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DELHI PUBLIC SCHOOL RANIPUR, HARIDWAR
CBSE AFFILIATION NO. 3530008
SEC. III, BHEL, RANIPUR, HARIDWAR (UTTARAKHAND)
 REGISTRATION FORM FOR PREP JUNIOR SESSION 2022 - 2023
NOTE: FILL THE FORM IN CAPITAL LETTERS

NOTE: ALL '*' MARKED FIELDS ARE MANDATORY. PLEASE MENTION 'NA' IF NOT APPLICABLE.
 
Proceed for payment, if Registration Form already filled
 
DETAILS OF THE CHILD
 
* Class for which admission is sought
* First Name Middle Name
Surname * Candidate Photo (jpg/jpeg)
File size should not be more than 1 MB.
Please Note that child's name should be the same as in the Date of Birth Certificate. No change afterwards.
* Date of Birth (DD-MM-YYYY) Place of Birth
Submission of Date of Birth Certificate issued only by Registrar Birth & Death of Municipal Corporation / Municipality at the time of admission is a must.
* Birth Certificate (jpg/jpeg)
File size should not be more than 1 MB. 		Age as on (31-03-2022)
* Gender * Blood Group
* Belongs To Submission of certificate at the time of admission is a must.
* Category
* Religion * Minority
* Specially abled (Divyangjan) Mother Tongue
If child has any medical problems (like diabetes etc), give details and submit the medical certificate for the same.
If child is allergic to any substance (like nuts etc.), give details and submit the medical certificate for the same.
Aadhaar Number * Hometown
* Nationality
Parent(s) is/are BHEL Employee (Yes/No) * If parent(s) is/are Ex-student of
DPS Ranipur
* If your ward is Girl Child (Yes/No) * Choose category, If you are a Single parent
If real brother / sister is studying in
DPS Ranipur		  
 
Communication Details (Please do not expect communication at address other than this)
 
* Email: * Mobile No. for SMS:
 
Transport Details
 
* Transport Category
 
PARENTAL INFORMATION
Father's Detail
 
* First Name Middle Name
Surname Staff No. (in case father is BHEL employee)
* Academic Qualifications * Occupation
Designation Organization
* Gross Annual Income (in Rs.) * Address (Off.)
* Mobile * E-mail
* Residential Address Permanent  Address
Home Town * Pincode
Phone No (O)   (R)  
Father Aadhaar No.   Father Photo (jpg/jpeg)
File size should not be more than 1 MB.
 
 
Mother's Detail
 
* First Name Middle Name
Surname Staff No.(in case mother is BHEL employee)
* Academic Qualifications * Occupation
Designation Organisation
Gross Annual Income (in Rs.) * Address(Off.)
* E-mail * Mobile
* Residential Address Permanent  Address
Home Town Pincode
Phone No (O)   (R)
Are the parents not residing in Haridwar
with the child		 Mother Aadhaar No.
Mother Photo (jpg/jpeg)
File size should not be more than 1 MB.
 
Guardian Details
* In case the parents are not residing in Haridwar with the child
 
 
Criteria & Point-wise weightage
 
* Neighbourhood:  

I certify that the particulars given by me above are correct.
       
(Father)  

(Mother)

(Guardian)

 
 

I Agree