ST.
MARY'S NURSERY SCHOOL
21, Thornhill Road, Prayagraj, Uttar Pradesh
Application No.: SMN0900
Application Date: 14,Dec 2019 at 15:14
Name of the Child: PAAVNI KESARWANI
Date of Birth : 24-05-2016
Nationality : INDIAN
Gender : FEMALE
Category : GEN.
Age on 1st April 2020 : 3 YEAR(S) 10
MONTH(S) 8 DAY(S)
Request for Class : LKG Only
Father's Contact No. : 9450591143
Mother's Contact No. : 9305592700
Father's Aadhar No. : 870271159704
Mother's Aadhar No. : 705771373110
Parents' Details
Father's Name : MR. AJAY KUMAR Mother's Name : MRS. PRATIBHA
KESARWANI KESARWANI
Father's Qualification : LLB Mother's Qualification : B A
Father's Profession : ADVOCATE Mother's Profession : BUSINESS
Designation : DISTRICT COURT OF
Designation : PRAYAGRAJ
PRAYAGRAJ
Office Address : 268/A1/230/A1 UNCHA Office Address : 268/A1/230A1 UNCHA
MANDI (BANSHIDHAR MARKET) CHOWK MANDI (BANSHIDHAR MARKET) CHOWK
PRAYAGRAJ UP PRAYAGRAJ UP
Contact (Office) : 9450591143 Contact (Office) : 9305592700
Contact (Residence) : 9455625168 Contact (Residence) : 9450591143
Mobile : 9580711300 Mobile : 9455625168
City : PRAYAGRAJ Pin : 211003
Country : INDIA State : UP
E-Mail : AJAYKESAR1973@[Link] Able to teach/guide your child at Home : YES
Family Annual Income :500000
Permanent Address : 334/61 SALIG GANJ MANDI MUTTHIGANJ PRAYAGRAJ
Correspondence Address : 334/61 SALIG GANJ MANDI MUTTHIGANJ PRAYAGRAJ
Past Education Details of Child
Last School Attended : NONE
Medical Details : NONE
Payment Details
Transaction Date : 12/14/2019 3:14:28 PM Payment Id: 290687286
Conditions :
1. Girl children born between 01.10.2015 & 30.09.2016 may apply for admission.
2. Change in the given date of birth will not be permitted.
3. The original Birth Certificate issued by the hospital where the child is born or the Municipal Corporation under Registration of Births &
Deaths Act, 1969 is a must and a self attested copy of the birth certificate of the pupil to be attached to the application form at the time of
submission.
DISCLAIMER :
1. The Application is valid only for the year for which the child is registered; the amount paid is neither refundable nor transferable to another
year.
2. School reserves the right of admission. Only those candidates who are found to be suitable as per the school criteria will be granted
admission on the discretion of the School Administration through the Admission Committee.
3. The Application does not reserve the right of admission. (I have read and understood the Disclaimer and Guidelines for filling the form and
accept the conditions)
Name : Date :
Signature : Place :
St. Mary's Nursery School, Prayagraj
APPLICATION FORM FOR L.K.G -2020-21 (COUNTER-FOIL)
Application No.: SMN0900
1. Candidate Name: PAAVNI KESARWANI
2. Date of Birth: 24-05-2016
3. Father's Name: MR. AJAY KUMAR KESARWANI
4. Mother's Name: MRS. PRATIBHA KESARWANI
5. Contact Number: 9450591143
6. Father's Aadhar No: 870271159704 Mother's Aadhar No: 705771373110
Note: Please take a print out of this form.