DELHI PUBLIC SCHOOL, BANGALORE-NORTH

CAMBRIDGE INTERNATIONAL CURRICULUM

Survey No. 35/1, Sathanur Village, Bagalur Post, Bangalore North - 562 149. Karnataka, India. Tel: 080 2972 4861-70 (10 Lines) Email: principal@north.dpsbangalore.edu.in Website: http://north.dpsbangalore.edu.in

REGISTRATION FORM FOR GRADES 1 TO 8

ACADEMIC YEAR 2020-2021

Affiliation No: IN238

ISSUE OF REGISTRATION FORM DOES NOT ENSURE ADMISSION

General Instructions: 1) Fill the form in BLOCK LETTERS only. 2) Do not enter registration number yourself. 3) Use the codes given overleaf to fill locality code/occupation code. 4) To be filled and signed by parents only. (NAMES AND DATE OF BIRTH ENTERED IN THIS FORM SHOULD MATCH WITH DOCUMENTS ATTACHED & WILL BE TREATED AS FINAL)

Registration No:

Receipt No:

Entrar No: Date:

Name of the Student: ___________________ Male/Female (Tick)

Date of birth

(Dd/mm/yyyy):

(In words)

Aadhaar Number:

Class to which admission is sought________________ Mother tongue ______

Second language (TICK ANY ONE): HINDI FRENCH GERMAN

*Nationality: ____________________________ Religion_________________

Please tick: SC/ST/BC/OBC/OTHERS:________________________

Residential address: _________________________________________ _________________________

________________________________________________________________Pin code:

Phone/Mobile No(s):

Preferred mobile no. for SMS:

* Blood Group: ___________

Please affix

recent

Passport size

Photo

Is School transport required: Yes/NO (Tick) Distance from school (in Kms) _____________ Preferred Mobile Number for School SMS (only one):____________________ Sibling: YES NO Sibling Name: (studying in DPS, Bangalore north): _________________________

(If Yes give details) Class/section ________________ Admission No: _______________________ School Alumni (DPS): YES NO School staff: YES NO Child with special needs: YES NO NO Specify___________________________________

Previous School Details:

Name of School

Address of School

Affiliated to CBSE/any other Board (Please Specify) _____________________________________

Medium of Instruction

Proficiency in Sport/ Music/ Arts/ NCC/ NSS/ others

Please fill in the following information:

PARTICULARS FATHER MOTHER

Name

Aadhaar Number

Academic Qualification (Please Specify)

University

Designation

Occupation: Details to be mentioned

Business/Professional

Public Sector Govt. Service/Defense

If Business: Shop/ Factory/ Industry

If Professional: Architect/ Doctor/ Engineer/ Computer Engineer/ CA/ Management/ Services

If Corporate: Multinational/ National

Name of Organization/ Company

Office Address & Phone Nos.

E-mail ID

Admission- in- charge Principal

DOCUMENTS: (PLEASE ATTACH THE FOLLOWING)

Photo copy of Birth Certificate issued by Municipal Corporation.

2 Latest passport size color photographs of the student.

Caste certificate (Other than General)

Residential Address proof.

Adhaar Card Copy of students and parents.

Copies of marks card to be submitted.

School leaving certificate in original has to be submitted.

Migration certificate in original for students who have migrated from any other board.

Kindly Note:

Transport

The school provides transport facilities but offers no guarantee that a seat in the school

bus will be offered. When the buses are full to capacity/do not ply in the area of your

residence, it will be the responsibility of the parents/ guardians to drop &collect their

ward from the specified bus stops. School Transport once availed cannot not be withdrawn

during the academic session. If withdrawn the transport fees paid, will not be refunded

under any circumstances.

Brochure Fees: Applicant within India: A sum of Rs. 1000/-(non-refundable) to be paid by bank draft drawn in favour of ‘Delhi Public School A/C Bangalore-North (IGCSE) ’. (Name of the student, Registration No. & Father’s name to be clearly stated at the back of the bank draft. Applicant outside India: A sum of 75USD (non-refundable) to be paid by bank draft drawn in favour of ‘Delhi Public School A/C Bangalore-North (IGCSE)’. (Name of the student, Registration No., & Father’s name to be clearly stated at the back of the bank draft.)

CERTIFICATE

I fully understand that the school on accepting the registration of my ward is not in any

way bound to grant admission as the admissions are purely on the availability of seats &

on qualifying pre-admission test/interview. I also understand that the decisions of the

Principal regarding admission will be final & binding on me. I further undertake to abide

by the school rules.

I hereby certify that the information given by me is correct & I shall abide by the decisions of the school.

Date: Signature of Mother Signature of Father

OFFICE USE ONLY

Demand Draft Received from

DD amount Date / / Bank

Signature of Admission in charge: Date: