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ONLINE REGISTRATION
FORM
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For the Session 2022-23
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1.ISSUE OF REGISTRATION FORM DOES
NOT
ENSURE ADMISSION.
2. IT'S OBLIGATORY TO FILL ALL-RELEVANT INFORMATION CORRECTLY.
3. INCOMPLETE FORMS WILL BE OUTRIGHTLY REJECTED.
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Registration
No. Admission No.:
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(To be filled by the office) |
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Proceed for Payment, if Registration Form Already
Filled
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Kindly register the
name of my ward for admission in your school. Necessary
particulars are given below.
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Student
Details
( Note: Please, do not prefix Mr. & Mrs. before
your name.)
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First Name*
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Middle Name |
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Last Name
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Gender *
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Date of Birth*
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Place of Birth *
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Enclose self attested photocopy of birth certificate from municipal
corporation
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Age as on 31st March 2022 |
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Blood group |
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Admission sought in class*
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Student Status*
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Admission No. *
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School Branch *
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Stream *
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Optional Subject
(PCM) (5th)
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Optional Subject
(PCB)(5th)
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Optional Subject
(Commerce)(5th)
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Optional Subject
(Humanities)(4th)
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Optional Subject
(Humanities)(5th)
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Sixth Subject
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Mother Tongue *
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Category *
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Religion *
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Single Parent |
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Single Parent (If Yes) |
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If Yes,
attach the necessary documents |
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Single Father Document |
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Single Mother Document |
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Mobile *
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Email *
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Aadhar Number |
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Student Type
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Nationality *
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Student's Photo*
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Previous School Name *
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Previous School Class*
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Games & Sports played |
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Interest in Co-curricular Activities |
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Medium of instruction |
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Mode of Observation/Interaction/Assessment *
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Is Physically Handicapped *
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Birth Certificate |
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Physically Handicapped
Document *
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Are you Interested in Competitive Exam Preparation?
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Competitive Exam
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Correspondence Address
(Enclosed Proof of Residence/Residential Address)
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Address |
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City |
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State |
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Pin Code |
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Distance from the school in Kms : |
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Transport Facility |
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Permanent Address
Check this box if Communication Address and Permanent
Address are the same.
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Address |
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Country |
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State |
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City |
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Pin Code |
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Nearest Rly. Station/ Airport |
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Residence phone no. |
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Mobile no. |
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Parent
Details
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Mother : |
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Name*
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Age |
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Educational qualification |
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Occupation |
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Designation |
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Organisation |
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Annual Income |
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Office Phone |
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Office Address |
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E-mail |
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Mobile *
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Mother's Photo*
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Father : |
Name *
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Age |
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Educational qualification |
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Occupation |
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Designation |
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Organisation |
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Annual Income |
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Office Phone |
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Office Address |
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E-mail |
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Mobile*
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Father's Photo *
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No of children : |
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Daughter(s) |
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Son(s) |
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Detail of sibling(s)[real
brother or sister] is/are students(s) of DPS Gaya |
Name(S) |
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Class(S) |
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Admission No(S). |
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DECLARATION
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I fully understand and acknowledge that the school on accepting the registration of my ward:
- Is not in any way bound to grant admission to him/her.
- The admission is purely based on the availability of seats and on Observation cum Interaction Session for Classes Pre-Nursery to I and Assessment & Interaction Session for Classes II onwards
- The decision of the Principal regarding the admission will be final and binding on me.
I also give my approval for/acknowledge that:
- Inoculation against Typhoid A, B & Cholera to my child/ward by the school Medical Officer on a yearly basis if needed.
- The registration fees are non-refundable and non-transferrable
- Registration neither guarantees nor implies admission.
- I will abide by the rules and regulations of the school.
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NOTE:-"Parents / Applicants are required to come personally to
submit the completed hard copy (Printout) of Online Registration Form, Photocopy of Birth Certificate of
the candidate along with Registration Fee of Rs. 2000/- in cash/online within three days of filling
the online registration form."
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Date: |
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Signature of the Mother: |
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Place :
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Signature of the Father :
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