REGISTRATION FORM

For the Session 2018-2019

ISSUE OF REGISTRATION FORM DOES NOT ENSURE ADMISSION.
IT'S OBLIGATORY TO FILL ALL-RELEVANT INFORMATION.
 

Registration No.:

 

Admission No.:

 
  (To be filled by office)
   
Kindly register the name of my ward for admission in your school. Necessary particulars are given below.
 
Student Details
* First Name Middle Name
Last Name Gender
Date of Birth* Place of Birth
Age as on 31st March 2018 Blood group
Admission sought in class* Stream (Class XI Only)
Optional Subject (PCM) Optional Subject (PCB)
Optional Subject (Commerce) Optional Subject (Humanities)
Mother Tongue Category
Religion Single Parent
* Mobile Email
Aadhar Number Student Type
Nationality Student's Photo*
Correspondence Address:
Address    
City State
Pin Code Distance from the school in Kms :
Transport Facility    
Permanent Address:
Address    
City State
Pin Code Nearest Rly. Station/ Airport
Residence phone no. Mobile no.
School where studying Medium of instruction
Last Class Attended
Games & sports played Interest in Co-curricular Activities
Parent Details
Mother :      
* Name Age
Educational qualification Occupation
Designation Organisation
Annual Income Phone(Off.)
Address(Off.) E-mail
Mobile Mother's Photo
Father :
* Name Age
Educational qualification Occupation
Designation Organisation
Annual Income Phone(Off.)
Address(Off.) E-mail
Mobile* Father's Photo
       
No of children  :      
Daughter(s) Son(s)
Detail of sibling(s)[real brother or sister] is/are students(s) of DPS Gaya
Name(S)
Class(S)
Admission No(S).
       
 
   

DECLARATION
I fully understand that the school, on accepting the registration of my ward, is not in any way bound to grant admission,as the admission is purely based on the availability of seats and on Observation cum Interaction Session for Classes Pre-Nur to I, Assessment & Interaction Session for Classes II onwards. I also understand that the decision of the Principal regarding admission will be final and binding on me. In the event of my ward being selected for admission, I shall have no objection to the school Medical Officer giving inoculation against typhoid A, B & Cholera to my child from year to year. I further undertake to abide by the school rules and regulations.
NOTE:-"Parents / Applicants are required to come personally to submit the completed hard copy (Printout) of Online Registration Form, Photocopy of Birth Certificate of the candidate along with Registration Fees of Rs. 1500/- in cash within three days of filling the online registration form."
   
Date:  
Signature of the Mother:  

Place :

 

Signature of the Father :