DHPS Registration Form

Student's First Name*

Middle Name*

Last Name*

Gender*
Select GenderMaleFemaleOther

Seeking Admission In Grade*
Select ClassIIIIIIVVVIVIIVIII

Date of Birth*

Age (as on 01-04-2023)

Place of Birth

Mother Tongue*

Nationality*

Religion*
Select ReligionBuddhismChristianityHinduismJainismIslamSikhismOthers

Students AADHAR Card Number (Optional)

Physically challenged/Child with spl. needs*
Select CategoryYesNo

Residential Address*

City*

State*

Pin Code

Name of the previous school attended*

City in which last school was located*

Year of Passing*

Affiliated Board (ICSE/CBSE/Any Other)*

Last Class Attended*

Name*

Mobile No*

Email *

Academic Qualification*
Select Qualification10th12thGraduationPost Graduation

Occupation*
Select ProfessionBusinessConsultantDoctorEducationistEngineerGovt ServiceLawyerOtherPrivate ServiceSelf-EmployedHomemaker

Name*

Mobile No*

Email *

Academic Qualification*
Select Qualification10th12thGraduationPost Graduation

Occupation*
Select ProfessionBusinessConsultantDoctorEducationistEngineerGovt ServiceLawyerOtherPrivate ServiceSelf-EmployedHomemaker

Name

Mobile No

Relationship With The Child

Email

Residential Address*