DELHI PUBLIC SCHOOL GREATER NOIDA


REGISTRATION FORM FOR HOSTEL

ALL FIELDS WITH (*) ARE MANDATORY

*Name of the student(in capital letters) :

*Date of Birth (in figures) : DD MM YYYY

*Date of Birth (in words) :

*Age as on 31 st March 2016:

*Sex (Please select the correct option):

*Nationality of student:

*Studying in class: (e.g. V,VI,VII,VIII)

*Applying for class: (e.g. V,VI,VII,VIII)

*Medium of Instruction:

Parents`Details:

*Phone Number / Numbers(to contact in emergency):

Father Mother
*Name:
* Age in Years:
* Nationality:
* Academic Qualification:
* Occupation:
* Designation:
* Name of Organisation:
* Office/ Business Address:
* Residential Address:
* Phone No(s)
* Mobile No.
* E-mail Address:

Following information will be required at the time of interaction.

Local Guardians` Details: (if any)

Phone Number / Numbers(to contact in emergency):

Local Guardian - I Local Guardian - II
Name:
Occupation:
Name of Organisation:
Office/ Business Address:
Residential Address:
Phone No(s)
Mobile No.
E-mail Address:

 

a) If any parent is an ex-student of DPS, please mention the year and the branch:

b) If staff child, please mention the name of the staff member :

c) Details of any brother or sister(not cousins) studying in DPS:

Name of the child Name of the Branch Class and Section

d) Areas in which you can contribute towards the enrichment of the school. (Please put a tick against your choice)

e) Please elaborate your choices:

f) How you got to know about hostel facility at DPS Greater Noida (Please put a tick)

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At the time of submission of form, following things will be required:

1) Passport size photographs of the child and the parents duly affixed.

2) A photocopy of the Birth Certificate issued by Municipal Corporation / Civic Authorities.

3) A photocopy of the latest Progress Report Card.

4) A certificate from a qualified Medical Practitioner certifying that he is medically fit to stay in a hostel.

5) A photocopy of the health insurance of the student.

 

 

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