Brahm Dutt Blue Bells Public School

Sector -10 Urban Estate Gurgaon, Haryana, India-122001

(Affiliated to C.B.S.E.)
(vide CBSE affiliation no. 530482)
E-mail Id- bbpublic@bluebells.org
Website:https://www.bluebells.org/bbpublic

Registration Form for Class Nursery to X

 
 

Instruction: 1. Size of Images to be uploaded should be more than 500 KB and less than 2 MB.
2. School will communicate on the email provided by you for Communication.

 
Enquiry No.
Mobile No.
 
Student Photo*
Father Photo*
Mother Photo*
 
 
Session*
Applying for Class*
 
Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Date of Birth*
Age as on 2023*
 
Date of Birth (In Words)*
 
Mother Tongue*
 
Nationality
Student Aadhar No.
 
Mobile*
Email for Communication*
 
Birth Certificate of Child
Current Address Proof*
 
Marksheet of the previous Class :
Transfer Certificate/SLC :
 
Correspondence Address
Sector/Locality/Apartments* City* State* Pin* Country* Tel No. (Landline)*
Permanent Address

☞ Is Corresponding & Permanent Address same?

Sector/Locality/Apartments* City* State* Pin* Country*
Father Name*
Mother Name*
 
Father Mobile No.*
Mother Mobile No.*
 
Father Aadhar No*
Mother Aadhar No*
 
Father Qualification
Mother Qualification
 
Father Occupation
Mother Occupation
 
Father Designation
Mother Designation
 
Father Office Address
Mother Office Address
 
Father Office Tel No.
Mother Office Tel No.
 
Email Id (Father)*
Email Id (Mother)
 
Father Annual Income*
Mother Annual Income*
 
Identity Proof of Parents :*
 
 
Co-Curricular Certificate Co-Curricular Certificate Co-Curricular Certificate Co-Curricular Certificate

☞ Details of Siblings in Blue Bells Model School (If Any)

Sibling Admission No. Mobile No. Student Name Class
First Sibling
Second Sibling

☞ Alumni Details (If Any)

Alumni Name
Relation with the child
 
Passing out Class
Passing out Year
 
From Year
To Year
 

☞ General information

How did you know about Blue Bells
 
 
I hereby declare that the information furnished above is complete and correct to the best of my knowledge.