Delhi Public School Varanasi

Chandaulli - Mohansarai By-pass Road,
Varanasi, INDIA
Tel: +91 7703000070/71 | Email: info@dpsvaranasi.com

Registration Form (2021-22)

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

Sibling Details:

Sibling (Real Brother/ Sister) only studying in DPS Varanasi    
Admission No.
Sibling Name
 
Sibling Class
 

Student Details:

Academic Year*
 
Student First Name*
Middle Name
 
Last Name*
Gender*
 
Blood Group
Date of Birth*
 
Category *
Mobile No. *
 
Nationality*
Caste*
 
Mother Tongue*
Religion*
 
Current School*
Current Class*
 
Admission Sought in Class*
Special Skills and Interests*
 
Student's Aadhar Card No.
Kindly Specify 3rd Language Option Form Class V to VIII
 
Kindly Specify 2nd Language Option For Class IX
Kindly Subject Stream For Class XI
 
Address*
Pin*
 
Student E-mail*
Student's Photo*
 
 
Birth Certificate
Previous Years Marksheet
 
 

Father Details:

Name*
Name of Board/College/University
 
Academic Qualification*
Occupation*
 
Designation
Organisation
 
Phone(Off.)
Phone(Resident)
 
Address(Off.)
Residential Address*
 
E-mail*
Mobile No.*
 
FAX
City*
 
Pin Code
Father's Photo*
 
 

Mother Details:

Name*
Name of Board/College/University
 
Academic Qualifications*
Occupation*
 
Designation
Organisation
 
Phone(Off.)
Phone(Resident)
 
Address(Off.)
Residential Address
 
E-mail
Mobile No.
 
FAX
Pin Code
 
Mother's Photo *
 
 

Sibling Details:

 
Number of Siblings
 
 
No. Sibling Name Class Age School
1.
2.
3.

Additional Information

Do you want to need transport *
If transport facility is not available, would you still seek admission *
 
I Agree