Queen's Valley School
ON-LINE REGISTRATION FORM
(2017-2018)

Please Note:
Registration will be treated as incomplete and will be rejected if the Physical Registration Form along with the required necessary documents & Registration Fee of Rs. 25/- Cash are not received before 15:00 hrs,
14th February, 2017
Home* Fields are mandatory

Details of the Student
           
*First Name  Middle Name * Last Name
           
*Date of Birth
           
Date of Birth in words
           
Nationality   Mother Tongue
           
Aadhar No. of the Child
           
*Class Applying For Pre-School    Other Classes , specify
           
Place of Birth *Gender: Female  (Only Girls School)  
           
Father's Details Mother's Details
 
*First Name First Name
       
Middle Name Middle Name
       
*Last Name Last Name
       
*Profession Profession
       
*Designation Designation
       
*Org./Company Name Org./Company Name
       
*Mobile No. - 1 Mobile No. - 1
       
Mobile No. - 2 Mobile No. - 2
       
*Email Address Email Address
       
*Aadhar No. Aadhar No.
       
*Address Address
       
*Area Area
       
*Pincode Pincode
       
*Official Address Official Address
       
Office Ph. No. - 1 Office Ph. No. - 1
       
Office Ph. No. - 2 Office Ph. No. - 2
       
Res Ph./Mobile No. - 1 Res Ph./Mobile No. - 1
       
Res Ph./Mobile No. - 2 Res Ph./Mobile No. - 2
       
*Other Details
General OBC SC ST Minority Community (Specify)
       
Information on Criteria adopted by the school (for pre school only):
 
Neighborhood - (Distance of the School from the Residence)
Neighborhood / Distance
Parameter  
0 - 01 kms
01 Kms – 03 Kms
03 Kms - 06 Kms
Beyond 06 Kms
   
       
Is the school Transport required?
Yes No
 
       


Siblings
Is a sibling of the student studying in this school?

Yes No
 

       
Please produce the original documents at the time of admission.
       
I/We, father/mother/guardian of the child do hereby declare that information given above is true and authentic. I/We fully understand that the school on accepting the registration of my ward is not bound to grant admission, and I/We also agree that the decision of the school authority regarding admission will be final and binding on me/us. Admission of my/our child may be cancelled if any information is found to be false.
       
(Online Registration is not Mandatory)
Please Note: Registration will be treated as incomplete and will be rejected if the Physical Registration Form along with the required necessary documents & Registration Fee of Rs. 25/- Cash are not received before 15:00 hrs, 14th February, 2017.
       
Important Documents to be attached with the Registration Form
       
The filled in application form should contain the Attested Photocopies of the following documents:
a) Ration card issued in the name of parents (Mother/Father having name of the Child)
b) Domicile certificate of the child or of her parents.
c) Voters I-Card (EPIC) of any of the parent.
d) Electricity bill/MTNL telephone bill/Water bill/
e) Self attested copy of Aadhar Card/UIDElection Card/Passport/Ration Card.
f) Self attested photo copy of the Birth Certificate.
g) Self-attested photocopy of the identity cards (both sides) or fee receipt showing the admission no in case of sibling category.