APPLICATION NO #FO940157
Navi Mumbai Municipal Corporation, Education Department
Head Office, Plot No. 1, Palm Beach Rd, Sector 15, CBD Belapur, Navi Mumbai,
[Link]. 22 27567070 Web Site: [Link] Email: nmmcedu@[Link]
APPLICATION FORM 2024-25
To,
The Principal
School No. 94. Sector 11, Kopar Khairane, Navi Mumbai, Maharashtra 400709.
Resp, Sir/Madam
I, the undersigned, request you to kindly give admission for my son/daughter/ward in fourth standard of your
school.
Details are given below.
1. Name in full SIFA JABIDA EID SHAIKH
(in CAPITAL) first name mother name middle name last name
2. Age on
Male/Female Date of Birth In Figure In Word
(31 DECEMBER 2024)
Years Month DD MM YY
FEMALE 2015-09-16
8 8 1 6 0 9 1 5
3. Nationality 4. Place of Birth 5. Mother Tongue
INDIAN PATNA BIHAR URDU HINDI
6. Religion 7. If member of backward community, specify (SC, ST, OBC, etc.)
MUSLIM OBC
8. Father's Details 9. Mother's Details
Name of Father:. EID MOHAMMAD SHAIKH Name of Mother:. JABIDA KHATOON SHAIKH
Qualification:. SSC Qualification:. SSC
Occupation:. OTHERS Occupation:. HOMEMAKER
Office Address (if Applicable):. Office Address (if Applicable):.
Mobile No:. 9324003158 Mobile No:. 8291672957
Email:. EIDMOHAMMADSHAIKH5@[Link] Email:. EIDSHAIKH76@[Link]
Aadhaar No:. 302030912154 Aadhaar No:. 438975536910
PAN No:. CICPS5972B PAN No:. KCHPK3219J
10. Residential address(local) of Parent/Guardian 11. Permanent Address of Parent
HEIGHT FASHION TELAR, BONKODE, NEAR GANESH NAIK OFFICE, NAVI HEIGHT FASHION TELAR, BONKODE, NEAR GANESH NAIK OFFICE, NAVI
MUMBAI , THANE, MAHARASHTRA, 400709 MUMBAI , THANE, MAHARASHTRA, 400709
12. Distance between school & Residence:. between 0 - 1km radius
I hereby declare that the informatiom given above is true to the best of my knowledge. If the
information/documents goes wrong, i am aware that I will be eligible for action as a rule and my son/daughter/ward
admission will be cancelled at any level.
Date:. Signature of Father's/Mother's/Gardian
Documents required:.
1. Birth certificate of student [Link] card of student/parent
3. Cast certificate of student/parent. [Link] Rent agreement/light bill 6 month older
Acknowledgement Slip
Name: ________________________________________ Admission for Std. fourth standard
Date: 28/05/2024 Application No. #FO940157
Signature of Receiver.
