DX3162045

Don Bosco School of Excellence (CBSE Syllabus)

(Affiliated to CBSE, Delhi, Affiliation Code No. 1930554)

Registration Form - 2016-2017

For LKG to 9th Standard

Photo

Applicant Information

Dear Parents,
Welcome to Don Bosco School of Excellence, Chennai, India. To facilitate your child's admission, please
complete the following form.
1. All details must be completed, and if not applicable write NA
2. Please note that any omission or willful suppression of information will lead to cancellation
All information provided herein would be treated with utmost confidentiality
Name of the Pupil ( As per child's Birth Certificate only ) :

Mohammed Shahid

Date of Birth : 07-05-2008

Gender : Male

Place of Birth : Chennai

Blood Group : B+

Single Child : No

No. of Siblings : 1

Mother Tongue : Urdu

Religion :

Muslim

Community : BC
Present Parish : NA
Date & Place of Baptism : NA
Nationality : Indian

City : Chennai

State : Tamil Nadu

Postal Code : 600002

Distance to School (in km) : 2-3

Residence Phone : 42664938

Home Address (Address proof required) : 50, Syed Abdullah Street, Anna Salai
Admission Information
Admission for Std : 3rd Standard

Current School : Children's academy, Royapettah

Current Class : 3rd Standard

Overall grade in the last class : A

Achievements : (1) Academics : A Grade in all the subjects

(2) Co-Curricular Activities : NA
(3) Extra Curricular Activities : Cycling

Copyright 2016 - Don Bosco. All rights reserved.

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DX3162045
Don Bosco School of Excellence (CBSE Syllabus)
(Affiliated to CBSE, Delhi, Affiliation Code No. 1930554)

Registration Form - 2016-2017

For LKG to 9th Standard
Sibling School Name : Others
Sibling Name : NA

Sibling Class : NA

Sibling Section : NA
Father's Particulars
Name ( As per child's Birth Certificate only ) :

Mohammed Jabbir

Date of Birth : 12-10-1978

Nationality : Indian

Educational Qualification :M.B.A

Type of employment : Salaried

Profession : Others
Name of the Organization / Business : CSC Computer Sciences Corporation
Department : IT

Designation : IT Manager

Name of the Profession : NA

ANNUAL Income (in Lakhs): 15-20

Email ID : mjabbir@csc.com

Office Address : 2A, Pfizer Building, Dubai Internet City, Dubai

Telephone Office : 97142798550

Mobile No : 9940662247
Mother's Particulars

Name ( As per child's Birth Certificate only ) :

Mubashira Akthar

Date of Birth : 23-09-1983

Nationality : Indian

Educational Qualification :B.Sc

Type of employment : None

Name of the Organization / Business : NA

Department : NA

Designation : NA

Name of the Profession : NA

ANNUAL Income (in Lakhs): NA

Email ID : shahid.tahmid@gmail.com

Office Address : NA
Telephone Office : NA

Mobile No : 9789091777

Copyright 2016 - Don Bosco. All rights reserved.

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DX3162045
Don Bosco School of Excellence (CBSE Syllabus)
(Affiliated to CBSE, Delhi, Affiliation Code No. 1930554)

Registration Form - 2016-2017

For LKG to 9th Standard
Other Information
Please let us know how you learnt about us : Friends
Mention vaccinations administered on the child : All required vaccinations has been administered, child is
healthy & active
If differently - abled give details : NA
Any health issues ( eg. serious allergies, etc. ) : NA
Whether father is alumnus of DB Egmore : No

Year of passing : NA

Select One Priority Mobile No : Mother

Residential status : Own

Transport Option : School Bus

Date : 14-01-2016

Age requirement as on 31st March 2016. The child should have completed the age specified below:LKG - 3 years ; UKG - 4 years ; Std I - 5 years ; Std II - 6 years ; Std III - 7 years ; Std IV - 8 years ;
Std V - 9 years ; Std VI - 10 years ; Std VII - 11 years ; Std VIII - 12 years ; Std IX - 13 years.
The print version of the Registration Form should be submitted at school office on the following dates: On 6th
January 2016 for Std I to III from 9.00 am to 1.30 pm and for Std IV to IX from 2.30 pm to 5.30 pm. On 7th
January 2016 for LKG from 9.00 am to 1.30 pm and for UKG from 2.30 pm to 5.30 pm.
The Management Council will select the pupils. Selected candidates will be informed by the School Office.
The school will not send regret cards.
DISCLAIMER :
APPLICATION FOR ADMISSION IS NOT AN AUTOMATIC GUARANTEE OF ADMISSION TO THE SCHOOL.
YOU ARE ADVISED TO APPLY TO OTHER SCHOOLS TOO.
WARNING : PLEASE DO NOT GIVE ANY DONATION TO ANYONE IN CONNECTION WITH ADMISSION.
DOCUMENTS TO BE ENCLOSED:
1. BIRTH CERTIFICATE ATTESTED COPY (ORIGINAL TO BE PRODUCED AT THE TIME OF ADMISSION)
2. PROOF OF RESIDENCE (RATION CARD / DRIVING LICENCE / AADHAR CARD / COPY OF RENT
AGREEMENT / LEASE DEED)
3. COMMUNITY CERTIFICATE

4. TRANSFER CERTIFICATE [ORIGINAL] TO BE SUBMITTED AT THE TIME OF ADMISSION.

TERMS & CONDITIONS:
1. NON-REFUNDABLE REGISTRATION FEE - RS 500/-

2. IF PAYMENT IS MADE TWICE FOR A SINGLE APPLICATION,THE AMOUNT WILL NOT BE

REFUNDED.
DECLARATION:
I ACCEPT THE TERMS & CONDITIONS, I HERE BY CERTIFY THAT THE ABOVE PARTICULARS ARE
CORRECT.

Copyright 2016 - Don Bosco. All rights reserved.

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DX3162045
Don Bosco School of Excellence (CBSE Syllabus)
(Affiliated to CBSE, Delhi, Affiliation Code No. 1930554)

Registration Form - 2016-2017

For LKG to 9th Standard

Parents Signature

Copyright 2016 - Don Bosco. All rights reserved.

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