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
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Class to which admission is sought :
-Select-
Nursery
Prep 1
11th Class
Personal Details:
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1.
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Name of the Candidate:
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2.
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Date of Birth :
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3.
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Gender :
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Male
Female
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
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Single Girl Child :
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Yes
No
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Specially abled (Divyangjan): :
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Yes
No
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Belonging to the EWS: :
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Yes
No
6.
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Category :
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General
SC
ST
OBC
EWS
7.
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Aadhar Card No. :
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8.
Phone No :
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Mobile No :
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E-mail :
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9.
Sibling (Real brother/sister in same school) If Yes,
Name
Brother/Sister
Age
School Studying in
Brother
Sister
Brother
Sister
10.
Name & Address of the last attended school :
11.
Class Last attended
:
12.
Last School affiliated is :
CBSE
ISCE
IB
State Board
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
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Date of Birth Certificate of the Child :
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Aadhar Card :
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Proof of Residence :
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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.