DVPS :: Admission Form

DHANSIRI VALLEY PUBLIC SCHOOL

Numaligarh 2 No Parghat, Near NH-37

Website-www.dvpsng.co.in :: email-dhanshrivps@gmail.com

Contact Nos : +9188764 09565

CBSE (i) Curriculum

ADMISSION FORM

If you are facing any problem to fill application form please contact us on : dhanshrivps@gmail.com, +9188764 09565

Student's Personal Profile

*Class Admitted

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Academic Year

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*First Name

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Middle Name

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*Last Name

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*Date Of Birth

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*Gender

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*Category

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*Religion

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*Nationality

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Details of Previous Schooling

Name of the school

Board

Medium of Instruction

Year of Passing

Last Academic Record

Subject							Total	%
Marks

Note : max marks for each subject is consider as 100

Parent’s/Guardian’s Profile:

*Father’s Name

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Profession/Occupation

*Mobile No

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*Mother’s Name

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Profession/Occupation

Mobile No

Contact Details:

Permanent Address

*Town/Vill.

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*Street

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*P.O

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*Dist.

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*State

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*Pin

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Communication Address Same as permanent address.

*Town/Vill.

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*Street

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*P.O

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*Dist.

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*State

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*Pin

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Medical Emergency Information:

Blood Group

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Allergic to Food

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Medicine

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Others

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Any other Information:

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Bus Service/Hostel:

Bus service obted:

Pick-Up point:

Hostel facility obted:

Declaration:

*Informations furnished above are true to the best of my belief and knowledge. I, hereby declare that i will abide by rules and regulations of the institution come into existence from time to time.

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*Date :

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*Place :

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