Admission Form

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Session -

Admission No.

Registration No.

Photograph of Father *

Photograph of Mother *

Photograph of Student *

Please registration the name of my Son / Daughter / Ward for Admission in your school. *

Student Details

Class to which admission is sought *

Child’s name in full *

Date of Birth *

Age as on 31st March 2019 (year of Admission) Years Months Days

AADHAR Card No. of the Student

Nationality of Child *

Mother Tongue *

Religion *

Category *

Gender * Male Female

Blood Group *

Home Town *

State *

Nearest Railway Station / Airport *

Address : (Permanent)

Address : (Present) *

Name of the previous school

Class in which she/he was studying in the previous school

Medium of instruction in the previous school English Hindi *

For Class III onwards – Details of Grades / Marks (%) obtained in the last Annual Exam. *

Subject
Marks / Grade

Outstanding achievements in other activities (if any)

Details of disability (if any)

Family Details

Father's Details

Father's Name *

Academic Qualifications

Occupation

Designation

Name of the Organization / Company

Office Address

Phone: Office

Residence

Mobile *

Email ID *

Mother's Details

Mother's Name *

Academic Qualifications

Occupation

Designation

Name of the Organization / Company

Office Address

Phone: Office

Residence

Mobile

Email ID

Particulars of Dipsite parents Applicable Not Applicable

Mother: DPS

Year of Passing

Father: DPS

Year of Passing

Particular of Sibling studying in Delhi Public School

Name of Child

Admission No.

Class / Section

School Branch

Bus facility required Yes No

Checklist of documents to be submitted at the time of registration

Self-attested Municipal Birth Certificate
Copy of Report Card of previous class
Certificate’s of Outstanding Achievement, if any (attested photocopy)
Certificate of Disability (if applicable)
Photocopy of proof of residence (ration card / voter identity card / residence lease deed / any other)
Immunization record of child (to be submitted along with Registration Form)
Transfer Certificate (applicable From Class-I onwards)
Aadhar Card of the Student (Copy)

Declaration

Kindly see the Fee Structure carefully
I fully understand that registration is not a guarantee for admission. Admission is granted only when there is an existing vacancy and the child’s interaction is as per school norms.
I understand that the registration fee of Rs. 1500/- is non-refundable.
I understand that since admission is granted to my ward before the start of the academic session, I would have to pay the difference in the amount in case the fee for the session for which she/he granted admission is revised.
I understand that request for cancellation of admission will be considered only if given in writing on the prescribed form.
I hereby certify that the date of birth & spelling of the mane of my child / ward given in this form are correct and I shall not make a request for any change.
I understand that rendering false or misleading information or withholding correct information may disqualify or lead to cancellation of admission / continuation of the child in this school.
I certify that I am a bonafide parent / guardian of the child.
Having carefully read the rules, regulations and procedures laid down in the school prospectus and being desirous of having my child / ward education in Delhi Public School, Gautam Buddh Nagar, I hereby agree to abide by these rules in all respects. I understand that the decision of the management of the school shall be find and binding.
I understand that the fees may increase as per the decision of the management and U.P. FEE REGULATION ACT 2018.
I hereby attest my signature to confirm the above declarations.

I Agree *

Date *

Place *

Amount *