DELHI PUBLIC SCHOOL

SECTOR-67, Gurugram, Haryana 122001

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

Student Details

☞ Please do not leave any column blank. Use NA Wherever necessary return the completed registration form duly filled within 3 days from the date of procurement. The registration number will be used for all further communication.

Student First Name*
Middle Name
Last Name
Gender*
Date of Birth*
Place of Birth (in words)*
Aadhar No.
Mother Tongue
Blood Group
Current School
Current Class
Admission Sought in Class
Email Id *
Mobile No.*
Special Skills & Interests
Student Photo *

Correspondence Address

Address *
Country *
State *
City *
Pin Code *

Permanent Address
Check this box if Correspondence Address and Permanent Address are the same.

Address*
Country
State*
City*
Pin Code*

Father's Details

Father's Name*
Qualification*
Profession
Organisation
Designation
Office Address
Office Phone No.
Fax
Mobile No.*
Email Id *
No. of Children (daughter's)
Father Photo *

Mother's Details

Mother's Name*
Qualification*
Profession
Organisation
Designation
Office Address
Office Phone No.
Fax
Mobile No.
Email Id
No. of Children (son's)
Mother Photo *

Other Information

☞ Area of interest where parental contribution could enrich the school.

 
Do You Need Transport ? *
Music/Dance/Drama
Social Skills
Painting/Sculpture
Academics
Public Speaking
Communication Skills
Bus/Outing Supervision
Medical
Career Counseling
Sports
Media/PR
Community Programme
Other Interest

Declaration

We hereby certify that all the information given are true and correct. if my/our son/daughter is selected for admission, we hereby agree and give consent to abide by the rules and regulations of the school we further understand that registration does not guarantee admission and that the registration fee paid is neither refundable nor transferable.

I Agree