D.A.V. MUKHYAMANTRI PUBLIC SCHOOL
Vill. Kewari, Block- Lakhanpur, Dist. Surguja (C.G.)
MANAGED BY DAV COLLEGE MANAGING COMMITTEE, NEW DELHI
AFFILIATED TO CBSE, AFFILIATION NO. 3330285
APPLICATION FORM FOR ADMISSION
Session - 2025-26
Name of Candidate (In Block Letters)
*
First Name
Middle Name
Last Name
Mother's Name
*
First Name
Middle Name
Last Name
Father's Name
*
First Name
Middle Name
Last Name
Class in which admission is sought
*
For admission in class XI, Choice of stream :-
*
Science
Commerce
Arts
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Other
Nationality
*
Religion
*
Caste
*
Category
*
ST
SC
OBC
GEN
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Father's Contact
*
Please enter a valid phone number.
Mother's Contact
*
Please enter a valid phone number.
Email
*
example@example.com
Details of Previous Education
(Not applicable for admission LKG)
Name of the School
*
Class in which studying
*
Whether qualified for promotion
*
Reason for leaving the school.
*
Occupation of Father/Mother/Guardian
*
Name of Guardian (If Any)
Relation with Guardian
Bank Details
(Please send screenshot to our school office)
Account Name - DAV Mukhyamantri Public School Kewari
Account No. - 35938627970
IFSC Code - SBIN0014251
QR Code Given Below
Please share screenshot after transfer the amount.
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