DAV PUBLIC SCHOOL, BSEB PATNA BSEB COLONY, NEW PUNAICHAK, BIHAR - 800023

ONLINE PROVISIONAL REGISTRATION FORM

1. Registration for Class

2. Form No

3. Transcation id

4. Payment Status

1. PERSONAL (CAPITAL LETTERS)

1. Name of the child

2. Date of Birth

3. Age as on 01.04.2025

4. Mobile

5. Aadhar No.

6. Email

7. Nationality

8. Religion

9. Gender

10. Blood Gr

11. Permanent Address

12. Present Address

13. Previous School Name

14. UDISE No

15. PEN No

2. Parent/Guardian Detail

1. Father's Name
2. Education Qualification (Mention Highest)
3. Occupation
4. Name Of the organisation
5. Designation
6. Address
7. Mobile
13. Annual Family Income

1. Mother Name
2. Education Qualification (Mention Highest)
3. Occupation
4. Name Of the organisation
5. Designation
6. Address
8. Mobile

Note: Please bring hard copy of this online registration form at the time of admission alongwith all the requisite documents.

UNDERTAKING

1. I do hereby declare that the informations furnished in respect of my son/daughter / ward _________________________ is true of my knowledge & belief.
2. I shall abide by the rules of the school.
3. If my ward commits any kind of indiscipline he/she may be expelled / punished by the school.
4. He/She will atlast attend 75% lectures failing which he/she may not be allowed to appear at the examination.
5. I will pay the school fee in time every month.
6. His/ her admission will be confirmed after fulfilling all the criteria fixed by the school.

Signature of Student

Signature of Parents / Guardian

Signature of Principal

Office Use Only

Reg. No
Class \| Section
Receipt No.
For Registration
Signature