BUDHA DAL PUBLIC SCHOOL
LOWER MALL, PATIALA - 147001
PH. NO. 0175-5050534
Affiliated to Central Board of Secondary Education, New Delhi(Affiliation. No. 1630046)
Session: 2018-19
 
REGISTRAION FORM
*Class to which admission is sought :  
1.
*Name of the Candidate:  



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2.
*Date of Birth :        
3.
*Gender :       
4.
*Father's Name : 
 
*Occupation :   Qualification :
 
*Mother's Name :   
 
Occupation : Qualification :
5.
*Aadhar Card No. : 
6.
*Income of Parents per month :    
7.
*Residential Address :  
(Complete Address with distance in km. from school)
 
8.
Phone No :   *Mobile No :    *E-mail :     
9. Sibling (Real brother/sister in same school) If Yes,
 
Name (1.)   Class
           (2.)  Class
   
10. School Alumni (If Yes)
 
Father Name  Year of Passing
Mother Name  Year of Passing
   
11. ACADEMIC RECORD (Previous Class) Not Applicable to Nursery/Prep1, For Admission to Class XI, Pre Board Result to be mentioned.
   
 
Year Class Last
Attended
Board School Marks Obtained out of 100  
English Maths Science S.St. Percentage/CGPA
12.
Have you distinguished yourself in sports?
 
Mode of Conveyance  School Bus/Cycle/Motor Cycle/Scooter/Auto rickshaw/rickshaw.

LIST OF SUPPORTING DOCUMENTS TO BE PRODUCED BY THE PARENTS AT THE TIME OF SUBMISSION OF FORMS
*Date of Birth Certificate of the Child :        
*Aadhar Card :        
*Proof of Residence :        
Passout Certificates of Father/Mother :
(School, Graduation, Postgraduation etc.)  
   
Proof of Sibling (Wherever applicable) :      
Proof for Alumini (Wherever applicable) :      
NOTE: All original proofs are required at the time of admission
DECLARATION
(a) I declare that all the facts stated above are true to the best of my knowledge and belief.
(b) I declare that in case I am admitted to the school, i shall devote my full time to the course of studies and will not take part in any subversive activities. If       any entry is found to be incorrect, my admission will be cancelled. I fully understand that the fees once deposited will not be refunded.
(c) I shall regularly attend my classes, be respectful to the teachers and the enployees of the school and will not carry mobile phone with me.
(d) I shall be responsible if I am not allowed to take Board Examination on account of my not fulfilling the school conditions regarding the atendance and the       House Examination.