CBSE Aff. No.
: 1730923 AA vks3e~AA School Code: 11321
DAYANAND PARADISE SCHOOL
A CBSE Affiliated English Medium Day Boarding Cum Residen al School
Dayanand Vidyapeeth Campus, Rishikesh Road, Umarani, AbuRoad-307510
S.N. ADMISSION FORM SESSION
Please affix latest Please affix latest Please affix latest
photograph photograph photograph
[Child] [Father] [Mother]
Grade in which Admission is sought for Day Scholar/ Day Boarder/ Boarder
1. Details of the Child:
(a) Full name of the Child (in capital le ers)
(b) AADHAR No (c) Sex (Male/Female)
(d) Date of Birth D D M M Y Y Y Y In Word
(e) Category(Gen./SC/ST/OBC/EWS/Disabled/S.G. Child) (a ach cer ficate, if applicable)
(f) Blood Group (g) Mother tongue
2. Details of the Parents:
(a) Father’s Name (a) Mother’s Name
(b) AADHAR No. (b) AADHAR No
(c) Na onality (c) Na onality
(d) Passport No. (if Foreigner/NIR) (d) Passport No. (if Foreigner/NIR)
(d) Occupa on (d) Occupa on
(e) Annual Income (e) Annual Income
(f) Office Address with Contact Details
(g) Residen al Address with Contact Details
(h) Permanent Address with Contact Details
(I) Name & Address of Local Guardian (if any)
(j) Name & Address of Previous School (with Grade)
(k) T.C. No. (l) Date of T.C. (m) Status of Result
(n) Whether previous school was affiliated with CBSE ( Yes/No )
(0) If No, Specify name of the Board
(p) Subjects proposed to offer 1................................. 2.................................... 3....................................
4.................................. 5.................................... 6....................................
(q) Medical Detail 1. Any Health Past History 3. Height cms
2. Present Situa on 4. Weight kg
5. Eye Sight Le Right
DECLARATION
I ............................................................................................, father/mother/guardian of ............................................... who
is a candidate for admission to the Ins tute, cer fy that I am the bonafide parent/guardian of the candidate. I hereby declare
that the above informa on furnished by me is correct to the best of my knowledge & belief, if any informa on or document
supplied by me found to be incorrect, I will be responsible for the same. I assure that the candidate and I shall abide by all the
rules and regula ons of the Ins tute, which are in prac ce now as well as those, which may come into force from me-to-
me. Also, all the required fees shall be paid in me.
Date:__________ Signature of the Parent/Guardian
ENCLOSURES: [Please ck ( / ) the items enclosed with this admission form]
1. Self A ested Copy of Mark Sheet of last class passed
2. Transfer Cer ficate & Character Cer ficate(original)
3. 4 Passport Sized Photograph of child with name & date displayed in white background
4. 1 passport sized photo of father & 1 passport sized photo of mother
5. Self A ested Copy of Cer ficate of SC/ST/OBC/EWS/Disabled/S.G. Child, if any
6. Self A estedCopy of Birth Cer ficate
7. Self A ested Copy of AADHAR card of Candidate, Father & Mother
8. Gap Cer ficate/Affidavit (If study is not con nued ll date)
9. Health Cer ficate (In a prescribed format)
FOR THE OFFICE USE ONLY
1. Cer fied that I have checked the applica on form and the relevant papers are found in order.
Date:__________ Signature of Verifying Officer
2. Admission offered in Grade.............................. Sec on..................... Admission No. Allo ed ............................................
Hostel/House Allo ed.......................................... a er checking the relevant papers and realise the dues.
3. Name has been entered in the Class A endance Register: (Yes/No)....................................
4. Cer fied that all the entries have been made in the Scholar's Register and the dues have been received.
5. Registra on No. of the student in Admission Withdrawal Register is............................................... Vol...........................
Date:__________ Office Incharge
Admission considered by the school is in accordance with the provisions of the Board & approved.
Date:__________ Signature of Principal
(Official Seal)
