DAV MUKHYAMANTRI PUBLIC SCHOOL, KUMHARIMARWAHI, GAURELA-PENDRA-MARWAHI (C.G.)(Under the direct Management of DAV College Managing Committee, New Delhi)Affiliated to C.B.S.E New Delhi, Vide Affiliation No. : 3320249
APPLICATION FORM
Registration No.: _____________________________Date of Registration: _____________________________Admission No.: _____________________________(For office use only)
Name of the Candidate
First Name
Last Name
Mother's Name
First Name
Last Name
Father's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Sex
Male
Female
Blood Group
A
B
O
Ab
Nationality
Religion
Category(ST/SC/OBC/General)
Class in which Admission is sought:
Subject to be taken:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Details of Previous Education(Not Applicable for LKG)
Name of the school
Class in which studying
Whether qualified for promotion:(Yes/No)
Reason for leaving the school
Occupation of Father / Mother
Name of Father / Mother
Designation
Department
Place of Working
Name of Guardian(If Any)
Profession of the Guardian
Name of Person with Relation
Who will drop / collect child
Submit
Should be Empty: