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Registration Form

The document is an admission registration form for a child named Madhav Batra seeking admission to LKG at St. Patrick's Academy, Meerut for the academic year 2022-23. It includes personal details of the child and parents, a declaration of understanding regarding the admission process, and instructions for document submission and interaction schedules. The form also emphasizes that registration does not guarantee admission and outlines the necessary documents required for verification.

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0% found this document useful (0 votes)
20 views7 pages

Registration Form

The document is an admission registration form for a child named Madhav Batra seeking admission to LKG at St. Patrick's Academy, Meerut for the academic year 2022-23. It includes personal details of the child and parents, a declaration of understanding regarding the admission process, and instructions for document submission and interaction schedules. The form also emphasizes that registration does not guarantee admission and outlines the necessary documents required for verification.

Uploaded by

batrashalley
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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- UP 387

SPA/LKG/2022-23/053

MADHAV BATRA
01. NAME OF THE CHILD IN FULL ..……………………………………………………………………………………………………………..

MALE
02. GENDER ……………………………………………………….

20-12-2017
03. DATE OF BIRTH …………………………………………… 4Y 3M 10D
04. AGE ………………………………………………………….........

INDIAN HINDI
05. NATIONALITY ………………………………………………. 06. MOTHER TONGUE …………………………………………….

HINDU GENERAL
07. RELIGION ……………………………………………………… 08. CATEGORY(SC/ST/OBC/GEN.) ………………………….

THE LITTLE SCHOLAR NURSERY


09. PRESENT SCHOOL …………………………………………………………………………..10. CLASS ……………………………….

MEERUT
11. CLASS TO WHICH ADMISSION IS SOUGHT LKG
……………………………HOME TOWN ………………………………………

MR MOHIT BATRA
12. FATHER’S NAME ……………………………………………………………………………………………………………………………………

MRS SHALLEY BATRA


13. MOTHER’S NAME ………………………………………………………………………………………………………………………………….

BUSINESS
14. FATHER’S PROFESSION ………………………………………….. HOUSE WIFE
15. MOTHER’S PROFESSION …………………………….

16. FATHER’S QUALIFICATION GRADUATE


……………………………….. 17. MOTHER’S QUALIFICATION POST GRADUATE
…………………………….

18. RES.
ADDRESS 567 NEW DEVPURI BEHIND ANURAG CINEAMA MEERUT

MEERUT
19. CITY ……………………………………………………………………………………… PIN 250002
……………………………

MOBILE NO. (for SMS) 9897635635


……………………………………………… 8218035678
WHATSAPP NO. …………………………………………
[email protected]
E-MAIL ………………………………………………………………………………………………………………………………………………
Page 1
20. FATHER’S DESIGNTION & OFFICE ADDRESS (If Business, write nature of Business)

ROHIT TRADERS MEERUT

9897635635
MOBILE …………………………………………. OFF No. 9897635635
…………………………………………….
21. MOTHER’S DESIGNATION & OFFICE ADDRESS:

8218035678
MOBILE …………………………………………. 9897635635
OFF No. …………………………………………….
22. (a) CHILD STUDYING IN ST. PATRICK’S ACADEMY (if yes)
NAME …………………………………….……………… ADM NO. ……………………….. CLASS & SEC: ……………………..
(b) PARTICULARS OF CHILDREN IN FAMILY STUDYING IN OTHER SCHOOL
S.NO. NAME OF CHILD GENDER AGE CLASS SCHOOL

(please fill ) (please fill) (please fill) (please fill) (please fill )

500000
23. ANNUAL HOUSEHOLD INCOME ……………………………………………………………………..
NO
24. IS THE CHILD SUFFERING FROM ANY ALLERGIES, RECURRING ILLNESS OR CONGENITAL DISORDERS? …………………………
IF YES, SPECIFY ……………………………………………………………………………………………………
25. HAVE YOU APPLIED EARLIER TO ST. PATRICKS ACADEMY, MEERUT? NO……………………………………………
IF YES REGISTRATION NO. ………………………………………………………………. YEAR ………………………..
26. IN CASE, YOUR CHILD GETS OFFER OF ADMISSION IN THE SCHOOL, WOULD YOU LIKE TO AVAIL SCHOOL BUS FACILTY:
KNOWING THE FACT:
(a) THAT OUR SCHOOL BUSES PLY ONLY ON MAIN ROADS (DO NOT MOVE INSIDE COLONIES, BY-LANES, OR ANY OTHER INTERIOR APPROACH)
(b) TRAVELING TIME MAY VARIATE BETWEEN 10 MIN TO 1HR 20MIN (ONE WAY), DEPENDING ON THE PRESCRIBED ROUTE.
YES
BUS Required ----------------------------------
0-5 KMS
27. DISTANCE OF RESIDENCE FROM THE SCHOOL ………………………………………………………………….

DECLARATION BY THE PARENTS


I/We have read the school prospectus thoroughly and undertake to abide by the Rules & Regulations of the school as are
in force or may be in force, or as amended from time to time. I/We further undertake that no material information has
been with help, concealed and that no false statement has given. In case this undertaking is found to be false, untrue or
incorrect, at any point of time later on/in future, I/We understand and accept that the school reserves the unconditional
right to deny the admission of our child/ward forthwith/or at anytime of his/her school life.
I understand that filling the Registration form does not guarantee admission to my ward to St. Patrick’s Academy.
I further agree that admission to St. Patrick’s Academy does not ensure a seat to my ward in School Transport / bus stop
of my choice.

07-01-2022 12:19:10
Date: ……………………………………..
MEERUT
Place:…………………………………….. …………………………………………… …………………………………………….
Sign. Of Father Sign. Of Mother
Page 2
ST. PATRICK’S ACADEMY
Meerut – (U.P.)

DECLARATION BY THE PARENTS


I understand that filling the Registration form & paying for the same does not guarantee admission to my ward to
St. Patrick's Academy Meerut, I also understand that Registration Fee is NON-REFUNDABLE / TRANSFERABLE
in any case.

*Submitted prospectus & registration fee of Rs. 1,000 through ONLINE

TRANSACTION ID: 61D7E1C56D567 On Date: : 07-01-2022 12:19:10 )


Regn. No. : SPA/LKG/2022-23/053
Child’s Name: MADHAV BATRA

Parent’s Signature:

Name of Parents:
MR MOHIT BATRA MRS SHALLEY BATRA
Father Mother

ST. PATRICK’S ACADEMY


Meerut – (U.P.)
AFFILIATED TO ICSE, NEW DELHI- UP 387
REGISTRATION CARD / HALL TICKET
SESSION 2022-23

Affix Child’s recent


SPA/LKG/2022-23/053
Registration No: _____________________ passport size
LKG photograph here
Admission sought in class _________________
MADHAV BATRA (3.5 cms. X 4.5 cms.)
MALE
CHILD NAME: ____________________________GENDER: ____________

MR MOHIT BATRA MRS SHALLEY BATRA


FATHER / MOTHER NAME: ________________________________________

*Submitted prospectus & registration fee of Rs.1,000 through ONLINE TRANSACTION ID: 61D7E1C56D567 )
On Date: 07-01-2022 12:19:10 )

*NOTE - Father, Mother and the Child to come together on the interaction date in their respective time slot only.

Parent’s Signature: Signature School Staff:

(TO BE FILLED BY SCHOOL)

CHILD’S INTERACTION DATE & TIMINGS:

Page 3
ST. PATRICK'S ACADEMY
Delhi-Meerut Bypass, Opp. Dewan Institute of Management
MEERUT ( U.P)
(Affiliated to I.C.S.E board, New Delhi - UP 387)
Admission Notice : 2022-2023
Girls & Boys - Class LKG – 120 SEATS
STEP- Online Registration dates: FRIDAY 7/01/2022, SATURDAY 8/01/2022 & SUNDAY
1 09/01/2022 (6 am onwards).

Parents who wish to apply for the admission of their ward will have to go on the School’s
website – http://www.stpatricksacademymeerut.in/ and click on the link – ONLINE
REGISTRATION FOR ADMISSION 2022-23. Fill the form ONLINE; with correct details
(as per documents) followed by making the payment of ₹ 1000 + bank charges through
online banking. Complete the transaction and note the transaction id for future reference.

After online submission of the form, the Registration Form & payment, receipt with the list
of required documents will be sent to your registered E-mail ID. Please ensure to mention
your correct E-mail ID at the time of online filling of the form. School does not take
any responsibility if you do not receive the form because of your wrong E-mail ID.

*Issue of Prospectus & Registration Form Does Not Guarantee Admission


STEP- Regn. Form with all the copies of documents is to be submitted on your respective
2 Interaction date & Timings at the School office. Bring ORIGINAL DOCUMENTS
FOR VERIFICATION PURPOSE.

INTERACTION SCHEDULE FOR THE CHILD IS GIVEN AT THE END OF


DOCUMENT (PAGE NO. 6 & 7 )

For Class LKG, applicant’s age should be between 3 years to 4 years 2 months as on
31stMarch 2022. (Child born between 31st January 2018 and 31st March 2019 is eligible to
apply for admission in Class LKG).
AGE a. Only children who are registered within three months of their birth will be considered.
b. In the Regn. Form, child’s name should be written as per the Birth Certificate issued by
Municipal Corporation / Cantt. Board / Nagar Nigam / Gram Parishad.
c. Birth certificates issued by Hospitals will not be accepted.
d. Birth certificates without child’s name will not be accepted.

Please visit our website www.stpatricksacademymeerut.in for details of documents


required. Forms without the specified documents will not be accepted.

Page 4
IMPORTANT INSTRUCTIONS:

1. PRINT THE REGISTRATION FORM & PAYMENT RECEIPT SENT AT YOUR EMAIL ID (3 pages
Regn. Form & 2 pages Guidelines + 1 page Payment Receipt). ALL WILL BE SUBMITTED TO
SCHOOL ON INTERACTION DAY.
2. BOTH FATHER & MOTHER SHOULD SIGN AT THE END OF THE REGISTRATION FORM.
3. PARENTS SHOULD SIGN ON ALL THE PHOTOCOPIES. ALSO MENTION REGISTRATION NO.
ON EACH PHOTOCOPY.
4. CHILD’S INTERACTION AND FORM SUBMISSION WILL HAPPEN ON THE SAME DAY AS PER
THE SCHEDULE MENTIONED AT THE END OF DOCUMENT.
5. BOTH FATHER AND MOTHER SHOULD COME ALONG WITH A CHILD ON THE
INTERACTION DAY.
6. A CHILD SHOULD APPEAR FOR VERBAL INTERACTION TO ATTEMPT FOR ADMISSION TO
RESPECTIVE APPLIED CLASS.

LIST OF DOCUMENTS REQUIRED TO BE SUBMITTED IN PHOTOCOPIES


ALONG WITH THE REGISTRATION FORM - 2022-2023

ALL THE ORIGINAL DOCUMENTS ARE TO BE PRODUCED FOR VERIFICATION ON THE INTERACTION DATE

1. Online payment receipt of ₹1000/- against registration form.


2. Copy of the Birth Certificate with Child’s name on it. Without Name, the Birth Certificate will not be
accepted & Registration will become null & void.
3. Copy of ANY ONE of the following documents to establish identity/local address:
Aadhaar Card of parents / Electricity bill / BSNL telephone bill / Water Bill / Passport/ Voter I-card/
Domicile certificate of child or his/her parents.
4. Original Fitness Certificate from a Registered Medical Practitioner (at least MBBS).
5. Copy of the Vaccination Card of the child.
6. Copy of Report Card of elder child in the same school (St. Patrick's Academy, Meerut) to get sibling
points.
7. Copy of Category Certificate in case SC/ST/OBC favouring Child’s name.
8. For Christian candidates, copy of the Baptismal Certificate should also to be attached.
9. Provisional TC or Bonafide Certificate from the present School / any proof for present School & class.
10. ADHAAR CARD COPY OF THE FATHER and MOTHER (MANDATORY).

PRINCIPAL
ST. PATRICK'S ACADEMY, MEERUT

NOTE:
Date for Child’s Interaction at St. Patrick’s Academy has been allotted according to their respective registration form
no. Kindly follow the date & timing of interaction very carefully. Same time, the REGISTRATION FORM &
DOCUMENTS shall be submitted at School Office.

ALL THE ORIGINAL DOCUMENTS ARE TO BE PRODUCED FOR VERIFICATION ON THE INTERACTION DATE.

NO DOCUMENTARY CHANGES WILL BE ACCEPTED PRIOR / LATER TO THE ADMISSION OTHER THAN WHICH ARE
SUBMITTED AT THE TIME OF REGISTRATION

All necessary hygiene & safety precautions are being taken by the School as per government guidelines. NO ENTRY
WITHOUT MASK TO ANYONE. KINDLY DO WEAR MASK AND TAKE ALL NECESSARY PRECAUTIONS. PLEASE COME IN
YOUR RESPECTIVE TIME SLOT IN ORDER TO MAINTAIN SOCIAL DISTANCING.

Page 5
CHILD'S INTERACTION SCHEDULE FOR LKG (DATE & TIME)
PLEASE COME AT YOUR RESPECTIVE TIME SLOT ONLY. BE ON TIME AT THE SCHOOL GATE IN ORDER TO
MAINTAIN SOCIAL DISTANCING. NO ENTRY WITHOUT MASK.
DATE OF
TIME
INTERACTION REGISTRATION FORM NO.
SPA/LKG/2022-23/1 TO SPA/LKG/2022-23/3 09:15 AM
SPA/LKG/2022-23/4 TO SPA/LKG/2022-23/6 09:45 AM
SPA/LKG/2022-23/7 TO SPA/LKG/2022-23/9 10:15 AM
SPA/LKG/2022-23/10 TO SPA/LKG/2022-23/12 10:45 AM
SPA/LKG/2022-23/13 TO SPA/LKG/2022-23/15 11:15 AM
SPA/LKG/2022-23/16 TO SPA/LKG/2022-23/18 11:45 AM
SPA/LKG/2022-23/19 TO SPA/LKG/2022-23/21 12:15 PM
10/01/2022 SPA/LKG/2022-23/22 TO SPA/LKG/2022-23/24 12:30 PM
MONDAY
SPA/LKG/2022-23/25 TO SPA/LKG/2022-23/27 1:15 PM
SPA/LKG/2022-23/28 TO SPA/LKG/2022-23/30 1:45 PM
SPA/LKG/2022-23/31 TO SPA/LKG/2022-23/33 2:15 PM
SPA/LKG/2022-23/34 TO SPA/LKG/2022-23/36 2:45 PM
SPA/LKG/2022-23/37 TO SPA/LKG/2022-23/39 3:15 PM
SPA/LKG/2022-23/40 TO SPA/LKG/2022-23/42 3:45 PM
SPA/LKG/2022-23/43 TO SPA/LKG/2022-23/45 4:15 PM

SPA/LKG/2022-23/46 TO SPA/LKG/2022-23/48 09:15 AM


SPA/LKG/2022-23/49 TO SPA/LKG/2022-23/51 09:45 AM
SPA/LKG/2022-23/52 TO SPA/LKG/2022-23/54 10:15 AM
SPA/LKG/2022-23/55 TO SPA/LKG/2022-23/57 10:45 AM
SPA/LKG/2022-23/58 TO SPA/LKG/2022-23/60 11:15 AM
SPA/LKG/2022-23/61 TO SPA/LKG/2022-23/63 11:45 AM
SPA/LKG/2022-23/64 TO SPA/LKG/2022-23/66 12:15 PM
SPA/LKG/2022-23/67 TO SPA/LKG/2022-23/69 12:30 PM
11/01/2022
SPA/LKG/2022-23/70 TO SPA/LKG/2022-23/72 1:15 PM
TUESDAY SPA/LKG/2022-23/73 TO SPA/LKG/2022-23/75 1:45 PM
SPA/LKG/2022-23/76 TO SPA/LKG/2022-23/78 2:15 PM
SPA/LKG/2022-23/79 TO SPA/LKG/2022-23/81 2:45 PM
SPA/LKG/2022-23/82 TO SPA/LKG/2022-23/84 3:15 PM
SPA/LKG/2022-23/85 TO SPA/LKG/2022-23/87 3:45 PM
SPA/LKG/2022-23/88 TO SPA/LKG/2022-23/90 4:15 PM

Page 6
SPA/LKG/2022-23/91 TO SPA/LKG/2022-23/93 09:15 AM
SPA/LKG/2022-23/94 TO SPA/LKG/2022-23/96 09:45 AM
SPA/LKG/2022-23/97 TO SPA/LKG/2022-23/99 10:15 AM
SPA/LKG/2022-23/100 TO SPA/LKG/2022-23/102 10:45 AM
SPA/LKG/2022-23/103 TO SPA/LKG/2022-23/105 11:15 AM
SPA/LKG/2022-23/106 TO SPA/LKG/2022-23/108 11:45 AM
SPA/LKG/2022-23/109 TO SPA/LKG/2022-23/111 12:15 PM
SPA/LKG/2022-23/112 TO SPA/LKG/2022-23/114 12:30 PM
12/01/2022
WEDNESDAY SPA/LKG/2022-23/115 TO SPA/LKG/2022-23/117 1:15 PM
SPA/LKG/2022-23/118 TO SPA/LKG/2022-23/120 1:45 PM
SPA/LKG/2022-23/121 TO SPA/LKG/2022-23/123 2:15 PM
SPA/LKG/2022-23/124 TO SPA/LKG/2022-23/126 2:45 PM
SPA/LKG/2022-23/127 TO SPA/LKG/2022-23/129 3:15 PM
SPA/LKG/2022-23/130 TO SPA/LKG/2022-23/132 3:45 PM
SPA/LKG/2022-23/133 TO SPA/LKG/2022-23/135 4:15 PM

SPA/LKG/2022-23/136 TO SPA/LKG/2022-23/138 09:15 AM


SPA/LKG/2022-23/139 TO SPA/LKG/2022-23/141 09:45 AM
SPA/LKG/2022-23/142 TO SPA/LKG/2022-23/144 10:15 AM
SPA/LKG/2022-23/145 TO SPA/LKG/2022-23/147 10:45 AM
SPA/LKG/2022-23/148 TO SPA/LKG/2022-23/150 11:15 AM
SPA/LKG/2022-23/151 TO SPA/LKG/2022-23/153 11:45 AM
SPA/LKG/2022-23/154 TO SPA/LKG/2022-23/156 12:15 PM
SPA/LKG/2022-23/157 TO SPA/LKG/2022-23/159 12:30 PM
13/01/2022
THURSDAY SPA/LKG/2022-23/160 TO SPA/LKG/2022-23/162 1:15 PM
SPA/LKG/2022-23/163 TO SPA/LKG/2022-23/165 1:45 PM
SPA/LKG/2022-23/166 TO SPA/LKG/2022-23/168 2:15 PM
SPA/LKG/2022-23/169 TO SPA/LKG/2022-23/171 2:45 PM
SPA/LKG/2022-23/172 TO SPA/LKG/2022-23/174 3:15 PM
SPA/LKG/2022-23/175 TO SPA/LKG/2022-23/177 3:45 PM
SPA/LKG/2022-23/178 TO SPA/LKG/2022-23/180 4:15 PM

SPA/LKG/2022-23/181 TO SPA/LKG/2022-23/183 09:15 AM


SPA/LKG/2022-23/184 TO SPA/LKG/2022-23/186 09:45 AM
SPA/LKG/2022-23/187 TO SPA/LKG/2022-23/189 10:15 AM
SPA/LKG/2022-23/190 TO SPA/LKG/2022-23/192 10:45 AM
SPA/LKG/2022-23/193 TO SPA/LKG/2022-23/195 11:15 AM
SPA/LKG/2022-23/196 TO SPA/LKG/2022-23/198 11:45 AM
SPA/LKG/2022-23/199 TO SPA/LKG/2022-23/201 12:15 PM
SPA/LKG/2022-23/202 TO SPA/LKG/2022-23/204 12:30 PM
15/01/2022
SATURDAY SPA/LKG/2022-23/205 TO SPA/LKG/2022-23/207 1:15 PM
SPA/LKG/2022-23/208 TO SPA/LKG/2022-23/210 1:45 PM
SPA/LKG/2022-23/211 TO SPA/LKG/2022-23/213 2:15 PM
SPA/LKG/2022-23/214 TO SPA/LKG/2022-23/216 2:45 PM
SPA/LKG/2022-23/217 TO SPA/LKG/2022-23/219 3:15 PM
SPA/LKG/2022-23/220 TO SPA/LKG/2022-23/222 3:45 PM
SPA/LKG/2022-23/223 TO SPA/LKG/2022-23/225 4:15 PM
SPA/LKG/2022-23/225 ONWARDS 4:30 PM
Page 7

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