Delhi School of Music Affix PP size photograph

8, Nyaya Marg, Chanakyapuri

New Delhi 110 021
Phone : +91 (011) 2611 5331
E-mail : admission.delhischoolofmusic@gmail.com
Website : http://www.delhischoolofmusic.net/ AN INSTITUTION OF
THE DELHI MUSIC SOCIETY

ADMISSION FORM - Quarter (April June 2017)

Mr/Ms (First Name) : LAKSHAY (Middle Name) : KUMAR

(Surname) : SINGH
Date of birth : 06/06/1994 Nationality : INDIAN
Contact : Mobile : 9211443882 E-mail : lakshaysingh577@gmail.com
For minor (guardian/parents) contact : Name :
Mobile : E-mail :
Residence address : 4330
STREET BAHUJI, BAHADUR GARH ROAD PAHARI DHIRAJ
Pincode : 110006 City : DELHI
Name of school/institution : DELHI UNIVERSITY
Profession (student/parent's) : STUDENT
Office phone : Residence phone : 9250555849
Parents'/spouse's name : SHEKHAR
Any history of music in your family? NO
NO
Previous knowledge of music (Practical/Theory) : PRACTICAL KNOWLEDGE OF GUITAR

For how long ? (years /months) 6 MONTHS

Previous Institution/Teacher's name : RAGAAS/MR K.K.
Do you possess your own intrument ? YES
If yes, what make ? GUITAR
Instrument applied for? (for vocal, please do specify lyrical or pop) GUITAR
Indicate the suitable day and time for your class and/or teacher's name : MONDAY 12 PM
NA
How have you come to know about Delhi School of Music?(Tick the relevant box)
Internet/Website My School/College Teacher/Student of Delhi School of Music
Other (please specify)

I HAVE READ AND UNDERSTOOD THE RULES AND REGULATIONS OF THE DELHI SCHOOL OF MUSIC AND AGREE TO
ABIDE BY THEM AND TO PAY THE FEES AS FIXED FROM TIME TO TIME.
NEW DELHI
Date : 15/03/2017 LAKSHAY SINGH
Signature (to be done at the DSM on the hard copy)
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FOR OFFICE USE
Receipt No. : Date : Comments :
Student Id. : Id Proof : Address proof :
Teacher : Day : Time :