DAV-Student Admission Form 2021-22

DAV MUKHYAMANTRI PUBLIC SCHOOL, KUNJARA

(Managed by DAVCMC) CBSE AFFILIATION NO. 3330351
STUDENT ADMISSION FORM

(For the session 2021-22)
Admission required for (Class)
Note : Please use capital letters only.
Name

First Name Middle Name Last Name
Gender

Male Female
Date of Birth

Month Day Year
Date
Blood Group
Religion
Caste
Community

SC OBC GEN ST
Aadhar No
Contact Number for Online Classes
RESIDENTIAL ADDRESS
Father's Mobile No.:
CORRESPONDENCE ADDRESS
E mail ID:
example@example.com
Mother's Mobile No.:
Distance from school (in kms):
Emergency Contact No. (Res/Mobile) Name of the person to be contacted
Emergency Contact No. (Res/Mobile)
Name of the person to be contacted
Relationship
FAMILY INFORMATION
Father's Name:
Occupation:
Father's Aadhar No
Annual Income:
Mother's Name:
Occupation:
Annual Income:
Mother's Aadhar No :
OTHER DETAILS

Details of Brothers / Sisters studying in this school.
Name
Class:
The previous school affiliated to:

CBSE CGBSE (State Board) OTHER
Awards won so far in sports, arts or academics
Any medication taken for any medical conditions, Such as attention deficit / thyroid (hypo/hyper)/any other condition :
Any Medication taken for general well being :
Any Allergy / any medical information that school should be aware of :
Should be Empty:

OTHER DETAILS