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Club Membership Application Form

The document is an application form for Mohammed Raqib Mohammed Rehan Sayyad, born on June 20, 2015, applying for admission to STD 01 for the academic year 2021-2022. It includes personal details, parent information, and a declaration regarding the acceptance of school admission terms and conditions. The applicant acknowledges the school's admission policies and the absence of any pending dues from previous schooling.

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samir choudhury
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0% found this document useful (0 votes)
22 views3 pages

Club Membership Application Form

The document is an application form for Mohammed Raqib Mohammed Rehan Sayyad, born on June 20, 2015, applying for admission to STD 01 for the academic year 2021-2022. It includes personal details, parent information, and a declaration regarding the acceptance of school admission terms and conditions. The applicant acknowledges the school's admission policies and the absence of any pending dues from previous schooling.

Uploaded by

samir choudhury
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

Form No.

: 260520211543362614
Name : MOHAMMED RAQIB MOHAMMED REHAN SAYYAD
Date of Birth : 20-06-2015
Class Applied : STD 01
Efee ID : 249236

Permanent Address KURLA

Current Address 501,bldg no 3,whit e House, budh colony, s. G barve marg near
anjuman school, kurla west Mumbai 70

Area / Pincode CST ROAD / 400070

Date Of 20-06-2015 Gender Male Contact 9999999008 Blood B+


Birth No. Group

Religion ISLAM Caste OBC Sub OT HER Reserved GENERAL


Caste Category

Mother HINDI Second TAMIL Third URDU Contact 9773441258


Tongue Language Language No

Aadhaar 586696040925 Has NO Disability NONE


No. Special
Needs

Parent Details Father Details Mother Details

Name Mohammed rehan Sayyad Reshma Rehan Sayyad

Date of Birth 30-04-1985 04-09-1987

Contact 8898185033 9773441258

Email ID srehan85@[Link] RESHMAREHANSAYYAD04@[Link]

Religion ISLAM ISLAM

Nationality INDIAN INDIAN

Country of INDIA INDIA


Residence

Aadhaar No. 784284358886 577205843742

Highest ST D 10T H OR LESS ST D 10T H OR LESS


Qualifi cation
Parent Details Father Details Mother Details

Name of the Anjuman khairul islam Anjuman Islam school


Institute

Occupation SELF EMPLOYED UNEMPLOYED

Profession OT HERS OT HERS

Offi ce Address 42/s-8, mumt az cot t age, oon wala


compound, mp mar near brahman wadi,
kurla west mumbai 70

Offi ce Contact 8898185033 9773441258


No.

IS Any Sibling In YES


Holy Cross School

Sibling Name Type Class Division School

Mohammed raafe Mohammed REHAN BROT HER ST D E HOLY CROSS HIGH SCHOOL
sayyad 4
I accepted all the Terms and conditions
Dear Manager/Principal/Trust ee,

I wish to apply for a place in above ment ioned Class in t he coming Academic Year 2021-2022 for my
child/ward. I have supplied t he informat ion request ed in t he at t ached form; I declare t hat it is t rue and
accurat e. I agree t hat , if it is lat er discovered t hat any informat ion has been suppressed or found to be
incorrect , t his applicat ion may be reject ed and could lead to t erminat ion from t he school.

I fully appreciat e t he fact t hat accept ance of t his applicat ion is ent irely left to t he discret ion of t he school
aut horit ies, and does not in any way guarant ee admission.

I hereby st at e t hat by clicking on t he link below and filling out t he applicat ion form (digit ally or ot herwise)
implies uncondit ional accept ance of all t he School's admission procedures and process, rules, regulat ion
and fees in force and as may be changed from t ime to t ime .

I hereby st at e t hat t here are no dues pending from my end while my ward was st udying in t he Kindergart en
sect ion.

I am conscious, agree and acknowledge t he Const it ut ional Right of t he Management to administ er t his
minorit y educat ional inst it ut ion according to t heir choice, and accept t heir decision on admission,
favorable or ot herwise, as final and binding.

I furt her accept t hat t rying to bring influence in any form or from any person or quart er shall summarily
disqualify applicat ion and admission.

I have t aken not e of t he long-st anding st at ed policy of t he school banning donat ions linked wit h
admissions. To prevent unscrupulous individuals and int ermediaries t aking advant age of gullible parent s, I
undert ake to bring any such informat ion and det ails to t he not ice of: T HE VIGILANCE CELL, ARCHBISHOP'S
HOUSE, 21, N. PAREKH MARG, MUMBAI 400001

PLEASE NOT E:

1. T here is NO DONAT ION-LINKED ADMISSION. Do not pay money to anyone for seeking admission.
Beware of unscrupulous int ermediaries (middle men and persons posing as agent s) who, for t heir
personal gain, offer to int ervene on your behalf. You could be deprived bot h of admission of your child
as well as your hard earned money.
2. In order to t ackle t he menace of int ermediaries t aking advant age of gullible parent s any at t empt to
bring influence will disqualify candidat ure. You’re bringing to t he not ice of our Vigilance Cell any
informat ion t hat will help us keep t he admission process free from int ermediaries will be t reat ed
wit h ut most confidence and will not jeopardize your child's admission.
3. On account of inadequat e good qualit y schools, t he number of applicat ions t hat we receive is well in
excess of t he number of children t hat we can admit . T his, t herefore, result s in disappoint ment to all
who cannot be accommodat ed. While we do underst and your concern as a parent , we t rust you will
appreciat e our const raint s in case your child is not admit t ed. Aft er announcement of t he
admissions (as all seat s would be filled up), it would not help to seek an appoint ment to put forward
your case for special considerat ion. Your co-operat ion would be appreciat ed.

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