Please reply only with reference to own sister or brother. (Tick whichever is applicable)YesNo If yes, please give the following details of the sibling (Attach proof):- Admission Number : Name of the Sibling : Class & Section (2020-2021) : Date of Birth : Category (General / EWS) : Sex : Mother’s Name : Father’s Name : Residential Address : Is Current Staff of Aadharshila Vidyapeeth applying for his / her ward? (Tick whichever is applicable)YesNo Name of the Staff : Parameters and Points : Sr. No Parameters / Criteria(Attach Proof) Points Enter Points(For Parents) a Distance / Neighbourhood 00.0 - 03.0 Km 70 03.1 - 07.0 Km 50 07.1 Km and above 30 b Sibling : Yes/No:____ (Own Brother / Sister only) 30 Total Points : 100 The Admission Application Fee (Registration Fee) is 25.00 only (Non-Refundable), to be paid in cash. Please register my son/daughter named above in your school. I shall produce the requisite documents at the time of admission. Undertaking I father/mother of hereby declare that the information given above by me is correct. Admission of my child may be cancelled if any information is found to be false. DOCUMENTS TO BE ATTACHED: (A) Scan copy of the following documents are to be enclosed: - (i) Scan copy of Birth Certificate of the Child issued by Municipal Corporation of Delhi, or any other authorized agency. (ii) Proof of Residence (any one) : - Ration Card/Smart Card issued in the name of parents (Mother/Father having name of child). - Domicile certificate of child or of his/her parents. - Voter I-Card (EPIC) of any of the parents. - Electricity bill/MTNL telephone bill/Water bill/Passport in the name of any of the parents or child. - Aadhar Card/UID card issued in the name of any of the parents. (iii) Proof of Sibling of the student studying in Aadharshila Vidyapeeth, CD-Block, Pitampura, Delhi. (B) Upload photograph of the Student.