DASHMESH PUBLIC SCHOOL

C-BLOCK, VIVEK VIHAR, DELHI-110095
Unaided Minority School
Ph: 011 - 22146306, 22155403, 47148254
Email: dashmeshpublicschool09@gmail.com
Website: www.dashmeshschool.com

REGISTRATION FORM FOR LKG ADMISSION (2021-2022)


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:

 
GENDER:  
CATEGORY (TICK WHICHEVER IS APPLICABLE):  
DATE OF BIRTH:  
PLACE OF BIRTH:
NATIONALITY:  

RELIGION :  
STUDENT AADHAAR CARD NO. :  
MOTHER TONGUE:

FATHER'S NAME:  
FATHER'S MOBILE NO.  
Father Qualification.
Father Aadhaar No.
Father Profession.
Father Designation.
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 Number.
Mother Email.

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

RESIDENTIAL ADDRESS (PERMANENT):  
HOME (LANDLINE IF ANY).

MINORITY:  
NEIGHBOURHOOD (DELHI RESIDENTS ONLY):  
SCHOOL ALUMNI (ONLY CLASS XII PASS FROM DASHMESH PUBLIC SCHOOL ANY BRANCH)
 
A) ADMISSION NO.:
B) ALUMNI NAME:

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

B) NAME OF CHILD (SIBLING):

SINGLE PARENT:  

STAFF WARD(ONLY VIVEK VIHAR):  
A) EMPLOYEE ID:

B) NAME:

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.