REGISTRATION FORM

D.A.V. MUKHYAMANTRI PUBLIC SCHOOL

DEVRIKHURD, P.O.- KATHAKONI, BLOCK- TAKHATPUR, DIST.- BILASPUR (C.G.)
MANAGED BY D.A.V. COLLEGE MANAGING COMMITTEE, NEW DELHI

AFFILIATED TO C.B.S.E. AFFILIATION NO. - 3330334
REGISTRATION FORM
Name of Students (In Block Letters)*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age (In Year)*
Gender*
Category*
Admission want in Class*
Class in which admission is sought
Aadhar Card No.*
Upload Picture ( Front & Back )
Aadhar Front Side*

Browse Files

Cancelof
Aadhar Back Side*

Browse Files

Cancelof
Parent's Details
Father's Name*

First NameLast Name
Mother's Name*

First NameLast Name
Address*

Street Address

Land Mark

CityState

Postal / Zip Code
Phone Number*

(+91) Use Area CodePhone Number
12. What's App No.*
Occupation of Father/Mother*
15. Name of Gardian (if any)*
16. Relation with Gardian*
Details of Previous Education (Not applicable for LKG)
School Name*
Class*
BANK DETAILS
Account Name - DAV Mukhyamantri Public School Devrikhurd
Account No. - 35934624906
IFSC Code - SBIN0006261
Should be Empty:

D.A.V. MUKHYAMANTRI PUBLIC SCHOOL