Queen Mary's School, Tis Hazari, Delhi-110054

(A Christian minority institution under the management of the Helen Jerwood Memorial Education Society of the Diocese of Delhi, Church of North India)

REGISTRATION FORM FOR PRE SCHOOL (Academic Session 2025 - 2026)

Admission Schedule & Criteria

Note: All fields marks with a * (red asterisk) are compulsory and must be filled. In case the data cannot be filled or is not available (for an optional field) you may enter N.A. (Not Applicable) in that field.

A. ABOUT THE CHILD

Name of the Child (In Block Letters) *

Date of Birth (As Per DOB Ceritificate) *

Date of Birth (In Words)

Nationality *

Mother Tongue *

Religion *

Does the child have any special needs? Give Details

B. Residential Address

Address *

Area / District *

State *

Country *

Pincode *

Distance * in km

C. About the Parents

1. Father's Details

Name *

Occupation / Profession *

Designation

Organization’s Name

Organization’s Address

Office Telephone No.

Residence Telephone No. / Mobile No.

2. Mother's Details

Name *

Occupation / Profession *

Designation

Organization’s Name

Organization’s Address

Office Telephone No.

Residence Telephone No. / Mobile No.

3. Area in which they can contribute to the enrichment of the school.(Please put a Tick (✓ ) against your choice.)

Cultural
Media
Sports
Academics
Medical
Professional
Any Other

SIBLING INFORMATION (REFER EXPLANATION POINT-B/2)

(If Yes Upload Supporting Documents & fill Details)

Sno.	Name	Age	Relation	Admission Number	Class	Section	Action
1

CHRISTIAN CANDIDATE (REFER EXPLANATION POINT-B/3)

(If Yes Upload Supporting Documents & fill Details)

ALUMNI(REFER EXPLANATION POINT-B/4)

(If Yes Upload Supporting Documents & fill Details)

SMS & EMAIL ALERTS [ FATHER OR MOTHER ONLY ]

Mobile No. *

Email Id. *

LIST OF SELF ATTESTED DOCUMENT REQUIRED

Note: Only ( pdf ) are allowed as attachment and Size must be less than1024 KB

1. Date of Birth Certificate *

2. Proof of Residence (Self Attested) *

3. Proof of Sibling

4. Scan Copy of certificate of Baptism

5.Proof of Alumni
(Passing Certificate of class XIIth of Mother)

6. An affidavit on non judicial stamp paper of Rs. 10/- duly attested by notary public or oath commissioner or the magis-trate, declaring (Refer Rules & Regulation (Point No - 7)) *

Photos

Note: All photos must be with the extenstion ( jpg, jpeg, png, gif, PNG, JPG ) and size must be less than 1024 KB

Recent Passport size photo of the Child with Parents *

Recent Passport size photo of the Child *

Declaration from the Parents

I/We hereby certify that the above information provided by me/us is correct and I/We understand that if the information is found to be incorrect or false, my ward shall be automatically debarred from selection/admission process without any correspon-dence in this regard. If admitted, her admission will stand cancelled. I/We also understand that the application/registration/ short listing does not guarantee admission to my ward. I/We accept the process of admission undertaken by the school and I/ We will abide by the decision taken by the school authorities.

The Helen Jerwood Preparatory School

(Queen Mary's School, Tis Hazari, Delhi-110054)

REGISTRATION FORM FOR PRE SCHOOL (Academic Session 2025 - 2026)

A. ABOUT THE CHILD

B. Residential Address

C. About the Parents

SIBLING INFORMATION (REFER EXPLANATION POINT-B/2)

CHRISTIAN CANDIDATE (REFER EXPLANATION POINT-B/3)

ALUMNI(REFER EXPLANATION POINT-B/4)

SMS & EMAIL ALERTS [ FATHER OR MOTHER ONLY ]

LIST OF SELF ATTESTED DOCUMENT REQUIRED

Photos

Declaration from the Parents