DAV MUKHYAMANTRI PUBLIC SCHOOL,KUDKAI

DAV MUKHYAMANTRI PUBLIC SCHOOL,KUDKAI

PENDRA DISTT-GAURELA-PENDRA-MARWAHI (CG)
Under the direct Management of DAV College Managing Committee, New Delhi) Affiliated to C.B.S.E New Delhi, Vide Affiliation No. : 3320259

APPLICATION FORM
1. Name of Candidate (In Block letters) *
2. Mother's Name *
3. Father's Name *
4. Date of Birth *

MonthDayYear
Date
5. Sex (male / female) *
6. Blood Group
7. Religion *
8. Category (ST/SC/OBC/GEN) *
9. Class in which admission is sought *
10. Nationality *
11. For admission in class XI, Choice of Stream (Science/Commerce)
12. Subject to be taken
13. Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
14. Contact Number *

Area CodePhone Number
15. Details of previous education (Not applicable for admission LKG)
Name of school
Class in which studying
Whether qualified for promotion (yes/no)
Reason for leaving the school
16. Occupation of Father / Mother
Name of Father / Mothe
Designation
Department
Place of working
17. a) Name of guardian (if any)
17. b) Profession
18. Name of person with relation
Who will drop / collect child from school
Should be Empty: