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: __________
 
REGISTRATION FORM
*Class to which admission is sought :  
Personal Details:


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1.
*Name of the Candidate:  
2.
*Date of Birth :        
3.
*Gender :       
4. Details of Parents:
 
Details Mother Father/Guardian
Name
Education Qualification
Residential Address:
E-mail:
Occupation
Official Address
Annual Income:
   
5. Whether the candidate is
 
*Single Girl Child :       
*Specially abled (Divyangjan): :       
*Belonging to the EWS: :       
6.
*Category :   
7.
*Aadhar Card No. : 
8.
Phone No :   *Mobile No :    *E-mail :       
9. Sibling (Real brother/sister in same school) If Yes,
 
Name Brother/Sister Age School Studying in
   
10.
Name & Address of the last attended school :
11.
Class Last attended :
12.
Last School affiliated is : If Any other (Please Specify)
11. Result of Last Class
   
 
Subject Maximum Marks Marks Obtained % of Marks Remarks
12.
Transfer Certificate Details:  
Transfer Certificate No.:
Date of Issue
   

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
I hereby declare that the above information including Name of Candidate, Father's/Guardian's Name, Mother's name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the School.