Registration Number ___________________________

(To be filled by the office)

DELHI PUBLIC SCHOOL

VASANT KUNJ, NEW DELHI-110070
PH. 43261200 Website :www.dpsvasantkunj.com
email : principal@dpsvasantkunj.com Photograph of the
REGISTRATION FEE RS. 25/-
NON-REFUNDABLE Student
REGISTRATION FORM
ISSUE OF REGISTRATION FORM FOR CLASS - XI
DOES NOT ENSURE ADMISSION (2020-21) Kindly enclose a draft of Rs. 25/- favouring D.P.S
(HOSTEL) Vasant Kunj, payable at New Delhi along with the
internet downloaded form. Forms will be accepted
STREAM ________________________________ BY HAND ONLY.

CHILD’S NAME (in block letters) _________________________________________________________________

DATE OF BIRTH ________________ ___________________________________________________________
(in figures) (In words)
NATIONALITY ___________________ Sex : M / F Category : Gen / SC / ST / OBC
NAME OF THE SCHOOL STUDYING AT PRESENT _________________________________________________
AFFILIATED to C.B.S.E / ANY OTHER BOARD_____________________________________________________
MEDIUM OF INSTRUCTION ____________________________________________________________________
GRADES / MARKS OBTAINED IN THE Class X Pre Board EXAM. For Science Stream

S. No. SUBJECT MARKS AGG. % ESM %

1. ENGLISH ______________ _______________ _________________
2. MATHS ______________
3. SOCIAL SC. ______________ For Commerce & Humanities Stream
4. SCIENCE ______________ AGG. %
5. IInd LANG. ______________ _______________ _________________
Total Marks ______________ Verified

FATHER’S NAME (in block letters) _______________________________________________________________

OCCUPATION ________________________________________ DESIGNATION __________________________

OFFICE ADDRESS ___________________________________________________________________________

TEL Nos. ____________________________________________ Mobile No. ______________________________

MOTHER’S NAME (in block letters) ______________________________________________________________

OCCUPATION ________________________________________ DESIGNATION __________________________

OFFICE ADDRESS ___________________________________________________________________________

TEL Nos. ____________________________________________ Mobile No. ______________________________

PERMANENT RESIDENTIAL ADDRESS __________________________________________________________

_______________________________________________________________________________________________________

______________________________________ Tel No. & Mob. No. _____________________________________

NAME AND CLASS OF BROTHER / SISTER STUDYING IN THIS SCHOOL :-

NAME OF THE CHILD ADMN. NO. CLASS / SEC. REMARKS

1. __________________________ ______________ ________________ _________________

2. __________________________ ______________ ________________ _________________

ANY OTHER INFORMATION (tick if applicable)

(i) STAFF CHILD ______________________________

(II) DIPSITE (parent / brother / sister) (give year of passing) ______________________________

(iii) NTSE Scholar ______________________________

(iv) Participation in Sports at National Level in the last one year ______________________________

INSTRUCTIONS

Kindly submit attested photocopy of Class X Pre Board /marksheet and two photographs of the candidate
along with the registration form. (Bring Original result also)

Principal

DECLARATION

1. I understand that I shall pay the School Fees for 12 months for my ward who is taking admission
in Class XI.

2. I fully understand that the school, on accepting the registration of my ward is not in any way bound to grant
admission, as the admission is purely based on availability of seats and on merit. I also understand that the
decision of the Management regarding admission will be final and binding on me.

Date :______________________________ Signature of Parent / Guardian