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 UKG to FIFTH ADMISSION (2020-2021)


PLEASE READ THE FOLLOWING INSTRUCTION CAREFULLY BEFORE FILLING UP THE REGISTRATION FORM:

Student Image*
Mother Image*
Father Image*

Please read the following instructions carefully before filling up the Registration Form:
1. Parents are requested to fill up the form carefully. Any change in Date of Birth, Father’s name and Mother’s name later can be done only through court of law.
2. I/We certify that my son/daughter is not suffering from any contagious disease. The same will be intimated to the school in case it occurs in future during the course of study of my ward in School.
3. I/We hereby undertake to pay fees and other charges (if any) of my/our ward on time, failing which my/our ward’s name may be struck off the school rolls.
4. I/We understand that the school buses will ply only on existing routes.

STUDENT FIRST NAME:  
STUDENT MIDDLE NAME:
STUDENT LAST NAME:

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

AGE AS ON (1st APRIL,2020):
PLACE OF BIRTH:
NATIONALITY:  

BLOOD GROUP:  
RELIGION :  
STUDENT AADHAAR CARD NO. :
MOTHER TONGUE:

FATHER'S NAME:  
FATHER'S MOBILE NO.  
Father Qualification.
Father Aadhaar No.
Father Profession.
Father Designation.
Father Office address.
Father Email.
Father Office No.
Father Income

MOTHER'S NAME:  
MOTHER'S MOBILE NO.  
Mother Qualification.
Mother Aadhaar No.
Mother Profession.
Mother Designation.
Mother office address.
Mother Office Number.
Mother Email.
Mother Income

Gaurdian Image*
NAME OF GUARDIAN (Opt.).
Guardian Qualification.
Guardian Profession.
Guardian Designation.
Guardian Phone NO.

RESIDENTIAL ADDRESS (PRESENT):  
Same as present
RESIDENTIAL ADDRESS (PERMANENT):  
STATE:
HOME (LANDLINE IF ANY).

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

SIBLING OF THE STUDENTS STUDYING IN DASHMESH PUBLIC SCHOOL:  
A) ADMISSION NO.:

B) NAME OF CHILD (SHIBLING):
C) CLASS/SEC:
D) FATHER NAME:
E) MOTHER NAME:

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)  
LAST SCHOOL ATTENDED:

I/We hereby certify that the above information provided by me/us is correct and I/we understand that if the information is found to be incorrect or false, my ward shall be automatically debarred from selection/admission process without any correspondence in this regard. I/We also understand that the registration does not guarantee admission of my ward. I hereby give an undertaking that my ward will be attending the school, travelling by School Transport or proceeding on tours excursions or participating in other co-curricular and extra curricular activities at my own risk. I have read the rules and regulations of the school given in Prospectus I shall always abide by them.