ADMISSION FORM (2025 – 2026)

Please affix
Status : Day Scholar / Hosteller
[Please tick]
recent
passport
Registration No. REG/DAV/ Admission No. ____________ size photo
(Office use only) (Office use only)

Name of Student :................................................................................... Male/Female ……………

(Block Letters)
Date of Birth (dd/mm/yy) :.................................(in words)...............................................................

Disability of the Child (if any) : ……………………..…..…… Percentage : ……..…. Height: …………cm Weight:……….. Kg
(Please attach the certificate)
Mother’s Name (Block Letters) …………………………………………………………………………………………..………………….

Father’s Name (Block Letters) ……………………………………………………………………………………………………..……….

Age as on 31 March 20 : ........................................... Class to which admission is sought ...................................................

(The child should be 4+ years of age as on 30 March 20 for LKG)
Faculty if admission taken in class XI …………………….…………………………….. Subjects : ………………………………..
Nationality : …………….................................................... Mother Tongue ..........................................................................
Religion : ............................................. Cast :………………….…..…… Cast/Cat.(SC/ST/OBC/Gen) : ……….…..…….……
Naxal affected (Yes/No) : ……………………... Orphan (Yes/No) : …….…………Only girl child (Yes/No) : …………………
BPL (Yes/No) : ………………..……… BPL No. (if yes): ………………..………….… Blood Group : ....................................
Aadhar No. : ………………………………………………….Name on Aadhar ………………...…….…………..………………..
Bank A/c No. : ………………………………………………. A/c Holder Name : ………………..………………………………….
Relation other than Child : ……..……………….…..….… Bank Name :…………………….………………………………….….
Branch: ………………………………………...….………… IFSC Code : …………………….………………………..……………

Address: Permanent Present

Moh & Ward No : ……………………………………..……… …………………………………………..…………..
Vill/ Town : ……………………………………..……… …………………………………………..…………..
P.O. : ……………………………………..……… …………………………………………..…………..
Block & Tehshil : ……………………………………..……… …………………………………………..…………..
District : ……………………………………..……… …………………………………………..…………..
State & PIN : .……………………PIN …………..…..… .…………….…………PIN …………..……..…..…
Mobile No. : ……………………………………..……… …………………………………………..…………..

Please fill the following : Father Mother

Academic Qualification …………………………………..……..…… …………………………………………....

Aadhar Number …………………………………..……..…… …………………………………………....
Occupation : …………………………………..……..…… …………………………………………....
Organization : …………………………………..……..…… …………………………………………....
Designation : …………………………………..……..…… …………………………………………....
Annual Income …………………………………..……..…… …………………………………………....
Office Address : …………………………………..……..…… …………………………………………....
Phone No/ Mobile : …………………………………..……..…… …………………………………………....
E-mail : …………………………………..……..…… …………………………………………....
Tax Payer or Not : …………………………………..……..…… …………………………………………....

Specimen Signature : Father…………………………..……..…… Mother..………………………………....

The following information is important for short- listing children. Kindly fill whichever is applicable to you :

(a) In case of staff child, name of the parent working in this School ……………………………………..................................

(b) If any siblings (real brother or sister) are already studying in our school, please fill in

Name of Child Adm. No Class Section

(1) …………………………… …………………. ………… ..……….

(2) …………………………… …………………. ………… ..……….

Particulars of Local Guardian (if any) Name:.......................................................... Relationship ……....................................

Address....................................................................................................................................................................................
.................................................................................................................................................................................................
Phone:................................................................................................ Signature ....................................................................

Enclosures (Please Tick ):

1. Photocopy of Govt. Birth Certificate of child 2.Transfer Certificate (Original ) 3.Passport size photo-2

4. Aadhar Card 5. BPL Card 6. Bank Details 7. Cast Certificate 8. Blood Group

9. Report Card

Name of School/Play school the child is attending : ...............................................................................................................

The class in which the child is studying/has passed : .............................................................................................................
Mode of Transport: .................................................................................................................................................................
The registration made herein does in no way entitle the candidate to be admitted to the school.
incomplete/invalid forms will be rejected.

DECLARATION

I hereby certify that the above information is correct to the best of my knowledge and belief. Further, I fully
understand that the school, on accepting the registration form of my ward, is not bound to grant admission
and I also agree that the decision of the Principal regarding grant of admission will be final and binding.

Date : …………………….. Signature of Parent/Guardian

Father’s photograph Mother’s photograph Guardian’s photograph

(If any)

Specimen Signature Specimen Signature Specimen Signature

Recommended for admission in class …………………..

Admission No. …………………
Date : ……………… Signature with Seal

(Principal)