DEEP MEMORIAL PUBLIC SCHOOL

Ramprastha, Ghaziabad- 201011 (U.P.)
Ph: 0120-2641065, 4111343; (Jr. School)
Website: www.dmps.asia

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

Registration Form/Admission Form

 

[Fill in Capital Letters.]

Proceed for Payment, if Application Form Already Filled

SIBLING DETAILS

Sibling (Real Brother/Sister only) studying in Deep Memorial Public School    
 
Admission No.
Sibling Name
 
Sibling Class
Sibling Age
 
School No.
 

OTHER SIBLING

Sibling Name
Sibling Class
 
Sibling Age
Sibling School No.
 

STUDENT DETAILS

Academic Year*
 
 
Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Date of Birth*
Class for which admission is sought*
 
Date of Birth In Words*
Student Type*
 
 
Category*
Nationality*
 
Blood Group
Email*
 
Mobile No.*
Religion*
 
School Transport Required*
 
Student's Photo*
(Min. 500KB and Max. size should be 2MB)
 

PERMANENT ADDRESS (NATIVE PLACE)

Address*
State*
 
City*
PIN Code No.*
 
Tel. Nos.
Mobile*
 
E-mail*
 

CORRESPONDENCE ADDRESS(PRESENT RESIDENTIAL)
  (PLEASE SELECT IF CORRESPONDENCE ADDRESS IS THE SAME AS PERMANENT ADDRESS.)

Address*
State*
 
City*
PIN Code No.*
 
Tel. Nos.
Mobile*
 
E-mail*
Emergency Telephone Numbers:*
 
Is there any medical information about your ward which the school should be aware of:*
 

FATHER'S DETAILS

Father Name*
Age*
 
Nationality*
Qualification*
 
Institution / University*
Occupation*
 
Organization*
Designation*
 
Annual Income*
Tel(Off.)*
 
Address(Off.)*
No. of hours of interaction with the child per week*
 
Father's Photo*
(Min. 500KB and Max. size should be 2MB)
Father's Signature*
(Min. 500KB and Max. size should be 2MB)
 

MOTHER'S DETAILS

Mother Name*
Age*
 
Nationality*
Qualification*
 
Institution / University*
Occupation*
 
Organization*
Designation*
 
Annual Income*
Tel(Off.)*
 
Address(Off.)*
No. of hours of interaction with the child per week*
 
Mother's Photo*
(Min. 500KB and Max. size should be 2MB)
Mother's Signature*
(Min. 500KB and Max. size should be 2MB)
 

ARE YOUR PARENTS ALUMNI OF THE SCHOOL

Are Your Parents Alumni of the School*
Mother/Father
 
Year of Leaving School
Class Passed
 

ACADEMIC BACKGROUND OF THE CHILD

Name of the last school attended:
Medium of Instruction
 
Name of the Board (if applicable)
Any outstanding achievements
 
Hobbies/ Co-curricular activities
How did you learn about "DMPS?"*
 
 
 
FINAL MARKS/GRADES OF PREVIOUS YEAR
 
SUBJECTS OFFERED (FOR CLASS XI & XII)
NOTE: SUBJECT ONCE OPTED WILL NOT BE CHANGED EITHER IN CLASS XI OR CLASS XII
 

DECLARATION

i) We hereby declare that we shall abide by all the rules and regulations of the school and instructions as and when issued by the Principal/School authorities.
ii) We understand that school makes all the efforts for the safety of the students using the school transport, but school will not be responsible for any road accident in which buses may unfortunately be involved.
iii) We also understand that rendering false or misleading information or witholding correct information may disqualify the child for admission/education in this school.

Please Note:
There should not be any overwriting, cutting or use of whitener etc. in the Registration/Admission Form. If you do so, then you will have to fill the new Registration/Admission form.

LIST OF DOCUMENTS TO BE ENCLOSED WITH THE FORM
Classes PRE-NUR to I
1. Copy of Birth Certificate (attested).
2. Copy of ID proof of father & mother (attested).
3. Copy of Address Proof (attested).
Classes II to IX
1. In case you are not submitting the Transfer Certificate at the time of admission then produce bonafide certificate from your school (On School Letter Head: mentioning Name of the student, Father, Mother, Class, session and date of birth as per the school record).
2. Copy of previous class Mark sheet.
3. Copy of ID proof of father & mother (attested).
4. Copy of Address proof (attested).
5. Original Transfer Certificate (after the approval of the admission).
Class XI
1. Attested copy of Term-1 report card/Pre-board result (If the Class X Board result has not been declared).
2. In case you are not submitting the Transfer Certificate & Board Mark sheet at the time of admission then produce bonafide certificate from your school (On School Letter Head: mentioning Name of the student, Father, Mother, Class, session and date of birth as per your Board record).
3. Attested copy of Board mark sheet (if the class X Board result has been declared) & Original Transfer Certificate (After the approval of the admission).
4. Copy of ID proof of father and mother (attested).
5. Copy of Address Proof (attested).

 
 
I Agree