Mother's Dreamland Junior High School

MM-90-91, DLF Ankur Vihar, Loni, Ghaziabad-201102 (U.P)

Tel. +91-81306 80001 / 8130640001

E-mail : info@mothersdreamland.com

Website : www.mothersdreamland.com

Print Registration Form Print Registration Form
REGISTRATION FORM
Please fill in this Application Form Fields with * are mandatory (Please mark N/A if any field is not applicable to you).
Applied Class *
Child Details :
First Name *		Middle Name
Last Name		Sex*
Date of Birth*		Age as on 31-03-2024
Aadhaar No.		Previous school
Previous Class		Position obtained
Medium of Instruction
Religion*		Category*
Mother Details :
First Name *		Middle Name
Last Name		Qualification
Profession*		Office Tel. No.
Office Address
E-mail		Mobile*
Aadhaar No.
Father Details :
First Name *		Middle Name
Last Name		Qualification
Profession*		Office Tel. No.
Office Address
E-mail		Mobile*
Aadhaar No.
Address Information :
Residential Address*
Distance from School*
Is School transport required ?	Yes No
Sibling Detail :
Sibling Details (Applicable on real brother and sister, Studying in MDL).Yes No
Name		Class
Admission No
Other Information :
School Alumni (Tick the appropriate)
(A) Mother	Yes No Year of passing
(B) Father	Yes No Year of passing
First Born Child	Yes No
Twin Child	Yes No
Adopted Child	Yes No
Staff Ward	Yes No
Medical information : Any specific allergy Yes No
(B) Any specific disability Yes No
If yes, give details *
PLEASE NOTE :
1. This is merely a registration form & does not guarantee in any way the admission of your ward in the school. 2. Incomplete or incorrect registration form is liable to be rejected. 3. Original documents will be required along with the downloaded copy of this registration form for the verification at the time of admission only.
Kindly submit the self attested photocopies of the following documents along with this form at the school reception between 8:30 A.M to 12:30 P.M.
Documents to be submitted :
1. Birth Certificate of child issued by the appropriate authority for Pre-school/Pre-Primary. 2. Residence Proof.(Aadhaar Card/ Driving License /Passport) 3. Countersigned TC/SLC from 1st onwards. 4. Pan Card. 5. SC/ST/OBC Certificate if applicable. 6. Medical Certificate 7. Child's Aadhaar card
DECLARATION FROM THE PARENT
I/We hereby, declare that the information furnished above are correct & true to the best of my knowledge & belief. If found incorrect at any stage, admission of my ward stands automatically cancelled. I/We accept of admission undertaken by the school & I/We will abide by the decision taken by the school authorities.
			I Agree