DELHI PUBLIC SCHOOL

APPLICATION FOR ISSUE OF DUPLICATE I-CARD

Date: ..............................

Please issue duplicate I-Card(s) for PARENT STUDENT BOTH

REASON — CARD LOST CARD MUTILATED

CHANGE IN BUS ROUTE/STOP

(Application attached)
CHANGE FROM TRANSPORT TO SUPERVISION
(Application attached)
CHANGE FROM SUPERVISION TO TRANSPORT
(Application attached)
CHANGE IN ADDRESS/PHONE NO. /CONTACT DETAILS

ANY OTHER, SPECIFY.........................................................................................................

The relevant details are given below -

1. Name .........................................................................................................................

2. Class ...................... Section .............. Admission Number ..................................

3. Father’s/Guardian’s Name ...................................................................................

4. Present Address ......................................................................................................

....................................................................................................................................

.......................................................................... PIN

5. Phone Number(s).....................................................................................................

6. Transport User Supervision

7. If transport user, New Bus Route No._________ Bus Stop ________________

Payment done through eCMS/NEFT of -

INR 250 towards issue of duplicate I-Card(s).
INR 25 towards cost of lanyard.

Parent’s Signature