To The Principal Delhi Public World School Kotputli Please admit / register my son / daughter / ward in
Class
for the Academic Session
1. Candidate Name 2. Gender SelectMaleFemaleAny other 3. D.O.B: Attach Birth Certificate Issued by Competent Authority
4. Fill Details
Detail
Mother
Father
Name
Edu. Qualification
Res. Address
Contact Number
Email
Occupation
Office Address
Anual Income
5. Whether the candidate is : (i) Single Girl Child SelectYesNo (ii) Specially abled (Divyangjan) SelectYesNo (iii) Belonging to the EWS SelectYesNo if Yes Attach Proof 6. Category SelectGeneralSCSTOBC Attach Proof 7. Aadhar No. Attach Proof 8. Name & Address Last Attended School: 9. Class Last Attended 10. Last School Affiliated is SelectCBSEICSEIB State Baord Any Other (Please specify) 11. Result of Last Class
Subject
Maximum Marks
Marks Obtained
% of Marks
Remarks
12. Transfer Certificate Details
Transfer Certificate Number
Date of Issue
13. Details of Siblings
Sibling
Age
School Stdying in
—Please choose an option—BrotherSister
14. Choice of Subject (For Classes XI & XII only)
Stream
Subjects
—Please choose an option—ArtsCommerceScience
I hereby declare that the above information including Name of the Candidate, Father’s/Guardian’s Name, Mother’s name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the School. Date:
Relation with candidate
* In case, student is from other board, Transfer Certificate should be countersigned by the Competent Authority. Your message (optional)
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