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Purity III
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Registration Form
Required*
Sibling Details:
Sibling (Real Brother/ Sister only) studying in DPS Indirapuram
Admission No.
Sibling Name
Sibling Class
Student Details:
Student First Name
Middle Name
Last Name
Gender
Choose a value
Male
Female
Academic Year
Choose a value
2021-2022
2020-2021
Class Applied For
Choose a value
NUR (2021-22)
PREP (2021-22)
I (2021-22)
II (2021-22)
III (2021-22)
IV (2021-22)
V (2021-22)
VI (2021-22)
VII (2021-22)
VIII (2021-22)
IX (2021-22)
X (2021-22)
XI (2021-22)
XII (2021-22)
Class Applied For
Choose a value
NURSERY(2020-21)
PREP(2020-21)
III (2020-21)
IV (2020-21)
VI(2020-21)
XI(2020-21)
Date of Birth
Mother Tongue
Place of Birth
Blood Group
Choose a value
A+
A-
AB-
B+
B-
O-
Child's Nationality
Caste Category(Submission of Certificate at the time of admission is a must)
Choose a value
GENERAL
OBC
SC
ST
Religion
Choose a value
Buddhist
Christian
Hindu
Jainism
Muslim
Sikh
Others
Minority
Choose a value
Muslims
Christians
Jains
Buddhists
Parsis
Shikhs
Not in Minor Category
Physically challenged/Child with spl. needs
Choose a value
NO
BLIND
DEAF
HANDICAPPED
DYSLEXIC
SPASTIC
AUSTISM
Transport Category
Choose a value
SCHOOL BUS
OWN TRANSPORT
Child's Aadhar Card
Hometown
Communication Details:
Email
Mobile No. for SMS:
Previous School Attended
Details:
Name of The School and the City :
School Recognized By
Choose a value
PLAY-WAY
CBSE
ICSE
STATE BOARD
OTHERS
Year of Passing Last Class
Medium of Instruction Till Now
Choose a value
ENGLISH
HINDI
BOTH
OTHERS
Any Scholastic or Co-scholastic Achievement with you to Highlight:
Scholastic
Co-Scholastic
Parent's Information
Father's Details:
Name
Mobile no.
Aadhar Card
Phone(Resident)
E-mail
Residential Address
City
Pin Code
Academic Qualifications
Choose a value
10th
12th
GRADUATION
POST GRADUATION
Occupation
Choose a value
BUSINESS
CONSULTANT
DOCTOR
EDUCATIONIST
ENGINEER
GOVT SERVICE
LAWYER
OTHER
PRIVATE SERVICE
SELF EMPLOYED
Designation
Organisation
Phone(Off.)
Address(Off.)
Gross Annual Income
Mother's Details:
Name
Mobile no.
Aadhar Card
Phone(Resident)
E-mail
Residential Address
City
Pin Code
Academic Qualifications
Choose a value
10th
12th
GRADUATION
POST GRADUATION
Occupation
Choose a value
BUSINESS
CONSULTANT
DOCTOR
EDUCATIONIST
ENGINEER
GOVT SERVICE
LAWYER
OTHER
PRIVATE SERVICE
SELF EMPLOYED
Designation
Organisation
Phone(Off.)
Address(Off.)
Annual Income
Guardian's Details:
In Case the Child is not residing with the Parents
Choose a value
Yes
No
First Name
Middle Name
Last Name
Relationship With The Child
Occupation
Choose a value
BUSINESS
CONSULTANT
DOCTOR
EDUCATIONIST
ENGINEER
GOVT SERVICE
LAWYER
OTHER
PRIVATE SERVICE
SELF EMPLOYED
Designation
Phone(Off.)
Phone(Resident)
Residential Address
Pin Code
E-mail
Mobile No.
Details of The Child Academic Performance (Last Report Received) (Not Applicable For NUR & PREP)
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