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DELHI PUBLIC SCHOOL RANIPUR, HARIDWAR
SEC. III, BHEL, RANIPUR, HARIDWAR (UTTARAKHAND)
CBSE AFFILIATION NO. 3530008
REGISTRATION FORM 2021 - 2022
FOR PREP JUNIOR / NURSERY
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
 
Student Details
 
* First Name Middle Name
Surname * Candidate Photo
* 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.
* Blood Group DOB Word
* Gender * Nationality
* Caste Category * Submission of certificate at the time of admission is a must.
Aadhar Number, (if any) * Hometown
* 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.
* Category * Tuition Fee Category
* Transport Category * Birth Certificate
If by bus, choose Student picking point :
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
 
* Email: * Mobile No. for SMS:
 
 
PARENTAL INFORMATION
Father's Details
 
* First Name Middle Name
Surname Staff No. (in case father is BHEL employee)
* Academic Qualifications * Occupation
Designation Organization
* Gross Annual Income * Address (Off.)
* Mobile * E-mail
* Residential Address Permanent  Address
Home Town * Pincode
Phone No (O)   (R)  
Father Aadhar No.  
 
 
Mother's Details
 
* First Name Middle Name
Surname Staff No.(in case mother is BHEL employee)
* Educational qualification * Occupation
Designation Organisation
Annual Income * 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 Aadhar No.
 
Guardian Details
* In case the parents are not residing in Haridwar with the child
 
 
Criteria & Point-wise weightage
* BHEL Employee Ward / Regular DPS Staff Ward:  
* Neighborhood:  
* Sibling:  
* Ward of Alumni / Ex-student of DPS Ranipur:  
* Girl Child / Single Parent:  
I certify that the particulars given by me above are correct.
       
(Father)  

(Mother)

(Gauardian)

Neighborhood : Criteria Point
Sr. No. Location Marks
(a) Whole BHEL Campus 40
(b) PAC, Shivalik Nagar, Subhash Nagar, Tehri Visthapit Colony (Adjacent to Payal cinema) 36
(c) Dheerwali, Neel Khudana, Kadach Mohalla 32
(d) Jagdish Nagar, Ambedkar Nagar, Sanjay Colony, Rawali Mehdood, Shyam Nagar, SIDCUL (Indralok, NRI City Antriksh), Vivek Vihar, Sharda Nagar, Shivlok, Nandpuri, Model Colony, Panchwati Colony, Prem Nagar, Govindpuri, Arya Nagar, Ranipur More, Khanna Nagar, Yogi Vihar 24
(e) Rishikul, Gyanlok Colony, Ramnagar, Miyana Mohalla, Mayapur, Vishwa Kalyan, Shiv Nagar-2, Kankhal, Brahm Vihar Colony, Salempur Mehdood, Nirmala Chawoni, Sarva Priya Vihar Colony, Deep Ganga (SIDCUL), Ind. Area Bahadrabad (Indian Oil Bottling Plant), Jurs Country 16
(f) Haridwar Greens, Gurukul Kangri University, Brahmpuri, Birlaghat, Roshnabad, Har Ki Pauri 8
(g) Other places - beyond 10 kms radius 0
 
� I hereby declare that the above information furnished by me is correct to the best of my knowledge and belief. I shall abide by the rules of the school.
� The above points filled by me will be checked by the school authority for the validation & will be liable to change accordingly.
� I accept that the form may be rejected in case the information is found wrong.