Delhi Public School, Bulandshahr (U.P.)
Registration Form
Class ** :
Session :
  • Annexure- I
     First Name                                         Middle Name                                    Last Name
 Name of the applicant **  **          
 Date of birth **
 Father's Name
 Mother's Name
  Board Roll No.
  State
  City
1.Residential Address **
Pincode
2. Select Locality
3. Present School & Class
Contact Mobile No. (s)**  
Email Address **
4. Sibling Real brother/sister only
[Tick the appropriate]
If sibling in the same school, Sibling Name 
Give details of sibling Class-Section 
5. Whether SC/ST/OBC/Gen.
6. School Alumni
[Tick appropriate] If Yes, year of passing
(A) Father
   
(B) Mother
   
7. Child with Special Needs
[Enclose authenticated documents]
8. Educational Qualification
Post Graduation Graduation Sr. Secondary school Secondary School
[Tick highest qualification only]
OR OR Examination (10+2) Examination 10th
Professional Degree Equivalent OR Equivalent OR Equivalent
     
(A) Father
(A) Mother
9. Gender(Boy/Girl)
10. Parents Occupation
Father   Occupation
Designation
Organisation Name
Organistion Add.
Mother   Occupation
Designation
Organisation Name
Organistion Add.
11. Single Parent
[Tick the appropriate]
12. Select Stream 

Student **
Father
Mother

Annexure II
CERTIFICATE FROM THE PARENT
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, the ward shall be automatically debarred from selection/admission process without any correspondence in this regard. 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.
Signature of the Mother..................Signature of the Father..................
Date:1-2-09


AFTER APPROVAL OF ADMISSION.
THE SUBMISSION OF FEE WILL BE DONE ONLY AFTER RECEIVING OF FOLLOWING DOCUMENT
  1. TC of last attended school (Class II Onwards)
  2. Original/attested photocopy of Birth Certificate.
  3. Copy of Adhar Card as applicable
  4. Medical Fitness Certificate
  5. Completely filled admission form
 
 
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