Delhi Public School Patiala

Registration / Admission Form

:01763- 261770 , +91-09988104779 :info@dpspatiala.org
: Reethkheri, Sirhind Road, Patiala, (Pb). 147001

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 
Proceed for Payment, if Registration Form Already Filled
 

Student Details

Child's First Name*
Child's Middle Name
 
Child's Last Name
Gender*
 
Date of Birth*
Academic Year*
Admission sought in class*
Blood Group
 
Category
Nationality
 
Email*
Languages the Child Understand
 
Mobile No.*
Student's Photo (Max-2 MB)*
 
Source of Information
 

Previous School

Previous School Name
Class Last Studied
 
Subjects Studied in Previous School
Medium of Instruction
 

Note: Submission of the original Transfer Certificate is mandatory for admissions to class II and above.

 

Sibling Details

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

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Communication Address    ( Check this box if Communication Address and Residential Address are same. )

Address
 
Country
 
City
State
 
Pin Code
 
 

Father Details

Father's Name *
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Office Phone
Office Address
 
E-mail
Mobile No.
 
Father Aadhar No.
Father's Photo (Max-2 MB) *
 
 

Mother Details

Mother's Name *
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Office Phone
Office Address
 
E-mail
Mobile No.
 
Mother Aadhar No.
Mother's Photo (Max-2 MB) *
 
 

Guardian Details

Guardian's Name
Qualification
 
Occupation
Designation
 
Name of the Organisation/ Company
Job Type
 
Office Address
Office Phone
 
Phone(Res.)
Mobile No.
 
E-mail
Aadhaar Card No
 
Relation with Child
Guardian's Photo.
 

Health Status

Allergy / Chronic Ailment (If any)
 
Differently Abled (If any)
 
Any other health issues
 
 

Transport

Is School Transport Required *
 

Upload Documents

Father's Aadhar card *
Mother's Aadhar card *
 
Students' Aadhar card *
Guardian's Aadhar card
 
Transfer Certificate
Progress Report
 
Date of birth certificate *
Aadhaar No.
 

1. A self-attested copy of birth certificate of the child along with original for verification. The certificate issued by Municipal Corporation only is valid.
2. One Passport Size Photograph of Father, Mother, Guardian and three photographs of child are mandatory.
3. Photocopy of Caste certificate if SC/ST/OBC along with Original for verification (If applicable).
4. Transfer Certificate of current school (compulsory for admission to classes II onwards).
5. A copy of previous year report card / mid-term report card.
6. A self-attested copy of Aadhar Card of the Student and both the parents along with Original for Verification (not mandatory).

UNDERTAKING/DECLARATION

I_____________________ Father/Mother/Guardian of_________________ Class_____________Hereby declare that all the information given above by me is correct. Admission of my child may be cancelled, if any discrepancy is found in the information filled.

 
I Agree