Delhi Public School Visakhapatnam

Steel Plant, Sector VIII, Ukkunagarm, Visakhapatnam
dpsvisakhapatnam@gmail.com
0891-2510686

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

Proceed for Payment If Application form Already Filled.

Sibling Details

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

Student Information

Student First Name*
Student Middle Name
 
Student Last Name
Date of Birth*
 
Age on Last Birthday (Years)
Mother Tongue
 
Gender*
Admission sought in class*
 
Category
Nationality*
 
Religion
Aadhar No.
 
Email*
Mobile No.*
 
Student Type*
Student's Photo (Max-2 MB)*
 
Report card 2018-19
Report card 2019-20
 
Report card 2020-21
Birth Certificate
 
 

Other's Information

Nearest Rly. Station
Airport
 
Previous School
Previous Class
 
Position of Last Exam
Out of
 
In Year
Proficiency in Games (if any)
 
 

Details of Marks/Grade Obtained in Last Three Years Examinations

S. No. Class English Hindi Maths Physics/
Science
Chemistry Biology History/
S.Studies
Civics/
Economics
Geography III Language Any Other Agg.% CGPA Rank
1.
2.
3.

Communication Address

Address
 
Country
 
City
State
 
Pin Code
 
 

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Father's Information

Father Name*
Organization
 
Occupation
Qualification
 
Designation
Employee No.
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.
 
Father's Photo (Max-2 MB)*
 
 

Mother's Information

Mother Name*
Organization
 
Occupation
Qualification
 
Designation
Employee No.
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.
 
Mother's Photo (Max-2 MB)*
 

Guardian's Information

Guardian Name (if any)
Relationship with Child
 
Occupation
Qualification
 
Designation
Mobile No.
 
Phone(Off.)
Phone(Resi.)
 
E-mail
 
 
 

1. For those seeking admission in Nursery/Preparatory, the original birth certificate issued by the municipal corporation needs to be produced for verification at the time of admission. A photo copy of the same is to be submitted for school record.
2. For wards of VSP Employees, a proof certificate from Personnel Dptt. Is to be submitted.
3. Students seeking admission in classes IX & X must produce a pass certificate in third language from their previous school.
4. If belonging to SC/ST/OBC category, a certificate for the same should be submitted at the time of admission.
5. Other than class Nursery & Prep no admission is complete until Transfer Certificate in original form, from the last school is produced. The certificate should be countersigned by the Education Officer in case of non CBSE or inter state transfer.
6. Attested Photocopies of certificates for proficiency in Games, CCA, other outstanding achievements and Report cards of the last three years are to be produced at the time of registration.

DECLARATIONS
 

1. I know that registration fee is non-refundable and I fully understand that registration is no binding for admission. It may be given only when a suitable vacancy exists & child's performance in the test is satisfactory as per school norms.
2. In case my child's is admitted in the school, I shall make my own arrangement for inoculation against typhoid, cholera & vaccination against small pox etc.to my child from year to year.
3. My child shall take part in all activities/functions of the school as deemed fit.
4. I have made careful note of various details regarding the payment of school fees. I have made satisfactory arrangement for remittance of school fees within due dates without waiting for reminder from the school.
5. I hereby certify that the date of birth & spelling of the name of my child given in this form is correct to the best of my knowledge and I shall not make any request for the change.
6. I hereby certify that in case I do not claim the caution money paid by me for a period of three years after my word(s) leave(s) the school, the amount may be treated as donation to the school and my right over the refund of the amount will stand relinquished by me.
7. I understand that rendering false or misleading information or with holding correct information may disqualify the child for admission/education at this school.
8. Having read carefully the rules, regulation & procedures laid down in the school prospectus and being desirous of having my child/ward educated in Delhi Public School, Visakhapatnam, I hereby agree to abide by them in all respects. I understand that the decision of the principal shall be final & binding on me.
9. I hereby certify that my ward & myself shall follow all the rules, regulations & procedures laid down by the school from time to time.
10. I certify that I am bonafide guardian of the child (strike if off in not required).
11. I put my signature to confirm the above declarations.

 
I Agree