DELHI PUBLIC SCHOOL UJJAIN

Jaiwantpur Maksi Road, Ujjain
Email: info@dpsujjain.org
Tel:7441172155

Registration Form

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

Sibling Details:

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

Student Details:

Student First Name*
Middle Name
 
Last Name*
Gender*
 
Date of Birth*
Category*
 
Academic Year*
Class*
 
Aadhar No
Email Id*
 
Religion
Any Know Allergies or Medical Conditions
 
Mobile no.*
Student Photo*
 
Nationality*
 

Communication Address

Address
 
Country
 
City
State
 
Pin Code
 

Permanent Address

Address*
 
City*
 
State*
Pin Code*
 

Father's Details

First Name*
Middle Name
 
Last Name*
Qualification*
 
Occupation*
Designation
 
Organization*
Office Address
 
Email Id*
Mobile no.*
 
Father Photo*
 

Mother's Details:

First Name*
Middle Name
 
Last Name*
Qualification
 
Occupation
Designation
 
Organization
Office Address
 
Email Id*
Mobile No.
 
Mother Photo*
 
 
 
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