Regn.

No

DWARKA INTERNATIONAL

Recent
Photograph of
the child

SCHOOL

Date

Sector 12, Dwarka, New Delhi 110078

Tel. No. 011-45665555, 45665430
Email: dwarkainternationalschool@ymail.com
Website: www.dwarkainternationalschool.com

Academic Year

PERSONAL DETAILS

Class in which admission is sought ________________________________________

Choose the subject (in case of class XI admission) Medical

Name (in Block Letters) ________________________________________________

Date of Birth (in Figure) _____________________ Place of Birth _______________

Non Medical

Commerce

(T.C. from the recognized institution last attended and photocopy of municipal Birth Certificate in case of admission to
Nursery/ Pre- Nursery should be submitted at the time of registration)

Age as on 01-04-20

Gender

Male

Category

Gen

Years

Month

Days

Female
SC

ST

OBC

Any other

( Tick whatever is applicable. For SC/ST/ OBC and any other should attach proof also.)

Nationality

Residential Address ____________________________________________________

_______________________________________________________

____________________________________Tel No.______________________________

Emergency Contact No. ____________________________________________________

Distance of residence from school ( in K.M) ___________________________________

Name of school last attended ( with year).______________________________________

Percentage of Marks / Overall Grade secured in the previous class ________________

Medium of instruction in previous school English /Hindi_________________________

(Report card of previous class passed should be attached )

Reason for leaving the previous school _______________________________________________

___________________________________________________________________________________

Sibling _________________________________________________________________

Name and class of any real brother/sister studying in Dwarka International School.

Childs Name

Adm No.

Class/section

Whether suffering from any disease/allergy : Yes / No ( if any give details)

______________________________________________________________________

Whether the child has some special needs ?

Hobbies of the child ___________________________________________________

Details of the Parents

Yes

Father

No

Mother

Name
Qualification
Designation
Name of Organization
Office Tel No.
Personal Contact No.

Whether transport required

Yes

No

Please register my ward name above

INSTRUCTIONS

UNDERTAKING

in your school. We shall produced the

requisite documents in original at the
time of admission.

a. Registration does not assure

admission.
b. Admission is subject to
availability of seats and will be
offered on merit as per rules.
c. Transport facility is available
on specific routes. Only the bus
stops will be defined and will
not be changed to suit the
individuals convenience.

I .
Father
/
Mother
of
..
undertake that information given
by me is based on facts and
authentic records. Admission of
my child may be cancelled if any
information is found to be false.
Signature

Signature of Father and Mother

Dwarka International School

For Parent
Use only

Sec-12, Dwarka, New Delhi-78

REGISTRATION SLIP
Name:-

_______________________________________

Fathers Name:-

_______________________________________

Mothers Name:-

_______________________________________

Registration No.:Class:-

__________

__________________

Address:Date of Submission:-

Signature
:

_______________________________

S.NO

CRITERIA

POINTS

Neighborhood Distance 0-8km

70

Sibling

20

Inter-state transfer

_________________

Total (95)
Note: All Distance calculated by school bus routes only will be consider. Kindly check school website for
distance and bus stop.
Sign
&Stamp

Dwarka International School

For office Use

Sec-12, Dwarka, New Delhi-78

ACKNOWLEDGEMENT SLIP

Name:-

_______________________________________

Fathers Name:-

_______________________________________

Mothers Name:-

_______________________________________

Registration No.:Class:-

__________

__________________

Address:-

Date of Submission:-

_______________________________

Signature
:

_________________

S.NO

CRITERIA

POINTS

Neighborhood Distance 0-8km

70

Sibling

20

Inter-state transfer

Total (95)
Note: All Distance calculated by school bus routes only will be consider. Kindly check school website for
distance and bus stop.

DWARKA INTERNATIONAL SCHOOL

SECTOR-12 NEW DELHI-78
SESSION -2014-2015
Documents to be submitted with the Registration Form

Photocopy of Date of birth certificate attested by gazetted officer / notary

1 passport size photograph of the child

1 passport size family photograph of parent & child.

Photocopy of Proof of Residence attested by gazetted officer / notary (Driving License, Voter ID Card,
Ration Card, UID Card or any other permissible residential proof document)

Proof of Interstate transfer of parent.

Photocopy of certificate attested by gazetted officer if belong to any reserved category.

DWARKA INTERNATIONAL SCHOOL

SECTOR-12 NEW DELHI-78
SESSION -2014-2015
Documents to be submitted with the Registration Form

Photocopy of Date of birth certificate attested by gazetted officer / notary

1 passport size photograph of the child

1 passport size family photograph of parent & child.

Photocopy of Proof of Residence attested by gazetted officer / notary (Driving License, Voter ID Card,
Ration Card, UID Card or any other permissible residential proof document)

Proof of Interstate transfer of parent.