DAV MUKHYAMANTRI PUBLIC SCHOOL VED PARSADA MASTURI BILASPUR

DAV MUKHYAMANTRI PUBLIC SCHOOL
VEDPARSADA MASTURI, BILASPUR (C.G

(Under the direct Management of DAV College Managing Committee, New Delhi) Affiliated to C.B.S.E New Delhi, Vide Affiliation No. : 3330319
APPLICATION FORM FOR ADMISSION
Registration No. Date of Registration Admission No.
1. Name of Candidate (In Block letters)
2. Mother's Name
3. Father's Name
4. Class in which admission is sought
For admission in class XI, choice of stream: SCIENCE/COMMERCE
Subject to be taken
5. Date of Birth

MonthDayYear
Date
(For admission in to LKG Minimum age: 3 years)
7. Sex (Male/Female)
8. Nationality
9. Category: SC/ST/OBC/GEN
In case of SC/ST/OBC, Cast Certificate is to be produced from competent authority (Strike out which is not applicable)
10. Present Postal Address
& Contact No. (Mobile/Tel)
11. Permanent Address
& Contact No. (Mobile/Tel) 12. Details of previous education (Not applicable for admission LKG)
(a) Name of the school
(b) Class in which studying
(c) Whether qualified for promotion
(d) Reason for leaving the school
(attach report card) (d) Reason for leaving the school
13. Occupation of Father/Mother
(i) Name of Father/Mother
(ii) Designation
(iii) Department
(iv) Place of working
14. (a) Name of Guardian (If any)
15. Name of the person with relation
who will drop & collect the child/student from School.
Should be Empty:

DAV MUKHYAMANTRI PUBLIC SCHOOL