DASHMESH PUBLIC SCHOOL

Vasundhra Enclave, Delhi-110096
Unaided Minority School
Ph: 011-20822004, 20822005, 20822006, 45873902
Email: dashmeshpublicschool.ve@gmail.com
Website: www.dashmeshschool.com

REGISTRATION FORM FOR NURSERY ADMISSION (2022-2023)

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE FILLING UP THE REGISTRATION FORM:
Student's Image*
Mother's Image*
Father's Image*

CHILD FIRST NAME:
CHILD MIDDLE NAME:
CHILD LAST NAME:

APPLIED FOR CLASS:
CATEGORY (TICK WHICHEVER IS APPLICABLE):
GENDER:
DATE OF BIRTH:


FATHER'S NAME:
MOTHER'S NAME:
RESIDENTIAL ADDRESS (PERMANENT):
MOTHER'S MOBILE NO.
FATHER'S MOBILE NO.


HOME (LANDLINE).
OFFICE (LANDLINE).

MOTHER TONGUE:
SIKH MINORITY:
DISTANCE FROM SCHOOL:
SCHOOL ALUMNI (ONLY CLASS XII PASS FROM DASHMESH PUBLIC SCHOOL ANY BRANCH)
A) ADMISSION NO.:
B) ALUMNI NAME:
C) YEAR OF PASSING:
SIBLING:
A) ADMISSION NO.:

B) NAME OF CHILD(SIBLING):
C) CLASS/SEC:
D) FATHER NAME:
E) MOTHER NAME:
SINGLE PARENT:
STAFF WARD(ONLY VASUNDHARA ENCLAVE):
A) EMPLOYEE ID:

B) NAME:
C) DESIGNATION:
MEDICAL INFORMATION: DOES THE CHILD HAS SPECIAL MEDICAL NEEDS:
IF YES GIVE DETAILS
TRANSPORT: IS THE SCHOOL TRANSPORT REQUIRED?
(TICK WHICHEVER IS APPLICABLE)

WE HEREBY CERTIFY THAT THE ABOVE INFORMATION PROVIDED BY US IS CORRECT AND WE UNDERSTAND AND ACCEPT THAT IF INFORMATION IS FOUND TO BE INCORRECT OR FALSE, OUR WARD SHALL BE AUTOMATICALLY DEBARRED FROM SELECTION/ADMISSION PROCESS WITHOUT ANY CORRESPONDENCE IN THIS REGARD. WE ALSO UNDERSTAND THAT THE APPLICATION/ REGISTRATION / SHORT LISTING DOES NOT GUARANTEE ADMISSION TO MY WARD. WE ACCEPT THE PROCESS OF ADMISSION UNDERTAKEN BY SCHOOL AND WILL ABIDE BY THE DECISION TAKEN BY THE SCHOOL AUTHORITIES.