Admission Form
Candidate's Data
First Name:
Middle Name:
Last Name:
Date Of Birth:
Sex:	Male Female
Age of Child :	3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Place Of Birth(With Taluka & Dist.):
Class for which admission sought(Enter in words):
Residential Address:
City:
State:
Pincode:
Telephone No(s):
Email:
School in which the child is presently studying:
Class in which the child is presently studying:
Medium of Instruction:	English Hindi Gujarati
Nationality:
Mother Tongue:
Caste:
Special Skills and Interests:
Parent's Data
Father's Details
Name:
Profession:
Office Address:
Phone No(s):
Mobile:
Email:
Mother's Details
Name:
Profession:
Office Address:
Phone No(s):
Mobile:
Email:
Miscellaneous Data
No. of Children:	(Son/s) (Daughter/s)
Details of Siblings:
School in which studying:
Class in which studying:
Have you applied for any other child?:	Yes No
If Yes then child(ren) Name & class:
Is your child suffering from any medical ailment?If yes,give Details:
Transport Required?:	Yes No
In case transport facility is not available,will u still seek admission?:	Yes No
Reasons for choosing Delhi Public School:
Your Expectations from School:
Values you like to embibe in your child:
Date: