24-Oct-2014   FORM NUMBER : 113698
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DELHI PUBLIC SCHOOL, JODHPUR 2012-2013
BY PASS ROAD, PAL, JODHPUR (RAJ.) Nursery
TEL: 0291-2766887/888
Email : info@dpsjodhpur.in Website : www.dpsjodhpur.in REGISTRATION No.
  REGISTRATION FORM FOR ADMISSION  
ADMISSION No.   DATE OF REGISTRATION DATE OF ADMISSION PLEASE PASTE A PASSPORT SIZE PHOTOGRAPH
   
STUDENT'S CATEGORY Day Scholar
STUDENT'S CASTE CATEGORY EWS (IF OTHER THEN GENERAL ATTACH THE CERTIFICATE)
CHILD'S NAME YUVRAJ SINGH PANWAR
GENDER Male
DATE OF BIRTH 25 Dec 2008
NATIONALITY Indian
RELIGION Hinduism
PREVIOUS SCHOOL'S DETAILS
SCHOOL'S NAME
BOARD LAST CLASS ATTENDED MEDIUM
ACADEMIC RECORD OF LAST ANNUAL EXAMINATION IN PREVIOUS SCHOOL
S No. SUBJECT SCORE/GRADE OUTSTANDING ACHIEVEMENTS
1 ENGLISH
2 HINDI
3 MATHEMATICS
4 SCIENCE
5 SOCIAL SCIENCE
6
7      
ACHIEVEMENTS IN SPORTS/ARTS/MUSIC OR OTHER CO-CURRICULAR AREA
DETAILS FOR CORRESPONDENCE
MOBILE 91 9928129697 EMAIL panwaranand1975@gmail.com
ARE YOU A DPS JODHPUR STAFF Yes JOINING DATE
SIBLING DETAILS
SIBLING IN DPS JODHPUR No ADMISSION No.
CLASS N.A. SIBLING NAME N.A.
SIBLING FATHER'S NAME AS PER SCHOOL RECORD N.A.
FATHER'S DETAILS
FATHER'S NAME ANAND PANWAR
QUALIFICATION 12th
UNIVERSITY Rajasthan Board, Ajmer
OCCUPATION Service
DESIGNATION Typist
ORGANISATION Delhi Public School, Jodhpur
OFFICE ADDRESS RESIDENTIAL ADDRESS
Delhi Public School, Byepass Road Pal, Jodhpur House No. 17/468, Chopasani Housing Board, Jodhpur
PHONE No. OFFICE- 0291-2702772 RES: 0291-2702772 MOBILE : 9928129697
 
MOTHER'S DETAILS
MOTHER'S NAME PRITI PANWAR
QUALIFICATION 11th
UNIVERSITY Rajasthan Board
OCCUPATION Housewife
DESIGNATION
ORGANISATION
OFFICE ADDRESS RESIDENTIAL ADDRESS
House No. 17/468, Chopasani Housing Board, Jodhpur
PHONE No. OFFICE- 029129697 RES: 029129697 MOBILE : 9468806772
PERMANENT ADDRESS
HOUSE/APPT. No. & NAME House No. 17/468
STREET 17 Sector AREA Chopasani Housing Board
CITY Jodhpur STATE Rajasthan
COUNTRY INDIA PIN
PHONE No. OFFICE- RES: MOBILE : 9928129697
TRANSPORT REQUIREMENTS
SCHOOL TRANSPORT NEEDED Yes
INSTRUCTIONS
  1. Please submit the following documents at the time of Admission :
Attested photocopy of Municipal Birth Certificate for classes Nursery, Prep & I.
Transfer Certificate in original for Class II onwards on grant of admission.
Two recent passport size & Two stamp size photographs of child & Two recent passport size photographs of Parents.
2 Transport facilities will be provided by the school only on the specified bus routes. It will be the responsibility of the parents / guardians to drop / collect the ward from the specified bus stop.
3 Kindly note that due to limited number of seats available, it will not be possible to register/ admit all children. The application form made here in no way entitle the candidates to be admitted to the school.Information regarding interaction with the parents will be sent later.
PRINCIPAL
CERTIFICATE
  1 I understand that rendering false or misleading information or withholding correct information may disqualify the child from admission and/or to study in Delhi Public School, Jodhpur.
2 At the time of admissiont his/her Birth Certificate or Transfer Certificate, is compulsory otherwise admission would be cancelled.
3 I have made satisfactory arrangement for remittance of school fee within due dates without waitin for a reminder from the school. I will pay the school fee through crossed cheques/Demand Draft/Cash in favour of the Delhi Public school, Jodhpur as per
4 I hereby certify that my ward and myself shall follow all the rules, regulations & procedures laid down by the school from time to time.
5 I understand that once admitted, the child will not be entitled to refund the fee deposited except the caution money.
6 I fully understand that the school, on accepting the registration of my ward is not in anyway bound to grant admission as this is purely based on availability of seats. I also understand that the decision of the Principal regarding admission will be final and binding on me.
 
ANAND PANWAR PRITI PANWAR
SIGNATURE SIGNATURE
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