Delhi Public School Coimbatore Student Registration Form

STUDENT REGISTRATION FORM
(All "" marked fields are MANDATORY. If 'Documents to be Uploaded' list is not appearing, please refresh your page (Ctrl+Shift+R).)*
Sibling Detail (only real brother / sister currently studying in this school)
Sibling :		Admission No. :
Date Of Birth :
Sibling Name :		Sibling Class :
Application Form Information
Candidate Photo :	Coloured passport size photograph above the neck (Dimensions - 3.5 cm x 4.5 cm, Size Limit 150 KB in jpeg format)
Class Applied for :	--Select Class--
Candidate's Personal Information
First Name :		Middle Name :
Last Name :
Date of Birth (dd-mm-yyyy):		D.O.B. Certificate No. :
Age as on Date :		Email (for communication) :	Email Verify
Aadhar No. :		Nationality :
Mobile No. (for communication) :	Mobile Verify	Landline No. :
Gender :	--Select Gender--
Address :		City :
State :		Country :
PIN :		State of Domicile :
Category :	--Select Category--	Religion :	--Select Religion--
Any medical condition requiring School's special attention :		Remarks :
Corresponding Relative :	--Select Corresponding Relative--
School Transport Required :
Preference - 1:
Father's Detail
Father Photo :	Coloured passport size photograph above the neck (Dimensions - 3.5 cm x 4.5 cm, Size Limit 150 KB in jpeg format)
First Name :		Middle Name :
Last Name :		Email Id :
Mobile Number :		Landline Number :
Occupation :	--Select Occupation--	Organization :
Office Address :		Qualification :	--Select Qualification--
Area of Specialisation :
Designation :		Annual Income (In Rs):
Mother's Detail
Mother Photo :	Coloured passport size photograph above the neck (Dimensions - 3.5 cm x 4.5 cm, Size Limit 150 KB in jpeg format)
First Name :		Middle Name :
Last Name :		Email Id :
Mobile Number :		Landline Number :
Occupation :	--Select Occupation--	Organization :
Office Address :		Qualification :	--Select Qualification--
Area of Specialisation :
Designation :		Annual Income (In Rupees):
No. of Son(s) :		No. of Daughter(s) :
Additional Information
Present Class :		Present School Name :
Board Name :	--Select Board Name--	Source of Information :	--Select Source of Info.--
Personal Education Number (PEN) :		ALUMNI WARD:	--Select ALUMNI WARD--
Alumni Name:		Alumni Admission No:
Alumni Last Class Studied:		Alumni Year of Passing:
Documents (Size Limit 1MB in jpeg, jpg, png format only)
BIRTH CERTIFICATE :
STUDENT AADHAR CARD :
ADDRESS PROOF :
CASTE CERTIFICATE :
CURRENT SEM REPORT CARD :
LAST YEAR REPORT CARD :
BONAFIDE CERTIFICATE FROM CURRENT SCHOOL :
1. Date of Birth Certificate. 2. Passport-size colour photograph of the child, focussing on the face (above the neck). 3. Passport-size colour photograph of the mother, focussing on the face (above the neck). 4. Passport-size colour photograph of the father, focussing on the face (above the neck). 5. Last academic session's Final Report Card (if applying for Class II or above). 6. Current academic session's Semester Report Card (if applying for Class II or above). In the absence of the latest Semester Report Card, a certificate from the child's Head of present School, mentioning his/her detailed academic performance. 7. Bonafide Certificate from Current School (if applying from Class II or above). 8. Proof of Residence – One of the following – Passport/Voter I-Card/Aadhaar Card/Latest Electricity Bill/Latest Telephone Bill (Mobile or Landline)/Latest Property Tax Receipt/Latest Bank Statement. 9. SC/ST/OBC/Community Certificate, issued by the designated government authority, (if applicable). 10. Aadhaar Card of child (if available).
Declaration I/We understand that if any of the above information is found to be incomplete, incorrect or false, my/our ward shall be automatically debarred from the selection / admission process without any correspondence in this regard. I/we also understand that the application / registration / shortlisting does not guarantee admission to my ward. I/We accept the process of admission undertaken by the school and I/we will abide by the decision taken by the school authorities. I have read all guidelines and information provided on the school website and promise to abide by the rules formulated by the school. I also understand and agree that in all matters pertaining to admission, the decision of the school authorities will be final and binding. It is mandatory to read the Terms and Conditions for Online Registration before proceeding to make payment. Clicking on "Agree" will imply your acceptance of these Terms and Conditions.
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