Delhi Public School Admission Form Forms - Day Scholars (PG I To Ix)

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Information Regarding Admission

DELHI PUBLIC SCHOOL GUWAHATI


Under the aegis of the Delhi Public School Society, Delhi

Day Scholar

2013 -14
INFORMATION REGARDING ADMISSION:
Admission is open for classes PG I to Class IX & XI (Science. Commerce & Arts) for the academic session 2013-2014. From Class - II onwards, a student will be admitted only after submission of a Transfer Certificate from the previous school. Admission is subject to a student qualifying entrance examination and availability of seat. The admission is also subject to the following: a) Verification of Original Birth Certificate (Submission in case of PGI/ PGII/ I ) b) Submission of Original Mark Sheet of the last exam of the last class attended. c) Transfer Certificate (Classes II and above) (to be countersigned by District Elementary Education Officer in case of inter state / inter board transfer) d) Deposition of admission fees within the prescribed date. e) Undertaking by parents & family Doctors Certificate in the prescribed Format. f ) Incomplete and illegible Registration Forms will not be accepted.

REGISTRATION:
The duly filled in Registration Form should be submitted to the school along with the required documents & Registration fee before the last date of submission of Registration Form. Application submitted after the last date will not be considered. The Registration Form is non-transferable even to the siblings and only the form issued by the school or downloaded from the school website will be considered for Registration of your child. Parents are requested to go through the fee structure, transport facility and prospectus 2013-14 carefully before filling in the form.

GENERAL RULES:

1. The amount deposited towards Registration and admission for a particular year will neither be refunded nor transferred to any other year or towards siblings fee. 2. Advance fees for the whole year may be deposited in the beginning of the session. 3. Annual fee, Education fee and Transport fee will be automatically linked with the rise in the price index and may be increased by about 10 15% at the beginning of a subsequent session as determined by the schools Board of Management. 4. Buses ply on two different time schedules for the various classes, which may be changed as and when required. In any case admission does not guarantee transport facility. 5. Transport routes may be rescheduled or changed as and when required. 6. The school reserves the right to withdraw bus facility, if any student or parent of the student is found indulging in verbal or physical abuse with the drivers & are also liable for expulsion from the school.

ADMISSION PROCEDURE:

1. The final list of selected students will be put up in the school office. Parents have to collect the selection letter from the school office within 3 days of declaration of the result. 2. The admission formalities will be intimated to the parent / guardian of the selected candidates along with the fee payment slip. The admission fee is to be deposited within 5 working days from the date of collection of the selection letter. 3. The requisite documents mentioned in the selection letter along with the photocopy of the fee slips are to be submitted within the specified date of securing admission. 4. It is mandatory for all students ( class-II onwards) to submit the Transfer Certificate from the last school attended. No student will be admitted to the school without the submission of an official Transfer Certificate from the institution last attended, nor will the student be placed in the class higher than that for which the Transfer Certificate shows him/her to be qualified. 5. Fees once paid at the time of admission are not refundable in any case. 6. The school Management, acting through the managing board reserves the right to have the final word in all matters relating to the admission procedure.

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FOR THE CHALLENGED CANDIDATES:


DPS Guwahati encourages education for all the children. But as we are not equipped with special methodology for the challenged children, we humbly request the parents not to apply for the admission till we are equipped with such facility. If, in spite of the limitations, such children are incorporated into our system, the school cannot be held responsible in case of their lack of adaptability, deficiencies in the art of comprehension, failure to meet the required academic standards and inevitable constraints in the part of holistic development.

AGE CRITERION Age of the candidate as recorded in the birth certificate issued by the Civil Authority, will determine the eligibility for admission to a particular class.
- Sl. No. 1 2 3 4

Class
PG I PG II Class I Class II onwards

Criterion
As on 01-04-2013 : 3 years 6 months As on: 01-04-2013 : 4 years 6 months As on: 01-04-2013 : 5 years 6 months As per Transfer Certificate (from a recognized school)

Registration Form
NON - TRANSFERABLE

Day Scholar
Registration No. Date of Registration

Boarder

DELHI PUBLIC SCHOOL GUWAHATI


Under the aegis of the Delhi Public School Society, Delhi

2013 -14
Application No.
( To be filled in by the office)

Admission No.
(PLEASE FILL IN BLOCK LETTERS)

Paste Recent Colour photograph in passport size

1. Name of the pupil : First Name 2. a. Date of birth b. Date of birth in words: c. Age as on 30th September 2013: d. Sex: f. Mother Tongue: SC General Yes g. Caste: h. Category: i. Single Parent: Male Nationality ST Staff No Years Female Months e. Blood Group Religion OBC General Mother Days Date Month Year 0 1 1 Middle Name Last Name Example 2 1

Legal Guardian:

(if single parent is selected)

3. Tick the class to which admission is sought 4. Residential Address for communication City: 5. Family Particulars a. Name: c. Occupation: e. Work Details: () f. Office Address: g. Mobile No.: 6. Family Particulars a. Name: c. Occupation: e. Work Details: () f. Office Address: E-mail: g. Mobile No.: 7. Local Guardian a. Name: c. Occupation: e. Office Address: g. Mobile No.: Govt. Others

PGI PGII I

(FATHER)

Govt.

(MOTHER)

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State: Others E-mail: f.

b. Academic Qualification: (Please specify)

d. Designation:

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II III Office Phone No.: Office Phone No.:

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Father V Phone: Pin
SIGNATURE:

VI VII VIII IX

*X

*XI *XII

Passport size photograph of Father ( Paste Only)

b. Academic Qualification: d. Designation: (Please specify)


SIGNATURE: Passport size photograph of Mother ( Paste Only)

b. Academic Qualification: d. Designation: Office Phone No.: h. Specimen Signature:

Passport size photograph of Local Guardian ( Paste Only)

8. Previous academic record of the student a. Name and address of the previous school b. Class attending/Last attended d. Board f. Marks obtained in the last annual examination Subject % of marks or Grade 9. Details of siblings (sister or brother) i. Name ii. Name (Is applying this year in DPS Guwahati) English 2nd Language
Hindi / Assamese / Others

c. Session e. Medium of Instruction Maths Science Social Science

10. In case of staff child, name of the parent working with DPS Guwahati 11. Distance of school from the childs residence (in Kms.)

Note : Entries filled in this admission form must match with the details of Birth/ Treansfer certificate. There after no changes shall be entertained and the same entries will be carried in CBSE registration /LOC forms and the mark sheets provided by the CBSE.

DECLARATION

1. The registration made herein does in no way entitle my ward to be admitted to the school and also does not entitle me or my ward for remittance of registration fee. 2. Automatic transfer to other DPSs will not be possible due to our transfer, change of residence or other circumstances. 3. It will be my responsibility to drop/ collect the child from the respective bus stops already decided by the school. 4. I have made careful note of various details regarding the payment of school fees. I will make satisfactory arrangements for remittance of the school fees by the 10th of every quater. 5. I understand that rendering false or misleading information or withholding correct information will disqualify the child. 6. Having read carefully the rules , regulations and procedures laid down in the school prospectus and being desirous of having my ward educated in DPS Guwahati , I hereby agree to abide by them and any changes thereafter in all respects. I understand that the decision of the Principal shall be final and binding. Place Place Signature (Father) Signature (Mother) Name Name

INSTRUCTIONS
The Registration Form should reach the school latest by . Filling up the entire form is mandatory. Incomplete form may not be considered. The following documents must be attached with this form. i) Photocopy of the candidates Birth Certificate, duly attested by Gazetted Officer, issued by a competent Village/Municipality/ Govt. Authority or by a Registered Nursing Home or Medical Practitioner who has delivered the child with their medical Registration Number (affidavits or school certificates are not acceptable to certify DOB). ii) Photocopy of the Mark Sheet of the annual examination attended in the previous school. iii) Three recent passport size photographs of the pupil, one duly pasted in the application form and two to be provided with the Admission Form. iv) SC/ST/OBC/ Others certificates (if any). v) Undertaking duly signed by the parents.

Documents submitted: Passport size photographs: Photocopy of Birth Certificate: Remarks (if any): Hostel Approved: Yes No

Principals Remarks with initials:

NLO
Class Yes

Class

FOR OFFICE USE


Students (3) Photocopy of Mark Sheet Parents ( 1 each) Health Form

DOW
School School No Money Receipt No Date of Registration

ADE

Medical Check Up Report


DELHI PUBLIC SCHOOL GUWAHATI
Under the aegis of the Delhi Public School Society, Delhi

Day Scholar

2013 -14
( To be filled in by the family doctor and must be submitted in the school office after deposition of admission fee)

Name 1. 2. 3. 4. 5. 6. 7. 8. 9. Weight Height Blood Group Power in Case of Spectacles Opthalmic Problem Dental Problem Genito Urinary Problem Orthopaedic Problem Respiratory Problem : : : : : : : : : :

Age

Sex

Class

Reg. No. Kg Cm

L.T.

R.T.

10. Skin Problem 11. Alergies & Drug Reactions 12. Metabolism ( obesity etc.) 13. Cardio Vascular Problem 14. Epilepsy 15. Learning Disabilities

16. Attention Deficit Disorder 17. Hyperactivity Disorder 18. Any other CNS Problem 19. ENT Problems 20. Gastro Intestinal Problem 21. Any Other Problem

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: : : : : : : : : :

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(Seal & Signature of the Doctor)

Undertaking by Parents
DELHI PUBLIC SCHOOL GUWAHATI
Under the aegis of the Delhi Public School Society, Delhi

Day Scholar

Boarder

2013 -14
UNDERTAKING BY PARENTS SEEKING ADMISSION FOR THEIR WARDS IN DPS GUWAHATI
We, Mr & Mrs seeking admission to the class 1. 2. parents of Master/Miss in DPS Guwahati, do hereby undertake that:

we will abide by all the rules and regulations of the school being enforced from time to time in DPS Guwahati. the admission to DPS Guwahati is provisional and will be regularized only on production of the original mark sheet and transfer certificate from the present school (for classes II onwards). We also undertake that in case our ward fails in the existing school, his/her provisional admission at DPS Guwahati will be cancelled. the pass percentage in DPS Guwahati in all the classes is 50% and also understand, if my ward gets less than 50% in annual exam of any class, he/she may be detained in the same class. Failing twice in DPS Guwahati will lead to expulsion from the school. we agree that the Annual fee, Tuition fee and Transport fee etc. would be automatically linked with rise in the price index etc. and may be increased by about 15-20% in the beginning of the subsequent session, as determined by the Board of Management of the school. the information given in the Admission form of our ward is true and correct to the best of our knowledge and belief. We understand that in case any information is found incorrect at any point of time, admission of our ward to the DPS will be cancelled without any prior intimation to us. the school has a fleet of hired buses for commuting pupils from different places to school and from the school to the different localities of their residences. Presently, a firm called Childcare has been entrusted on contractual basis to ply the buses and take care of the safety of the students. we understand that the school will try its level best to provide buses to all the main routes of the city. The school has right to cancel any bus route if sufficient number of students are not available on that route and in that case we will make our own arrangement to fetch and drop our ward at the nearest bus stop of the school. In any case, it will be our responsibility to drop and fetch our ward from the predetermined school bus stops. we understand that DPS Guwahati, being part of the most reputed chain of schools, will fulfill all its promises with respect to the infrastructural facilities, but development of certain facilities takes its own time and we will cooperate with the school authorities in this regard. absolute care is taken for the safety of the students in and around the swimming pool area. However, we do understand that accidents may occur while students are in action. Hence, we shall not hold the school authorities responsible for such mishaps.

3. 4. 5.

6.

7.

8.

9.

10. though the school will take all precautionary measures, it is likely that the students may get hurt or meet with an accident during their sports hours or in the classes. The school authorities will not be held responsible for any unforeseen incident. 11. in case our ward is suffering from any disease/problem that prevents him/her to take part in some games and sports activities, we will inform the school authorities in writing as soon as possible, along with a medical certificate. 12. we understand that for the purpose of uniformity in books, dresses & other similar items and maintenance of their quality, school may authorize dealers to provide these items to our wards and it will be mandatory on our part to take items from them. 13. we will inform the school authorities about any change in our home address or telephone numbers immediately after the change for updating the records or will not hold the school responsible for not receiving the information. 14. we will ensure that pickup & dropping stoppages of our ward(s) fall on the route already existing for DPS buses. Under no circumstances we shall force change of predetermined routes & bus stoppages. 15 admission once granted to the Hostel shall not be converted to the day school under any circumstances. However, it may be possible only after the end of the session and before the new session begins with the prior notice of three months i.e latest by 7th Jan in the current academic session. Mothers Signature Name Date Fathers Signature Name Date

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