DAV NAGESHWAR PUBLIC SCHOOL

DAYANAND ARYA VAIDIK NAGESHWAR PUBLIC SCHOOL
	( Dav Nageshwar Public School )
	An English Medium Co-educational Senior Secondary School (10+2) At - Chandaghasi, P.O - Tetri, Ranchi- 834010 (Jharkhand) Approved by the jharkhand Sah Bihar Rajya Arya Pratinidhi Sabha Vide Letter No. 327/2006 dated 15/12/2006 Affiliation to Central Board of Secondary Education, Delhi Affiliation No.3430284 , School Code- 66463
		Student's Passport Size Photo
Form No:-.	ADMISSION FORM
	(Fill in the particulars in Capital Letters Only)

	1. Full Name of Student		*
	2. Sex (Male/ Female)	Male Female	*
	3. Date of Birth (In Figures)	(In Words)	*
	4. Full Name of Mother		*
	5 .Educational Qualification		*
	6. Occupation		*
	7.Occupation Address of Mother		*
		PIn No	*
	8. Annual Income		*		Mother's Passport Size Photo
	9. Contact Number		* *
	10. E-mail Address		*
	11. Aadhar No.		*
	12. Full Name of Father		*
	13. Educational Qualification		*
	14. Occupation		*
	15. Occupation Address of Father		*
		PIn No.	*
	16. Annual Income		*
	17. Contact No.		* ^
	18. E-mail Address		*	Father's Passport Size Photo
	19. Aadhar No.		*
	20. Name of Local Guardian		*
	21. Educational Qualification		*
	22. Occupation		*
	23. Occupation Address of Guardian		*
		Pin No.	*
	24. Annual Income		*
	25. E-mail Address		*
	26. Aadhar No.		*
	27. Contact No.		* *
	28. Nationality		*	Guardian's Passport Size Photo
	29. Religion	Hindu Muslim Christian Jain Baudh Sikh Others	*
	30. Category (a)	General OBC SC ST BC Others	*
	Category (b)	No (PHY Handicapped) Yes (PHY Handicapped)
	31. Class in Which admission Sought		*
	32.Name & Add. of School last Attended		*
		Pin No.	*
	33. Class	Nursery L.K.G. U.K.G I II III IV V VI VII VIII IX X XI XII 34. Session	* *
	35. Percentage / CGPA Scored		*
	36. Document required (Only for Primary & Secondary Student)	i). TC ii). BC iii).Marksheet
	37. Permanent Address		*
		Pin No.	*
	38. Correspondence/ Local Address		*	Signature of Mother / Father
		Pin No.	*
	39. Person responsible for paying the school Fee		*
	40. School transport required	No Yes	*

Note :- Fill in the fields ( Only for Senior Secondary Student's.)

	41. Board
	42. Board Roll No.
	43. Document required	i). TC
		II).Marksheet
		III). Migration
	44. Stream Opted	PCM PCB COMMERCE ARTS
	45. A) Main Subject Opted	I). II).
		III). IV).
		V ).
		( I ) . English Core (301).    ( II ) . Mathematics (041)		Signature of Guardian
		( III ). Physics ( 042 ) ( IV) . Economics ( 030) (V). PHE (048)
		( VI ) . Business Studies (054)   ( VII ). Accountancy (055)
		( VII). Chemistry  ( 043 )        ( IX ). Biology ( 044 )
		(X). Geography (029)           (XI).  Sociology (039)
		(XII). History (027)           (XIV). Political Science (028)
	B ) Additional Subject
		( I ). Hindi Core (302)    ( II ) Computer Science (283)

Declaration by Parents / Guardian
I do hereby assure that all information given above are true. In case any discrepancy is found later on, the Principal reserves the right to cancel the admission. In case of any change regarding above information's, I will immediately inform the Principal. I will stand with the school authority for any action taken by the Principal for the betterment of my ward. I also undertake to pay the school fees duly as prescribed by the school from time to time. I do hereby authorize the Principal to take any suitable action, whatsoever required for my ward.

Declaration Date :-

*

	For Office use only
	He/ She may / may not be admitted   In Class ...................................	Principal

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