Roses

Student Name

Ananta Dhingra

Neighborhood

5 Km

Admission Sought to Class

Class-XI

Minority 

No

Specify

Sibling 

No

Gender

Girl

Special Needs

No

Staff Ward

No

Alumni

No

EWS

No

Date of Birth 

Nationality

Indian

Mobile No. (Father)

9873035455

Email id (Father)

Mobile No. ( Mother )

9873072108

Email id ( Mother )

Landline (Res.)

Residence Add.

127/ ward no 2 , near prince public school , mehrauli , delhi

Father/Guardian

Mother/Guardian

Name 

Occupation

Designation

Jagdish Kumar

Name of the organization

Work Address

Work Tel. No.

Name 

Occupation

Designation

Anu Vaid

Teacher

Name of the organization

Work Address

Work Tel. No.

Last school attended by the candidate

Reason for leaving

Heritage Xperiential Learning School

Distance

Immediate sibling in this School 

1. Name

2. Name

Admission No.

Admission No.

Class

Class