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DELHI PUBLIC SCHOOL, GURGAON

CIR/71/P/2022-23
Dear Parents, 6th May '22

The Registration forms for CBSE for class IX have to be filled. We require the following information
by 5:00pm, Monday, 23rd May'22.
In all cases names and particulars have been verified and filled by the class teacher through the Registration
Form/ T.C. / Birth Certificate submitted by you at the time of admission. In case you find any discrepancy
in the same, kindly get in touch with the class teacher.
In case you wish your ward's name / spelling to be changed / amended please do so by Tuesday,
31st May'22 and submit the relevant documents. No changes will be admissible after this date.
With best wishes

(Fill the information in block letters)

Name of the child ANVITA JETLEY Sex Male / Female

Father's Name SHAILENDRA JETLEY Mother's Name NITIKA JETLEY

Date of Birth (dd/mm/yyyy) 11/12/2007 Aadhar Card No. (Optional) 771946945250

Mobile No. 99108 12053 Email Id nitikajetley@gmail.com

* Category 1 =SC,2=ST,3=OBC,4=GEN

** Disability 1 = Blind, 2 = Deaf, 3 = Handicap, 4 = Dyslexia, 5 = Spastic

Language II 1 = French, 2 = German, 3 = Hindi, 4 = Sanskrit, 5 = Spanish

Only Child Yes/ No Annual Income

Signature of Mother Signature of Father ______________________


* In case of category other than general, you are requested to submit the relevant certificate by
Monday, 23rd May'22.

** In case of disability, the relevant certificate/ documents to be provided by Tuesday, 31st May'22.

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