Académique Documents
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Survey No. 35/1 'A', Sathanur Village, Bagalur Post, Off Bellary Road recent stamp
Bangalore North - 562 149 Karnataka, India. Tel: 2847 8041 / 42 / 43 size photograph
Email: north@dpsbangalore.net www.dpsbangalore.net www.dpsblr.com of student
General Instructions
REGISTRATION FORM 1. Use only Black ball Pen to fill the form
Issue of Registration Form Does Not Ensure Admission 2. Do not enter registration number yourself
3. Use the codes given overleaf to fill locality code/ occupation code
(in words)
Residential Address :
Please give complete postal address
Distance from school ( in Kms) Preferred Phone Number for School SMS
Father
Mother
FATHER MOTHER
Name :
Occupation :
Occupation Code :
(For occupation codes (If business - specify) (If business - specify)
see overleaf )
Designation :
Organisation Name :
Organisation Address :
Phone No :
Mobile No :
FATHER MOTHER
Single Parent
Tick one, only if applicable
If child is sponsored
(Name of sponsoring agency)
Permanent Address
DECLARATION
I|We hereby certify that the above information provided by me/us is correct and I/we understand that if the
information is found to be incorrect or false, the ward shall be automatically debarred from selection/admission
process without any correspondence in this regard. I/We also understand that the application /registration /short
listing does not guarantee admission to my ward. I/we accept the process of admission undertaken by the school
and I/we will abide by the decision taken by the school authorities.
Name Signature
Date :
Father :
Mother :
Date Amount
Dated: Signature