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Admission Form Print

This document is a registration form for Tanushree Dinesh Purohit seeking admission to Class VI at St. Mary's High School in Jalna, Maharashtra, India. It provides her personal details such as date of birth, parents' names and occupations, family address, income, and previous school information. Her father, Dinesh B Purohit, signs agreeing to abide by the school's rules and ensuring the accuracy of the information provided about his child.

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Dinesh Purohit
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348 views1 page

Admission Form Print

This document is a registration form for Tanushree Dinesh Purohit seeking admission to Class VI at St. Mary's High School in Jalna, Maharashtra, India. It provides her personal details such as date of birth, parents' names and occupations, family address, income, and previous school information. Her father, Dinesh B Purohit, signs agreeing to abide by the school's rules and ensuring the accuracy of the information provided about his child.

Uploaded by

Dinesh Purohit
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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St.

Mary's High School, Jalna


St. Mary's Education Society
(Minority Institution)
Devalgaon Raja Road, Tq - Jalna, Dist. - Jalna
Tel : +91 2482231144 Email : smsjalna@gmail.com
School Recognition No..HS.10/EDN/76/707, Dt.28/09/1976 Medium:English
UDISE No. 27180102684 Board:Maharashtra State Board Index No.6101016

Registration Form Student


Photo

Form No : 400125 Admission No:


Class in which admission is sought VI
Full Name of the Student Tanushree Dinesh Purohit
Date Of Birth (With Birth Certificate) Age as on 27/02/2008 (11 Years 4 Months)
01/06/2019

Birth Place,Village,Taluka,District , JALNA, ,


Sex Female
Father's Full Name Dinesh B Purohit
Father's Qualification & Occupation B.COM, Private Service
Father Mobile Number 9423845183
If Father is Alumni, specify the details
Mother's Full Name Shithil D Purohit
Mother's Qualification & Occupation , Housewife
Mother Mobile Number 9552720034
If Mother is Alumni, specify the details
Mother Tongue
Category, Caste, Religion , ,
Full Address Arunima Gokuldham
Family Annual Income 0
Sibling In St. Mary's / Ex. St. Marians
Distance From School
Last School, Class and Board , I,

Hereby I Dinesh B Purohit agree to abide by the rules and regulations,(School Time,Fees,Uniform and Discipline) of
St Mary's High School and work for the welfare of our children. The information I have given regarding my child is
correct and true.I Promise that I will not bring any change (Name,Date of Birth,Cast ,Surname and Spelling etc) in
what I have filled

đœDinesh B Purohit ĝŃćđĹēıĝĞĭéˋijĕøĸĮċĒđ§ĮęĮċđĒ‡ˋijĕĝđĒ~Ďıĝ~ĒijĮċĎĭđŊõēæċIJĚĭĝċˆøĭčĭĕċøēćĸŠð


ďDŽļŃøĸêǍęĕĐĮęˈøĸĮĕðˋijĕøĭĝĞĒļúøēćĭēšŁúĭI đĸēĸȪĭēĭĉıúéÿĭċøĭēıčijĆŊĝȑĞĹI đœèĝĞĸćIJĝĞđ暣Įø
ĐĮęˈđŐĮøĝıŮøĭēøĭčįēęćŊċ‡ÿɉĮĉċĭŁø~ċĭđ~˙ĸĮĕŃú~ÿĭĮćðęŃêčÿĭĮćèȑĭĮĉˆđĸēĸȪĭēĭċĞıŃĮøĒĭÿĭðúĭI

Date:1/25/2019 H.M/Principal Parent's Signature

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