Admission Form Dgh

DAV MUKHYAMANTRI PUBLIC SCHOOL, DHARAMJAIGARH

(Managed by DAVCMC) CBSE AFFILIATION NO. 3330284
STUDENT ADMISSION FORM

(For the session 2020-21)
Admission required for (Class)
Note : Please use capital letters only.
Name

First NameMiddle NameLast Name
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Blood Group
Religion
Caste
Nationality
Aadhar No
Community

SCOBCGENST
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:

CBSECGBSE (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