OnlineEnrollmentNo.:4267 RegistrationNo.

LAXMANPUBLICSCHOOL
HauzKhasEnclave,Delhi110016
Ph:26963240,26865095Fax:26524432
Website:www.laxmanpublicschool.com
APPLICATIONFORMPRESCHOOL(201718)
PleaserefertoAnnexureIformoredetails.

1. Applicant'sName : SAMRATVOHRA
2. Applicant'sAadharNumber :
3. DateofBirth(Figures) : 26092013
TWENTYSIXTHSEPTEMBERTWO
Inwords :
THOUSANDTHIRTEENTH
Ageason31032017 : 3YEARS6MONTHS5DAYS
4. Gender : Boy
5. Category : General
6. Minorities :
7. BloodGroupoftheChild : A+
8. MotherTongue : HINDINationality:INDIAN
9. DetailsofParents :
a)Father'sName : SANTOSHVOHRA
Occupation : BUSINESS
D15SOUTHEXTENSIONPARTIINEW
OfficeAddress :
DELHI110049
TelephoneNo. : 01149044690
b)Mother'sName : VIJAYTAVOHRA
Occupation : FREELANCETUTOR
OfficeAddress : NA
TelephoneNo. : 01149044690
P20GROUNDFLOORSOUTH
10. ResidentialAddress :
EXTENSIONPARTIINEWDELHI110049
Mobile/TelephoneNo. : 01149044690/9811560245
Father'sMobileNo. : 9818116461
Mother'sMobileNo. : 9650468487
EMails : VIJAYTA.VOHRA14@GMAIL.COM


11. Statethedistancefromyourresidencetotheschool(Km) : 3KM

SiblinginLaxmanPublicSchool,ifany(brother/sisteronly)
12. : No
Yes/No
Admission
NameofSibling Class&Section
No.


13. SchoolAlumni(onlyClassXIIPassfromLaxmanPublicSchool)
AlumniStatus(Yes/
Parents YearofPassingClassXII
No)

Father No
Mother No

14. TransportRequired(Yes/No).Pleasenote:NopooledTaxiorRTVallowed.:Yes
15. Medicalinformation:(Yes/No).Doesthechildhavespecialmedicalneeds? :No
Ifyesgivedetails:

16. GeneralInformation:
I) What type of education do you think is relevant and meaningful to your child in
todaysscenario?
EDUCATION MUST BE INTERACTIVE AS IT HELPS THE CHILD TO LEARN
UNDERSTANDANDPROBEALSOTEACHERMUSTHAVEHOLISTICAPPROACH
TOWARDSTHESTUDENT

II)WhydidyoumakeLaxmanPublicSchooloneofyourpreferencesforyourchilds
schooling?
ITISNEARTOOURPLACEEASYTOCOMMUTEANDWEHAVEHEARDALOT
OF GOOD THINGS ABOUT THIS SCHOOL LIKE EXCELLENT IN ACADEMICS
SPORTS AND CO CURRICULAR ACTIVITIES WHICH HELPS THE CHILDS
OVERALLDEVELOPMENT
17. Documentsenclosedherewith:

S.No NameofDocument Number
1 BIRTHCERTIFICATEOFTHECHILD MSDOLIR0113005832908
PROOFOFRESIDENCE:AADHAR
2 461095389679
CARD

3
4
5
6

UNDERTAKINGFROMPARENTS

We hereby certify that the above information provided by us is correct and we

understand and accept that if any information is found to be incorrect or false,
our ward shall be automatically debarred from selection/ admission process
without any correspondence in this regard. We also understand that the
applicationregistration/shortlistingdoesnotguaranteeadmissiontoourward.
Weaccepttheprocessofadmissionundertakenbytheschoolandweabideby
the decision taken by the school authorities. I undertake to submit all the
required documents in original for verification by the school and pay the fees
withinstipulatedtimeperiod.

_________________________ _________________________

SignatureoftheMother SignatureoftheFather

FOROFFICEUSEONLY

Documentsreceivedasperenclosures

mentioned

ReceivedBy Date Signature VerifiedBy Signature

TotalPoints

SignatureofHeadmistress

SignatureofHOS

Admission:Granted/NotGranted

 ANNEXUREI
A. Listofsupportingdocuments(attestedphotocopies)tobeattachedwiththis
ApplicationForm.Originaldocumentstobeproducedbyparentsatthetimeof
admission:
1.BirthCertificateofthechild
2.ProofofResidence(anyone)VoterIdentityCard/AadhaarCard/RationCard/
Passport/ElectricityBill/MTNLTelephoneBill/WaterBill.
3.ProofofSibling(ifapplicable)latestreceiptofpaymentoffeeofLPS
4.ProofofAlumni(ifapplicable)CBSEXIIPassCertificatefromLPS

ADMISSIONPROCESS201718
B. InstructionsandprocedureforfillingtheAdmissionform
GeneralInstructions
Pleasefillupthisformverycarefullyasadmissionwillbebasedonthecontents
ofthisform.
KindlysubmitthedulycompletedformtoLaxmanPublicSchoolFeeofficelatest
by1:00pmonMon,23January2017.
Youareadvisedtokeepaphotocopyofthefilledform.
Foranyfurthercommunicationwithparents,theschoolwillciteonlythe
RegistrationNumbergivenonthisform.
Childrenwhocomplete3yrsason31/03/2017areeligibleforadmissiontoPre
Schoolfortheacademicsession201718.
ThenumberofseatsavailableforadmissiontoPreSchoolis184(Onehundred
andeightyfour),including25%seatsreservedforEWSandDisadvantaged
Group(underRTE).
Youareadvisedtofillinonlyoneformtoavoidcancellation.
Theadmissionprocesshasbeencarefullydesignedtoprovideequal

opportunitytoallandtomaintaintransparency.
AdmissionCriteria

Allocationofpointsthatwilladduptogetthefinalscoreofyourapplication.
S.No Criteria Points
1. Distance(012kms) 70
2. Siblingstudyinginschool(oneormorebrotherorsister) 20
3. ParentAlumni(oneorbothXIICBSEfromLPS) 10
Total 100

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