To
The Principal
Delhi Public World School Kotputli
Please admit / register my son / daughter / ward in

PERSONAL DETAILS:

1. Candidate Name

2. Gender
SelectMaleFemaleAny other
3. D.O.B:
Attach Birth Certificate Issued by Competent Authority

PARENTS DETAILS

4. Fill Details

5. Whether the candidate is :
(i) Single Girl Child
SelectYesNo
(ii) Specially abled (Divyangjan)
SelectYesNo
(iii) Belonging to the EWS
SelectYesNo
if Yes Attach Proof

6. Category
SelectGeneralSCSTOBC
Attach Proof

7. Aadhar No.

Attach Proof

8. Name & Address Last Attended School:


9. Class Last Attended

10. Last School Affiliated is
SelectCBSEICSEIB State Baord
Any Other (Please specify)

11. Result of Last Class

12. Transfer Certificate Details

13. Details of Siblings

14. Choice of Subject (For Classes XI & XII only)

DELCLARATION

I hereby declare that the above information including Name of the Candidate, Father’s/Guardian’s Name, Mother’s name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the School.
Date:

Place:

Relation with candidate

* In case, student is from other board, Transfer Certificate should be countersigned by the Competent Authority.
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