DELHI PUBLIC SCHOOL by 06h053z8

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									                                                          O.P. JINDAL SCHOOL
                                                   Patratu , Ramgarh, Jharkhand-829143.

Reg. No: _________                                     Registration Form For Pre School
Class:                                 _________             (Use Block Letters)

ISSUE OF REGISTRATION FORM
DOES NOT ENSURE ADMISSION
REGISTRATION FEE
NOT – REFUNDABLE




                                                                                                        portion indicates weightage
                                                                                                        school office only (bracket
                                                                                                        Last column to be filled by
Read Instructions overleaf before




                                    Name of the Applicant: ____________________________________

                                    Date of Birth : DD _____ MM _____ YY _________
filling up the form




                                    Father’s Name: ___________________________________________




                                                                                                        points)
                                    Mother’s Name: __________________________________________

1                                                                                                       1(20)
                                    Residential Address:
                                    ______________________________________             Locality Code
                                    ______________________________________             (Please check
                                    ______________________________________             notice board)
                                    ______________________________________
                                    ______________________________________
                                    Pin Code:
                                    ______________________________________

                                    Contact Phone No:    ______________________________________
                                    E-Mail Address:      ______________________________________

2                                                                                                       2(20)
                                    Sibling Real brother\sister only : Yes ________ No ________
                                    [Tick the appropriate]
                                    If sibling is in the same school, Name ________________________
                                    Give details of sibling class – section _________________________

3
                                    OPJS Patratu Alumni                                                 3(5+5)
                                    [Tick the appropriate]   If Yes, year of passing

                                    (A) Father               Yes ____   ____________ No ____

                                    (B) Mother               Yes ____   ____________ No ____

4                                                                                                       -
                                    Nationality of child : _____________________
5   Educational Qualification:                                                    5(20)
                    Post Graduation    Graduation   Sr. Secondary Sr. Secondary
                           OR             OR         School Exam School Exam
                    Professional       Equivalent    10+2 OR       10 th OR
                      Degree                         Equivalent     Equivalent

    (A) Father

    (B) Mother

6   Gender      Boy __________ Girl __________                                    6(5)
7   Parent Occupation                                                             7(5)
    Father            ____________     _______
    Occupation Code ______________________________________
    Designation      ______________________________________
    Organization     ______________________________________
    Name             ______________________________________
    Organization Add. ______________________________________

    Mother
    Occupation Code ______________________________________
    Designation       ______________________________________
    Organization     ______________________________________
    Name              ______________________________________
    Organization Add. ______________________________________

8   Illustrative list of parameters:

    Single Parent              Father ________ Mother ________                    (5)

    Staff Ward                 Father ________ Mother ________                    (5)

    Children belonging to disadvantaged groups name                               (5)
                             OBC _______
                             SC\ST _______
                             Other _______

    Children of transferable government employees              __________         (5)

    OR

    Children of personnel of Defence and paramilitary          __________
    Forces

9    Provide Information about child’s medical history if any:
     - All Immunization         _______ Yes _______ No
     - Specific disease suffered \
       prevailing
     - Operation undergone (if any)
     - Regular Medicine (if any)
                   Occupation Code



Code                          Occupation
ADV    Advocate
AWS    Airways
ARC    Architect
DEF    Army\Navy\Air-force - Defence services
BNK    Bank Emp
BUS    Business
CAC    Chartered Accountant
DOC    Doctor
EDU    Educationist
EMB    Embassy Emp
FIN    Financial Org Emp
HTL    Hotel
CIV    Civil Services
INT    International Organizations
NWS    Journalist\Air\Print Media
MER    Merchant Navy
OTH    Others
PVT    Private sector emp
PUB    Public sector emp
RWS    Railway emp
SCT    Scientist
                                 AGREEMENT


        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, ward
shall be automatically debarred from selection\admission process without any
correspondence in this regard. I\we also understand the application \ registration \
short listing does not guarantee admission to my ward. I\we accept the process of
admission undertaken by the school and I\we will abide by the decision taken by
the school authorities.

I, the undersigned bind myself and my son \ daughter \ ward to abide by the school
rules and regulations in all respect and rules & regulations which may be changed
or introduced by the school from time to time.

In all matters of dispute the decision of the Principal, Delhi Public School,
Ahmedabad will be final and binding on me and my son \ daughter \ ward.

In case of gross violation of school rules, I shall withdraw my ward from the
school, if the management so desires.

If the form is not complete in all respects, the application may be summarily
rejected.




Signature of the Mother                          Signature of the Father

Name of the mother:                              Name of the Father:

__________________________                       __________________________




Date: ______________

Please return this form duly filled in, latest by __________________________.
List of Supporting Documents to be Produced by the Parents
at the time of submission of the form

1.   Date of birth certificate of the child
2.   Pass out certificate of father / mother (school, graduation, post graduation
     etc.)
3.   Proof of residence (Electricity bill, telephone bill, rent bill, driving license
     passport)
4.   Proof of Sibling (wherever applicable)
5.   Proof of Alumni (wherever applicable)
6.   Parents occupation (Proof of occupation)
7.   Staff (copy of appointment letter)
8.   Disadvantage Section (Certificate issued by statutory authority)
9.   Transferable (Copy of appointment letter)

								
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