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DPS North Registration Form 2010 11

This document contains a registration form for Delhi Public School in Bangalore, India. It provides instructions for completing the form and includes fields for the student's personal details, family details, previous school information, and locality/occupation codes. It notes that registration does not guarantee admission and lists the required documents and fees to submit with the application.

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Venkatesha Hebbar
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77 views3 pages

DPS North Registration Form 2010 11

This document contains a registration form for Delhi Public School in Bangalore, India. It provides instructions for completing the form and includes fields for the student's personal details, family details, previous school information, and locality/occupation codes. It notes that registration does not guarantee admission and lists the required documents and fees to submit with the application.

Uploaded by

Venkatesha Hebbar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Delhi Public School, Bangalore - North

Survey No. 35/A, Sathanur Village, Jala Hobli, Bangalore-562149 Karnataka, India Tel: 28478041/42, Fax: 28478844 [email protected] / www.dpsbangalore.net

Please affix Passport size photograph of student

REGISTRATION FORM Issue of Registration Form Does Not Ensure Admission


For office use only Registration No.____________ Lyceum No

General Instructions
1. Use only Black ball Pen to fill the form 2. Do not enter registration number yourself 3. Use the codes given overleaf to fill locality code/ occupation code

Receipt No.__________ Date :______________


Male / Female (TICK)

Name of the child (applicant)


(IN BLOCK LETTERS)

Date of Birth (dd/mm/yyyy): (in words) Class to which Admission is sought Nationality Religion Age as on 30th June 2011 Mother tongue Please Tick ( ) SC/ ST/ OBC / Others: [Please Specify]

Blood group _______Second language (for UKG-X) ______________Third language (for V X )__________________ Whether School Conveyance required : Please Tick ( Residential Address :
Please give complete postal address

) Yes

No

Pin Code : Distance from school ( in Kms) Sibling (DPS) Yes (only of real brothers/sisters) If yes, give details No

Locality Code :
(See overleaf)

Preferred Phone Number for School SMS (only one) _____________________________ Sibling Name ______________________________________________________ Class-Section Admission No

Child with special needs:

Yes

No

Specify _______________________________________________

Details of Parents School Alumni (DPS)

Yes

No Post graduation OR Professional Degree

School Staff (DPS) Yes Graduation OR Equivalent

No Secondary School examination th 10 OR Equivalent

Educational Qualification (Tick highest qualification only)

(Please specify)
Father Mother

Sr. Secondary School Examination 10+2 OR Equivalent

FATHER Name Occupation Occupation Code


(For occupation codes see overleaf )

MOTHER

: : :
(If business - specify) (If business - specify)

Designation

FATHER (If applicable)

MOTHER (If applicable)

Organisation Name Organisation Address

: :

Phone No Mobile No

: :

E-mail in block letters only Are you a Single Parent If applicable specify If child is sponsored (Name of sponsoring agency) ___________________________________________________________________________ Permanent Address of Agency D ECLARATION I|We hereby certify that the above information provided by me/us is correct and I/we understand that if the information is found to be incorrect or false, the ward shall be automatically debarred from selection/admission process without any correspondence in this regard. I/We also understand that the application /registration /short listing 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. Name Signature Date : Father : Mother :
Previous School's information (not applicable for nursery): Submitted Transfer Certificate : (Please ) Yes

No Principal / Vice Principal

Admission In charge

The school provides transport facilities but offers no guarantee that a seat in the school bus will be available when the buses are full to capacity / do not ply in the area of your residence. It will be the responsibility of the parents / guardians to drop / collect the child from the specified bus stop. Please attach the following : The child should be 3 + years of age as on 30 the June 2011 for Nursery a) Photocopy of Birth Certificate The registration made herein does in no way entitle the candidate to be admitted to the school. issued by Muncipal Corporation. Incomplete / Invalid forms will be rejected. b) 4 Latest passport size colour photographs.
Code ADV AWS ARC DEF BNK BUS CAC DOC EDU EMB FIN Occupation Advocate Airways Architect Army / Navy / Air Force Defence Services Bank Employee Business(specify) Charted Accountant Doctor Educationist Embassy Employee Financial Organisation Employee HTL CIV INT NWS MER OTH PVT PUB RWS SCT MIS GOVT Hotel Civil Services International Organisation Journalist/AIR/Print Media Merchant Navy Others Private Service Employee Public Sector Employee Railway Employee Scientist None of the above Government Employee

Locality Code O A B C D

Distance From School 0-3 Km Above 3 Km up to 5 Km Above 5 Km up to 10 Km Above 10 Km up to 20 Km Above 20 Km

* Short listed candidates will be intimated via SMS *Please check schools website for updates.

Brochure Fees:

Applicant within India: A sum of Rs. 600/- (non-refundable) to be paid by bank draft drawn in favour of DPS Bangalore North. (Name of the student, Registration No., & Fathers name to be clearly stated at the back of the bank draft.)

Applicant outside India: A sum of 75 USD (non-refundable) to be paid by bank draft drawn in favour of DPS Bangalore North. (Name of the student, Registration No., & Fathers name to be clearly stated at the back of the bank draft.)

______________________________OFFICE USE ONLY________________________________

Demand Draft Received from________________________________________________________

D.D Amt ___________ Date____/_____/______ Bank___________________________________

Authorized Signature

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