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ONLINE REGISTRATION
FORM |
For the Session 2020-21 |
1.ISSUE OF REGISTRATION FORM DOES NOT
ENSURE ADMISSION.
2. IT'S OBLIGATORY TO FILL ALL-RELEVANT INFORMATION CORRECTLY.
3. INCOMPLETE FORMS WILL BE OUTRIGHTLY REJECTED. |
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Registration No.: |
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Admission No.: |
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(To be filled by the office) |
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Proceed for Payment, if Registration Form Already Filled
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Kindly register the
name of my ward for admission in your school. Necessary
particulars are given below.
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Student
Details
( Note: Please, do not prefix Mr. & Mrs. before your name.)
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First Name*
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Middle Name |
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Last Name |
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Gender *
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Date of Birth*
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Place of Birth * |
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Enclose self attested photocopy of birth certificate from municipal corporation
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Age as on 31st March 2020 |
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Blood group |
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Admission sought in class* |
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Stream (Class XI Only)
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Optional Subject (PCM)
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Optional Subject (PCB)
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Optional Subject (Commerce)
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Optional Subject (Humanities)
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Sixth Subject |
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Mother Tongue *
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Category *
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Religion * |
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Single Parent |
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Single Parent (If Yes) |
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If Yes,
attach the necessary documents |
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Mobile * |
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Email |
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Aadhar Number |
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Student Type |
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Nationality *
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Student's Photo* |
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Correspondence Address
(Enclosed Proof of Residence/Residential Address)
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Address |
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City |
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State |
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Pin Code |
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Distance from the school in Kms : |
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Transport Facility |
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Permanent Address
Check this box if Communication Address and Permanent Address are the same.
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Address |
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City |
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State |
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Pin Code |
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Nearest Rly. Station/ Airport |
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Residence phone no. |
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Mobile no. |
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School where studying
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Medium of instruction |
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Enclose self attested photocopy of pre schooling
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Last Class Attended
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Games & Sports played |
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Interest in Co-curricular Activities |
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Parent
Details |
Mother : |
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Name |
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Age |
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Educational qualification |
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Occupation |
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Designation |
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Organisation |
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Annual Income |
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Phone(Off.) |
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Address(Off.) |
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E-mail |
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Mobile |
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Mother's Photo |
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Father : |
Name * |
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Age |
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Educational qualification |
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Occupation |
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Designation |
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Organisation |
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Annual Income |
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Phone(Off.) |
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Address(Off.) |
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E-mail |
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Mobile* |
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Father's Photo |
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No of children : |
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Daughter(s) |
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Son(s) |
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Detail of sibling(s)[real
brother or sister] is/are students(s) of DPS Gaya |
Name(S) |
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Class(S) |
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Admission No(S). |
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DECLARATION |
I
fully understand that the school, on accepting the registration
of my ward, is not in any way bound to grant admission,as the
admission is purely based on the availability of seats and on
Observation cum Interaction Session for Classes Pre-Nur to I and
Assessment & Interaction Session for Classes II onwards. I also
understand that the decision of the Principal regarding
admission will be final and binding on me. In the event of my
ward being selected for admission, I shall have no objection to
the school Medical Officer giving inoculation against typhoid A,
B & Cholera to my child from year to year. I further undertake
to abide by the school rules and regulations. |
NOTE:-"Parents / Applicants are required to come personally to submit the completed hard copy (Printout) of Online Registration Form, Photocopy of Birth Certificate of the candidate along with Registration Fee of Rs. 1600/- in cash/online within three days of filling the online registration form." |
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Date: |
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Signature of the Mother: |
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Place : |
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Signature of the Father : |
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