DELHI PUBLIC SCHOOL BULANDSHAHR

 
REGISTRATION FORM

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 1500/-(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

 
 
Student Details
 
1) Upload Student Image*:
Upload Father Image*:
Upload Mother Image*:
2)Academic Session*:
3) Class Applied For*:
 
4) First Name of Applicant*:
(Name for Nursery to Class I should be as per Birth Certificate and Name for classes II to IX 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 2023)
7) Gender*:
8) Nationality*:
9(a)) Religion/Creed*:
9(b)) Category*:
10)(a) Name of the School presently studying in:(Please do not use special characters like ',/,&,@,! etc)
10)(b) Whether the school is recognised or not:
Yes No
10)(c) Class in which studying:
10)(d) 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
 
Family Details (Father / Mother / Guardian)
 
Father's Details
(Write as per Aadhar Card)
 
16) Name*:
Age:
17) Highest Academic Qualification*:
Highest Professional Qualification:
18)Occupation*:
Name of the 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 *:
 
Mother's Details
(Write as per Aadhar Card)
 
Name*:
Age:
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*:
 
 
Guardian's Details (If Applicable)
 
Name:
Age:
Qualification:
Occupation:
Designation:
(If employed)
Organization Name:
(If employed)
Mobile No.:
Office Address:
(If employed):
Contact No:
Email id:
Relation With Child
 
 
Category (Please select the relevant Category / Categories and fill in the details as applicable. Parents are required to produce the relevant documents at the time of Admission. In case the documents are not produced, the candidature will be rejected)
 
Sibling(s) studying in DPS, Bulandshahr
Father DPS Alumni
Mother DPS Alumni
Special Need
 
 
 
Illustrative List Of Parameters(Select If Applicable)
 
If Single Parent*:
Yes No
If Staff Ward*:
Yes No
Children of Transferrable Government Employee*:
Yes No
Any Other Information
 
 
Contact Details for all Admission Related Correspondence
 
Name of the contact person*:
Mobile No*:
E-mail Id*:
 
 
Documents to be Uploaded (Please note maximum file size allowed per upload is 250 KB.)
 
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):
 
Remarks (If any):
 
Undertaking:

1. I understand that the registration fee of INR 1500/- ( 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 in this school even after the confirmation of admission 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
 

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