DPS GBN

Please register the name of my Son / Daughter / Ward for Admission in your School. *

Student Details

Class to which admission is sought *

Child’s name in full *

Date of Birth *

Age as on

31st March 2022

(Year of Admission)

Years Months Days

AADHAR Card No. of the Student

Nationality *

Mother Tongue *

Religion *

Category *

Gender *

Male

Female

Blood Group *

Home Town *

State *

Nearest Railway Station/Airport *

Address : (Permanent)

Address : (Present) *

Name of the previous school

Class in which she/he was studying

Medium of instruction

English

Hindi

Family Details

Father's Name *

Academic Qualifications

Occupation

Designation

Name of the Organization / Company

Office Address

Phone: Office

Residence

Mobile No. *

E-mail ID *

Mother's Name *

Academic Qualifications

Occupation

Designation

Name of the Organization / Company

Office Address

Phone: Office

Residence

Mobile No.

E-mail ID

Particulars of Dipsite Parents

Applicable

Not Applicable

Mother: DPS

Year of Passing

Father: DPS

Year of Passing

Checklist of documents to be submitted at the time of registration

Self-attested Copy of Municipal Birth Certificate

Copy of Report Card of previous class

Certificate’s of Outstanding Achievement, if any (attested photocopy)

Certificate of Disability or Special Needs (if applicable)

Photocopy of proof of residence (ration card / voter identity card / residence lease deed / any other)

Immunization record of child (to be submitted along with Registration Form)

Transfer Certificate (applicable From Class-I onwards)

Aadhar Card of the Student (Copy)

Declaration

Kindly see the Fee Structure carefully.

I have read and agreed to the Fee Structure *
I fully understand that registration is not a guarantee for admission. Admission is granted only when there is a vacancy and the child’s interaction is as per the School's norms.
I understand that the Registration Fee of Rs.1500/- is Non-Refundable.
I have read the details regarding the School Fees and made satisfactory arrangements for the remittance within the due dates without waiting for the reminder from the School. I will pay the School Fee through Cheque/Pay Order/Demand Draft favouring Delhi Public School Gautam Buddh Nagar, payable at Noida or transfer via NEFT/RTGS.
I understand that since admission is granted to my ward before the start of the Academic Session, I would have to pay the amount in case fee for the Academic Session is revised.
I hereby certify that the Date of Birth and spelling of the name of my child/ward given in this Form are correct and I shall not make any request for change.
I understand that submitting misleading information or withholding correct information may disqualify or lead to cancellation of Admission.
I certify that I am a bonafide Parent/Guardian of the child.
After having carefully read the rules, regulations and procedures laid down in the School's Prospectus and being desirous of having my child/ward educated in Delhi Public School, Gautam Buddh Nagar, I hereby agree to abide by the rules of the School in all respects.
I understand that the decision of the School shall be final and binding.
I understand that the fees may undergo revision in accordance with the provisions of U.P. Self-Financed Independent Schools (Fee Regulation) Act, 2018
I declare that the information provided in this Admission Form is correct.
I agree *

Admission Form

Admission Form

Student Details

Family Details

Checklist of documents to be submitted at the time of registration

Declaration