Registration Form


 
Student Details
Class Applied For :
* First Name: Middle Name :
Surname :    
* Please Note that child's name should be the same as in the Date of Birth Certificate. No change afterwards.
* Date of Birth (in Figures) Place of Birth:
* Gender :  * Nationality :
* Caste Category :  * Submission of certificate at the time of admission is a must.
* Religion : * Minority
* Handicap
* Category    
Blood Group    
Transport Category  
If by bus, choose the Student picking point :
 
Only Child of the Parent:  
If real brother / sister is studying in DPS R. N. Extn.:  
 
Communication Details:    
* Email: * Mobile No. for SMS:
 

PREVIOUS SCHOOL ATTENDED

DETAILS
Name of the school with city name :    
School recognized by :    
Year of passing Last Class:    
Medium of Instruction till now :    
Details of the performace of the child in 2015-2016 (Not applicable for Nur & Prep)
S.No. Subject Marks Grade Grade Point Outstanding Achievements in sports/Co-curricular activities, if any, in previous school
1 English
2 Hindi
3 Mathematics
4 Science
5 Social Science
 

PARENTAL INFORMATION

FATHER'S DETAILS
* First Name: Middle Name :
Surname :    
* Academic Qualifications: * Occupation:
   
Designation: Organization:
* Gross Annual Income:
Address (Off.): * E-mail:
Staff No.    
* Mobile:    
* Residential Address: * Pincode:

* City
Phone No: (O)   (R)  
 
 
MOTHER'S DETAILS
* First Name: Middle Name :
Surname :    
* Educational qualification: * Occupation:
   
Designation: Organisation:
Annual Income:
Address(Off.) E-mail:
* Mobile:    
Staff No.    
Residential Address: Pincode:

Phone No: (O)   (R)
 
GUARDIAN'S DETAILS
* In case the parents are not residing with the child  
 
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