Admission

                                             DLP FORM
DREAM LAND PUBLIC SCHOOL
 


                                                                      
PAMGARH, Distt. JANJGIR-CHAMPA (C.G.)

Affix Passport Size
Photo Here

 
 


ADMISSION - FORM
YEAR – 2018-19  
                                                                                                                                               
MEDIUM ……………………………………………………………..
1.     IN WHICH CLASS HE/SHE WANTS TO ADMISSION …………….……………………………………………….
2.     STUDENT’S NAME ………………………………………..…………..………………………………………………………
3.     FATHERS’S NAME …………………………………………..………..………………………………………………………
4.     MOTHER’S NAME ………………………………………….…………..…………………………………………………….
5.     DATE OF BIRTH ……………………………………………….……………..………….……………………………………..
(IN WORDS) …………………………………………………………………..………….………………………………………
6.     CASTE ………………….……………………SUB CASTE……………………………………………………………………..
7.     PARENTS OCCUPATION …………………………………………….…………………………………….……………….
8.     MOBILE NO. ……………………………………………….………..…………………………………………………………..
9.     PERMANENT ADDRESS ………………………………..………………………………………………….……………….
10.      AADHAR NO ………………………………………………….……………………………………………...………………..
11.      BANK ACCOUNT NO…………………………………..…….………………………………………………….……………
12.   IFSC CODE…………………………………………………………………………………………………………………………

Parents Sign                                                       Candidate Sign                                                 Accepter Sign