DELHI PUBLIC SCHOOL BULANDSHAHR

Enter Admission Id*:

Your Mobile Number*:

Parents are requested to note :

» This is not an Admission Form. Submission of this form does not guarantee admission.

» This form is non-transferable and Registration Fee is INR 1000/-(non refundable)

»Transport facility in school bus is subject to availability of seats on the existing routes. Customized routes on school bus

will not be entertained. Kindly ensure suitability of transport facility before taking admission.

» * Indicate Mandatory Fields

1)Student Image

Father Image

Mother Image

2)Academic Session*:

Admission Id*:

3) Class Applied For*:

Stream Applied For*:

Subject Applied For*:

4) First Name of Applicant*:
(Name for class Nursery to I should be as per Birth Certificate and Name for class II to XII should be as per Transfer Certificate)

Middle Name of Applicant:

Last Name of Applicant:

5) Place of Birth*:

6) Date of Birth*:

Age as on:
(31st March 2021)

7) Gender*:

8) Nationality*:

10)Student Aadhar Card Number:

11)(a) Enter Distance from school*:

Click here to know the distance

11)(b) Mother Tongue*:

11)(c)Blood Group:

12) Permanent Address*:

13) Correspondence Address*:

Permanent Contact No:

Contact No*:

14)Emergency Contact Number*:

15)Transport Required*:

Yes No

17) Highest Academic Qualification*:

Highest Professional Qualification:

18)Occupation*:

Name Of Organization :

Employer Name:

Employer Contact No :

Employer Email Id :

Designation*:

Father Aadhar Number*:

Office/Business Address:

Annual Income*

Tax Payer Or Not*

Yes No

Mobile No*:

Email Id *:

Highest Academic Qualification*:

Highest Professional Qualification:

Occupation*:

Name Of Organization :

Employer Name:

Employer Contact No :

Employer Email Id :

Designation*:

Mother Aadhar Number*:

Office/Business Address:

Annual Income*

Tax Payer Or Not*

Yes No

Mobile No.*:

Email id*:

Qualification:

Occupation:

Designation:
(If employed)

Organization Name:
(If employed)

Mobile No.:

Office Address:
(If employed):

Contact No:

Email id:

Relation With Child

Details Of Siblings, if Any (Not Cousins)

Name of the Sibling

Class / Section

Admission Number
(only if Sibling is in DPS Bulandshahr)

Name of the Sibling

Class / Section

Name of the Sibling

Class / Section

Name of Father:

Name of DPS Branch:

Passout Year:

Last Class Attended:

Name of Mother:

Name of DPS Branch:

Passout Year:

Last Class Attended:

Special Need (if any):

If Single Parent*:

Yes No

If Staff Ward*:

Yes No

Category*:

Children of Transferrable Government Employee*:

Yes No

Any Other Information

Name of the contact person*:

Mobile No*:

1. Copy of Birth Certificate issued by Municipal Corporation (Only for Nursery,Prep & I)* :

2. Copy of Last year marksheet (except Nursery,Prep & I)* :

3. Copy of Transfer Certificate (except Nursery,Prep & I) :

4. Proof of Father being DPS Alumni Class X/Class XII pass certificate (if applicable) :

5. Proof of Mother being DPS Alumni Class X/Class XII pass certificate (if applicable) :

6. Copy of Medical Document/Certificate(if belongs to special need) (if applicable) :

7. Residence Proof* (Any One):

Electricity Bill/ MTNL telephone bill/ Water bill/ Passport in the name of any of the parents or child

Domicile Certificate of child or his/her parents.

Voter Identity Card

Ration Card issued in the name of parents (Mother / Father having name of the child).

Aadhar Card / Unique Identity Card of Mother / Father / Child issued by the Government of India.

8. Proof of Sibling (Copy of last paid fee slip / ID Card of Sibling (2020-21)) (if applicable):

9. Upload CBSE marksheet(For Class XI):

Remarks (If any):

Undertaking:

1. I understand that the registration fee of INR 1000/- ( as applicable ) is towards the processing fee for the admission process. It is non-refundable and registration does not guarantee admission.

2. I understand that rendering false / incorrect or misleading information shall disqualify the applicant for admission to this school and also that an incomplete form will be rejected without assigning any reason.

3. I understand that no change/re-submission will be entertained by the school in case of an incorrect entry.

4. I understand that the decision of the Management of the School shall be final and binding on me for which I will not file any objection / case in any court of law or with any other Authority anywhere in India.

5. I hereby confirm the above declarations.

Place :

Date :

I have read and agree to the Terms

DELHI PUBLIC SCHOOL BULANDSHAHR

DELHI PUBLIC SCHOOL BULANDSHAHR

Parents are requested to note :

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