Nishkal Khandelwal's Form
Nishkal Khandelwal's Form
Nishkal Khandelwal's Form
Student Details
Enrollment Number: MPSJNJ16675/16
Aadhaar No.: 361987620379
Category:
Blood Group:
Name of the student: Nishkal Khandelwal
Residential Address: C-36 , Laxminarayan Puri Surajpole Gate Jaipur
Date of Birth:: 03-Apr-2010
House:
Pincode: 302003
LandLine: 1412661363
Phone: 9636161688
Email: [email protected]
Mark of Identification:
Mother Tongue: Hindi
Disability(if any):
Nationality: INDIAN
Sibling (if any): No
Name of Sibling:
Sibling Enrollment No.:
Games Preferences: Games and activity allocation will be done as per availability and at schools discretion.
Priority 1: Basket Ball
Priority 2: Skating
Activity Preferences: Games and activity allocation will be done as per availability and at schools discretion.
Priority 1: Dance
Priority 2: Theatre
Transport: Self
Vehicle Type: Three Wheeler
Vehicle No: RJ14 PB 5159
Driver Name: Jagdish beniwal
Driver Mobile: 9414921868
Mother Details
Mother's Name: Kavita Khandelwal
Occupation Type: SELF EMPLOYED
Occupation Details:
Office Address:
Phone:
Mobile: 9828683003
Aadhaar No.:
PAN:
Email: [email protected]
Annual income(in Rs): 1,50,000
Vehicle owned by parent: Four Wheeler
Residential Status: Own House
Mode of conveyance: Own Arrangement
Mother Signature :
Father Details
Father's Name: Ashish Khandelwal
Occupation Type: BUSINESS
Occupation Details:
Office Address:
Phone:
Mobile: 9636161688
Aadhaar No.:
PAN:
Email: [email protected]
Annual income(in Rs): 3,00,000
Father Signature :
Guardian's Details
Guardian's Name: Keshav das gupta
Occupation Type: Business
Occupation Details:
Office Address:
Phone:
Mobile: 9351156959
Aadhaar No.:
PAN:
Email:
Annual income(in Rs):
Guardian's Signature :
I agree to terms and conditions.
The Principal
Maheshwari Public School, Jawahar Nagar
Dear Sir/Madam
Obey all the rules mentioned in the school diary/fact book and as amended time to time.
Deposit all fees and dues in the stipulated period announced or revised from time to time.
Personally see that my ward attends the school regularly and punctually in the prescribed uniform, maintains perfect
discipline in the school and follows all the instructions issued by the school from time to time.
Ensure that my ward attends important school functions i.e. Independence Day, Republic Day, Foundation Day,
annual Function and Teacher's Day compulsorily or where ever invited.
Enjoin upon my ward to take part in all the curricular and co-curricular activities including the school picnics
compulsorily and shall not tender any excuses for seeking exemption from them.
Attend all the Parent Staff Meets conducted by the school form time to time.
Accept the decision of the Principal with regard to school discipline as final and binding.
Accept the rules applicable for parents/students which are subject to change by the Principal at any time.
I have read the FactBook / School Diary of the current session and I bind myself to adhere to the rules therein or as modified
from time to time. The information given in this application form is correct & complete. I clearly understand that any false
information given may make my ward ineligible for appearing at the tests & examinations.
Note:- In case of any discrepancy in Student's name, Father's name, Mother's name, Blood Group and DOB please contact
school office.
Kindly submit the Hard copy of Renewal Form along with Aadhaar Card Xerox copy by 31-January-2018.