20/04/2025, 13:56 Acknowledgement Slip for Final Submission

APPLICATION UJJWAL PRINT

(APPLICATION FOR ADMISSION UNDER RTE ACT, 2009)
[Session:2025-26]
Report Print Date: 20-04-2025 13:55
Edit/Unlock Application
A. Personal Details
RegistrationID: 99B338A5
Name of Ward/Child: ISHVI
Mother's Full Name of Child: RAJNI
Applicant Father Name: SUBHASH
Gender: Female
Date of Birth: 18-09-2019
Aadhar No: XXXXXXXX-8132 Parivar Pehchan Patra (FamilyID): 3QXE2608
Mobile No: 7015031821 Alternate Mobile No: 9034614313
Email-ID: [email protected]
Registration Date: 20-04-2025
Registration IP: 27.123.240.150
Final Submission Date: 20-04-2025
B. Apply for Category
Apply for Class : UKG
Apply Under Category : Below Powerty Line
Apply Under Sub-Category (Specific Whether
Backward Class(BCA)
Applicant Belongs To) :
C. Address Details
Address: 414/5 Railway Road Hakikat Nagar Jind
City/Village: Jind
Block: Jind
Note: Please submit your application after closing date of portal along with necessary supporting
documents in Block Education Office: Jind
District: Jind
PinCode: 126102
State: Haryana
D. Attached Documents

Certificate of Children Aadhaar :

Certificate of (PPP/Family ID) :

E. School Choice Details

Choice
S# District School Submitted On IP Address
Priority
20 Apr 2025
1 1 Jind SUNRISE MIDDLE SCHOOL[26771], Block: Jind 27.123.240.150
13:51:01:480
20 Apr 2025
2 2 Jind SARVODAYA PUBLIC SCHOOL[26769], Block: Jind 27.123.240.150
13:51:10:483
20 Apr 2025
3 3 Jind EVEREST HIGH SCHOOL BRAR BUANA[22775], Block: Julana 27.123.240.150
13:51:23:910
20 Apr 2025
4 4 Jind GJVP MIDDLE SCHOOL KINANA[22776], Block: Julana 27.123.240.150
13:51:42:327
20 Apr 2025
5 5 Jind Global Heritage School Desh Khera Jind[30422], Block: Julana 27.123.240.150
13:51:52:250
SHIV PRATHMIK VIDYALAYA SHADIPUR JULANA[22798], Block: 20 Apr 2025
6 6 Jind 27.123.240.150
Julana 13:52:01:893
20 Apr 2025
7 7 Jind SD HIGH SCHOOL SHADIPUR JULANA[22794], Block: Julana 27.123.240.150
13:52:10:647
20 Apr 2025
8 8 Jind RD SR SEC SCHOOL JULANA[22788], Block: Julana 27.123.240.150
13:52:21:660
BHAGWAN PARSHU RAM SENIOR SECONADY SCHOOL 20 Apr 2025
9 9 Jind 27.123.240.150
KHANDA[22649], Block: Alewa 13:52:30:360
20 Apr 2025
10 10 Jind S S Convent School Karamgarh[30664], Block: Narwana 27.123.240.150
13:52:53:880

F. Self Declaration Statement

1) THE APPLICANT WILL BE RESPONSIBLE FOR ANY MISTAKES MADE BY HIM/HER IN THE ONLINE APPLICATION
FORM, DEPARTMENT SHALL NOT BE RESPONSIBLE OR LIABLE IN ANY WAY.

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20/04/2025, 13:56 Acknowledgement Slip for Final Submission

2) IF A STUDENT SUBMITS A SCHOOL CHOICE THAT DOES NOT MATCH THE SELECTED DISTRICT AND CLASS, OR IS
NOT ON THE LIST OF AVAILABLE SCHOOLS WITH VACANCIES IN THE SPECIFIED DISTRICT AND CLASS, THE SAID
SCHOOL CHOICE WILL NOT BE CONSIDERED FOR ALLOCATION.

3) I HAVE READ THE GENERAL GUIDELINES CAREFULLY FOR FILLING THE ONLINE PORTAL.

IT IS CERTIFIED THAT THE ABOVE SAID INFORMATION, PROVIDED BY ME IS TRUE AND IF ANYTHING IS FOUND
WRONG, I SHALL BE RESPONSIBLE FOR LEGAL ACTION/CANCELLATION OF MY CANDIDATURE.

Two layer verified:-

1)From Login Credentials
2)From OTP received on
registered mobile

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