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LKG Application

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Photo of Photo of
Child Father,
self attested
Bharatiya Vidya Bhavan
(Pre-Primary Unit)
JUBILEE HILLS, HYDERABAD
Latest
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APPLICATION FORM Photo of
FOR LKG – 2023-24 Mother, self
Admission No…………………. Regn.No: attested

1. Name of the Student as per the birth certificate:


(in block letters)
Date Month Year
2. Date of birth (in figures) : Place of birth……

(in words) :

3.Age at the time of admission : Yrs Month(s) days Gender: M F


as on 31 May 2023
st

4. Aadhar Card No. of child :……………………………


5. Family details FATHER MOTHER
Name :
 (should be strictly in accordance with the Date of Birth Certificate of the Child)

Qualification(s) :
Occupation :
Designation :
Monthly income :
Office Address :

Res.Address : Tel.No.Res
Tel.No.Off. :
Mobile :
e.mail :
Nationality :
(In case of a child having foreign citizenship, should produce a copy of valid VISA for the period of
their study in the school)
Religion :
6.Community (enclose a certified/Xerox copy: SC BC ST OC
of the supporting document)
7.Mother tongue of the pupil :
8. Identification marks : 1) 2)
9. Name and class of brother/sister (own): 1) Class: Sec
Studying in this school (Not Cousins) 2) Class Sec

(Contd…P.No.2)
(Page No.2 of 2 pages)

10..I/We am/are legally guardians of Kum/Mast:


11.Name & address of the guardian
(if the child is not staying with
parents) and relationship :

12,Are you the Member of


Jubilee Hills Co-Operative House Building Society Ltd.
If yes, (a) indicate the membership No. b) plot No. Road No.
13.The Registration fee of Rs.500/- is paid herewith
a. I understand that admission is not guaranteed merely on registration of this
application and that the school Management’s decision is final and binding on me.
b. I certify that the information given above is correct. I/we will not request/demand for
any change in D.O.B. and names of child and parents further. If my ward is admitted
into the school, I shall be responsible for the regular payment of fees and other dues of
my ward as per the rules laid down by the school from time to time.
c. We agree that the school reserves the right to change at any time the structure of fees or
any rules and regulations concerning the school, such changes will be binding on us.

Date: Signature of Mother Signature of Father

Place: (NAME IN BLOCK LETTERS) (NAME IN BLOCK LETTERS)

Note: 1. At the time of registration date of birth certificate issued by the competent authority to
register the birth (Municipality/Corporation at the place where the child was born) should
be submitted.
2. Refund of fees paid by the parents will be regulated according to the terms and conditions
mentioned in the prospectus.
3. Any change of address will immediately be notified to the school.
Encl:
1. Certified Xerox copy of date of Birth Certificate.
2. Copy of any valid document indicating the place of residence as given in the application.
3. Copy of relevant document (study/Transfer Certificate) regarding their studies in the
school in respect of parents who are ex-students.
4. If the application is submitted mentioning a reference to the Membership of Jubilee Hills
House Building Co.Operative Society Ltd., attested Xerox copies of the Membership in
proof may be furnished.
5. In case of a child having foreign citizenship, should produce a copy of valid VISA for
the period of their study in the school.
6. Copy of Bonafide Certificate, in case of sibling students, studying in this school.
7. Copy of Aadhar Card (student)

Verified by
FOR OFFICE USE

Rs. Receipt No. dated for Regn.No.

Initials of Accounts Dept. Counter Signature of the


Principal

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