DPS Jhansi- Form A1: Application for admission

DELHI PUBLIC SCHOOL Jhansi

Form A1: Enquiry & Application for Admission 2022-23
Date *

Year Month Day
Date of application/enquiry in YYYY-MM-DD
Hour Minutes
Whatsapp Phone *
Enter number without 0 or +91
Other Phone
Enter number without 0 or +91
Enquirer Name *
Relationship with child *

Child Details
Child Name *
Gender *
Birth Date

Year Month Day
Current Board
Current School
Current School (Unlisted)
Permanent Address

Options
Seeking admission in class *
Stream
Day Scholar / Hostel *
Preferred Campus *
Transport Required *
Transport Address

Parent/Guardian Details
Mother Name
Mother Phone
Mother Email
Mother Profession
Mother Company (Govt.)
Mother Company (Professional)
Mother Company
Mother Department
Mother Designation
Father Name
Father Phone
Father Email
Father Profession
Father Company (Govt.)
Father Company (Professional)
Father Company
Father Department
Father Designation
Guardian Name
Guardian Relation with Child
Guardian Phone
Guardian Email
Guardian Profession
Guardian Company (Govt.)
Guardian Company (Professional)
Guardian Company
Guardian Department
Guardian Designation
Is Guardian also Primary Contact?

General Info
Reason for change of school:
How did you hear about us?
Comments
What would you like to know?
Online Form Filled by *

Documents
Child Photo

Cancel of
Child Aadhar

Cancel of
Child Transfer Certificate

Cancel of
Child Birth Certificate

Cancel of
Mother Photo

Cancel of
Mother Aadhar

Cancel of
Father/Guardian Photo

Cancel of
Father/Guardian Aadhar

Cancel of
Mother/Father/Guardian PAN

Cancel of

CODE
For office use only
isEnroll
Date of Admission

Year Month Day
Date of Admission
Hour Minutes
Should be Empty: