S. D. PUBLIC SCHOOL ROAD NO.10, EAST PUNJABI BAGH,NEW DELHI-110026 Phone No: 28311317, 28314757e-mail:sanatandps@gmail.comWebsite: www.sanatandps.com SESSION-2020-21 REGISTRATION FORM for Pre School / Pre Primary / Class I To be filled in Block Letters Paste recent passport size photograph of the Child Paste recent passport size photograph of the Mother Paste recent passport size photograph of the Father Registration No. _____________(to be filled by the school at the time of depositing the form) 1. Name of the student _____________________________________ 2. Class 3. Date of Birth Pre-School Pre-Primary Date I Month Year (in words ) ________________________________________________ 4. Age as on 31.3.2020 ______YEARS_____MONTHS______DAYS (Regarding Age Limit: For admission to Class Pre-school, Pre-Primary and I, the minimum age for admission shall be 03years, 04years and 05 years respectively as on 31st March 2020. The upper age limit for Class Pre-school, Pre-Primary and I as on 31st March 2020 is 04, 05 and 06 years respectively as per directives of Directorate of Education.) 5. Sex: 6. Mother Tongue _________________ 7. 8. Minority Yes 9. a) Caste ________ b) Religion __________ 10. Male Female No Details of Parents: a) FATHER Blood Group____________ b) MOTHER c) GUARDIAN Yes Yes Name Qualification Service/Selfemployed If in service, is the job transferable? Residential Address Residential Tel. No. Mobile No. Official Address Official Tel. No. Voter Card ID No. Email-id Yes No No No 11. Is the School Transportation required? Yes No If yes, fill the form for transport & mention the place from where transport is required. 12. Is a sibling of the student studying in this school? (Real brother/sister only) Yes No If yes please give following details of the sibling: Name ___________________ Name ___________________ Class ________Section ______ Class ________Section ______ 13. Are you an Alumni of the school Yes No If yes, please give following details Name of Alumni ___________________________Year of Passing ______________ Class in which you studied that year ____________ NOTE: 1) 2) 3) 4) At the time of Admission submit the following:Two recent Passport size photograph of the child Original Date of Birth Certificate Passport size photograph of the Father, Mother and Guardian Medical Certificate stating Blood Group & Allergy, if any For Residence proof: (Any one of the following) Ration Card/Smart Card issued in the name of Parents (Mother/Father having name of child) Domicile certificate of child or of his/her parents. Voter I-card (EPIC) of any of the parents. Electricity bill/MTNL telephone bill/ Water bill/ Passport in the name of any of the parents or child. Aadhaar Card/UID card issued in the name of any of the parents. Please register my son/daughter/ward named above in your school. I shall produce the requisite documents at the time of admission. I shall also submit a copy of the Voter Cardof both the parents at the time of admission. 5) Signature _______________________________________________________________________________________ Undertaking I________________________________ father/mother/guardian of ____________________ hereby declare that information given above by me is true and correct to the best of my knowledge & belief. I would not request for any change in details filled of my ward such as Date of Birth, Candidate’s name, Mother’s name, Father’s name etc. If any mistake in student credential is detected, I will solely be held responsible for the same. In case any information is found false or incorrect on verification, the admission of my ward may be cancelled. ________________________________ Father’s Name & Signature ________________________________ Mother’s Name &Signature _______________________________________________________________________________________ For School Purpose Only Remarks _______________________________________________________________________________