DELHI PUBLIC SCHOOL

R.N. Extension Meerut Road, Ghaziabad

Ghaziabad, Uttar Pradesh 201003
Email: info@dpsrnext.com
Tel: 0120-280-2000

Registration Form 2018 - 2019

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

Sibling Details:

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

Student Details:

CLASS APPLIED FOR*
 
 
Student First Name*
Middle Name
 
Last Name*
Gender*
 
Date of Birth*
Place of Birth
 
Blood Group
Child's Nationality*
 
Only child of the Parent
Caste Category* (Submission of Certificate at the time of admission is a must)
 
Religion*
Minority*
 
Handicap*
Category *
 
Transport Category
If by bus, choose the student picking point :
 

Communication Details:

Email*
Mobile No. for SMS: *
 

Previous School Attended

Details:

Name of The School With City Name :
School Recognized By
 
Year of Passing Last Class
Medium of Instruction Till Now
 

Details of The Performace of The Child in 2016-2017 (Not Applicable For NUR & PREP)

S.No. Subject Marks Grade Grade Point Achievements in Previous School
1 ENGLISH
2 HINDI
3 MATHEMATICS
4 SCIENCE
5 SOCIAL SCIENCE

Parental Information

Father Details:

Name*
Staff No
 
Academic Qualifications*
Occupation*
 
Designation
Organisation
 
Phone(Off.)
Phone(Resident)
 
Address(Off.)
Residential Address*
 
E-mail*
Mobile no.*
 
Gross Annual Income*
City*
 
Pin Code
 

Mother Details:

Name*
Staff No
 
Educational Qualification*
Occupation*
 
Designation
Organisation
 
Phone(Off.)
Phone(Resident)
 
Address(Off.)
Residential Address
 
E-mail
Mobile no.*
 
 
Annual Income
Pin Code
 

Guardian's Details:

In case the parents are not residing with the child*
 
I Agree