Village and PO : Bhokra, Goniana Road, Bathinda - 151201 (Punjab)
+91-7837592165, +91-9988347279 dpsbti@yahoo.co.in

Registration/Admission Form

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.

Proceed for Payment If Application form Already Filled.

 

Student Details

(As per Birth Certificate/Transfer Certificate) In case the child's name is not there in The Birth Certificate. Kindly provide an affidavit stating the name of the Child.

Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Academic Year *
Admission sought in class*
 
Date of Birth*
 
 
Category
Religion
 
Nationality
Blood Group*
 
Email *
Mobile No.*
 
Allergies/Any major illness or disorder*
School Transport Required
 
Aadhaar No.
How do you know about us?*
 
Student's Photo (Max-2 MB)

Sibling Details

Sibling (Real Brother/ Sister) only studying in Delhi Public School Bathinda   
 
Admission No.
Sibling Name
 
Sibling Class
 

Father's Details

Father Name*
Occupation
 
Designation
Qualification
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.*
 
Aadhaar No.
Annual Income *
 
Father's Photo (Max-2 MB)
 
 

Mother's Details

Mother Name*
Occupation
 
Designation
Qualification
 
Phone(Off.)
Address(Off.)
 
E-mail *
Mobile No. *
 
Aadhaar No.
Annual Income
 
Mother's Photo (Max-2 MB)
 
 

Local Guardian Details

(To be filled only if parents wish to nominate a local person/relative to coordinate with School.)

Guardian Name
Occupation
 
Designation
Academic Qualification
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.
 
Aadhaar No.
Annual Income
 
Guardian Photo (Max-2 MB)
 
 

Residential Address

Address*
 
Country
 
City*
State*
 
Pin Code*
 

Communication Address

Is Residential Address & Communication Address same?

Address *
 
Country *
 
City *
State *
 
Pin Code *
 
 

Previous School Details

Name of the School and the City *
Class in which he/she was studying
 
Marks/Grade obtained in the last examination in the previous school
Medium of Instruction (Hindi/English)
 
Proficiency in Games/Co-curricular/Outstanding Achievements (If Any)
 
 
 

DECLARATION

a) I fully understand that registration is not binding for admission. It may be given only when suitable vacancy exists and the child fulfils the criteria for admission.
b) In case my child admitted, the school may make arrangements for inoculations against vaccination to my child by school doctor or authorised medical officer as per Government guidelines.
c) I have made careful note of various details regarding the payment of school fees. I have made satisfactory arrangements for remittance of school fees within due dates without waiting for reminder from the school. I will pay the school fee as per rules. Withdrawal of students after remittance of full fee in school account would be at the sole discretion of the parent/guardian. I fully understand that the fee including the admission fee deposited with the school will not be refunded.
d) I hereby certify that the Date of Birth & spellings of name of my child/ward given in this form are correct to the best of my knowledge and I shall not make any request for change.
e) I understand that rendering false or misleading information or withholding correct information may disqualify the child for admission /education at this school.
f) Having read carefully the rules, regulations and procedures laid down in the school prospectus and being desirous of having my child/ward educated in Delhi Public School, Bathinda, I hereby agree to abide by them in all respects. understand that the decision of the management of the school shall be final and binding for me.
g) I hereby certify that my ward and myself shall follow all the rules, regulations & procedures laid down by the school from time to time.

 
 
I Agree & confirm the above declaration