Sector-24, Phase III, Rohini, New Delhi - 110085
(011)27055942, 27055943
mail@dpsrohini.com, principal@dpsrohini.com
 

APPLICATION FORM OTHER THAN NURSERY- (Session: 2018 - 19)

Parents are requested to note :

» This is not an Admission Form. Submission of this form does not guarantee admission.

» This form is non-transferable and Registration Fee is INR 25/-

» Transport facility in school bus is subject to availability of seats on the existing routes. Customized routes on school bus will not be entertained.

     Kindly ensure suitability of transport facility before taking admission.

» (*)  Indicate Mandatory Fields

Student Details
 
Class Applied For*:
 
First Name of Applicant*:
Middle Name of Applicant:
Last Name of Applicant:
Place of Birth:
Date of Birth*:
Age as on*:
Gender*:
Nationality*:
Mother Tongue*:
Blood Group*:
Current Residential Address*:
Residential Landline Number:
Permanent Address:
Permanent Landline Number:
Select if Applicable:
Category:
 
Previous School Details
 
Name of School:
Reason for Leaving:
Attended From:
Attended Till:
Academic Record in the Last School Attended
 
Enter First Term Grade / Percentage of Marks obtained in Academic Session 2017-2018 for the following subjects -
English
Hindi
Mathematics
General Science / EVS
Social Science
Enter Final Term Grade / Percentage of Marks obtained in Academic Session 2016-2017 -
English
Hindi
Mathematics
General Science / EVS
Social Science
Achievements in Academics (Inter-School/Zonal/State/National etc, if any)
1. 
2. 
3. 
Achievements in Co-curricular activities (Inter-School/Zonal/State/National etc,if any)
1. 
2. 
3. 
Achievements in Sports (Inter-School/Zonal/State/National etc,if any)
1. 
2. 
3. 
Achievements in Olympiads (Inter-School/Zonal/State/National etc,if any)
1. 
2. 
3. 
 
Details Of Siblings, if Any (Not Cousins)
 
Name of the Sibling
Name of the School
Class / Section
Admission Number
(only if Sibling is in DPS Rohini)
1.
Name of the Sibling
1.  
Name of the School
Class / Section
Admission Number
(only if Sibling is in DPS Rohini)
2.
Name of the Sibling
2.  
Name of the School
Class / Section
Admission Number
(only if Sibling is in DPS Rohini)
3.
Name of the Sibling
3.  
Name of the School
Class / Section
Admission Number
(only if Sibling is in DPS Rohini)
 
Family Details (Father / Mother / Guardian)
 
Father's Details
 
Name*:
Age:
Highest Academic Qualification*:
Highest Professional Qualification:
Occupation:
Designation:
(If employed)
Organization Name:
(If employed)
Mobile No *:
Email Id *:
Office Address:
(If employed)
Office Landline No.
 
Mother's Details
 
Name*:
Age:
Highest Academic Qualification*:
Highest Professional Qualification:
Occupation
Designation:
(If employed)
Organization Name:
(If employed)
Mobile No.*:
Email id*:
Office Address:
(If employed)
Office Landline No.
Previous Employment (If applicable):
 
 
 
Guardian's Details (If Applicable)
 
Name:
Age:
Qualification:
Occupation:
Designation:
(If employed)
Organization Name:
(If employed)
Mobile No.:
Office Address:
(If employed):
Office Landline No:
Email id:
 
 
 
Category* (Please select the relevant Category / Categories and fill the details as applicable. Parents are required to produce the relevant documents at the time of Admission. In case the documents are not produced, the candidature will be rejected)
 
Father DPS Alumni
Mother DPS Alumni
DPS Rohini Staff
Other DPS Staff
Details of Father / Mother, if Alumni of Delhi public school
 
Father Alumni Details
 
Name of Father:
Name of DPS Branch:
Passout Year:
Last Class Attended:
 
Mother Alumni Details
 
Name of Mother:
Name of DPS Branch:
Passout Year:
Last Class Attended:
 
 
 
Contact Details for all Admission Related Correspondence
 
Name of the contact person*:
Mobile No*:
E-mail Id*:
 
 
Documents to be Uploaded

(Please note maximum file size allowed per upload is 250 KB.)

 
1. Copy of Birth Certificate issued by Municipal Corporation* :
2. Photograph of Applicant* (Kindly upload only GIF, JPEG, PNG, BMP format):
3. Photograph of Father* (Kindly upload only GIF, JPEG, PNG, BMP format):
4. Photograph of Mother* (Kindly upload only GIF, JPEG, PNG, BMP format):
5. Photograph of Guardian (if applicable) (Kindly upload only GIF, JPEG, PNG, BMP format):
6. Residence Proof* :
 
Ration Card issued in the name of parents(mother / father having name of the child)
 
Domicile Certificate of child or his/her parents.
 
Voter Identity Card / EPIC of any of the parents or child.
 
Electricity bill / MTNL telephone bill / Water bill / Passport in the name of any of the parents or child.
 
Aadhar Card / Unique Identity Card of Mother / Father / Child issued by the Government of India.
7. Report card of Term-I Exam of academic session 2017-18:
8. Report card of Final Term Exam of academic session 2016-17*:
 
Remarks (If any):
 
Undertaking:

1. I understand that the registration fee of INR 25/- ( as applicable ) is towards the processing fee for the admission process. It is non-refundable and registration does not guarantee admission.

2. I understand that rendering false / incorrect or misleading information shall disqualify the applicant for admission to this school and also that an incomplete form will be rejected without assigning any reason.

3. I understand that no change/re-submission will be entertained by the school in case of an incorrect entry.

4. I understand that the decision of the Management of the School shall be final and binding on me for which I will not file any objection / case in any court of law or with any other Authority anywhere in India.

5. I hereby confirm the above declarations.

Place :
 
Date :