ADMISSION FORM

D.A.V. MUKHYAMANTRI PUBLIC SCHOOL

DEVRIKHURD, P.O.- KATHAKONI, BLOCK- TAKHATPUR, DIST.- BILASPUR (C.G.)
MANAGED BY D.A.V. COLLEGE MANAGING COMMITTEE, NEW DELHI

AFFILIATED TO C.B.S.E. AFFILIATION NO. - 3330334
ADMISSION FORM
Name of Students (In Block Letters) *

First Name Last Name
Date of Birth *

Month Day Year
Date
Age (In Year) *
Gender *
Category *
Admission want in Class *
Class in which admission is sought
Aadhar Card No. *
Upload Picture ( Front & Back )
Aadhar Front Side *

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Aadhar Back Side *

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Parent's Details
Father's Name *

First Name Last Name
Mother's Name *

First Name Last Name
Address *

Street Address

Land Mark

City State

Postal / Zip Code
Phone Number *

(+91) Use Area Code Phone Number
12. What's App No. *
Occupation of Father/Mother *
15. Name of Gardian (if any) *
16. Relation with Gardian *
Details of Previous Education (Not applicable for LKG)
School Name *
Class *
BANK DETAILS
Account Name - DAV Mukhyamantri Public School Devrikhurd
Account No. - 35934624906
IFSC Code - SBIN0006261
How Much Amount Transferd. *
Here Put the Transfered Amount.
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D.A.V. MUKHYAMANTRI PUBLIC SCHOOL