D.C. Model Senior Secondary School
Registration Form 2024-2025
STUDENT'S PERSONAL DETAILS
Admission for Class*
Gender*
Female Male Transgender
Student's Name*
Father's Name*
Mother's Name *
Student's Date of Birth*
Category*
CONTACT DETAILS
Address*
Country*
State*
City*
Locality
Mobile Number *
E-Mail Id *
ADDITIONAL DETAILS
Stream
Mobile No. (Preferred for WhatsApp)*
ADDRESS (PRESENT)*
FATHER'S DETAILS
FATHER'S QUALIFICATION
FATHER'S OCCUPATION
FATHER'S DESIGNATION
FATHER'S DESIGNATION (IF OTHER, PLEASE SPECIFY)
FATHER'S PLACE OF WORK
FATHER'S MOBILE NO.*
FATHER'S EMAIL-ID
MOTHER'S DETAILS
MOTHER'S QUALIFICATION
MOTHER'S OCCUPATION
MOTHER'S DESIGNATION
MOTHER'S DESIGNATION (IF OTHER, PLEASE SPECIFY)
MOTHER'S PLACE OF WORK
MOTHER'S MOBILE NO. *
MOTHER'S EMAIL-ID
PREVIOUS SCHOOL DETAILS
Has the child ever been enrolled in any school previously? If yes, mention the name and address
Affiliated To
Class In Which Studying In The Previous School
SIBLING DETAILS (if already studying)
Sibling Name
Sibling Class
Sibling Admission No.
Undertaking

Declaration:-

I/We hereby certify that the information provided above is true and correct to the best of my knowledge and belief. I/We understand that in the event of this information being found false or incorrect at any stage, my/our ward's admission shall be liable to be put on hold / cancelled without any notice from the school.

*I understand that the School reserves the right to admit/not admit my child without assigning any reason. The decision of the School shall be final & binding on me.

*Note: By clicking the Submit Form Button you agree the above declaration as part of the agreement.

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