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    (DPS, Ranchi) PDF

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    atul dwivedi
    This document is an application form for admission to Class XI at Delhi Public School in Ranchi, Jharkhand, India. It contains personal details of the applicant such as name, date of birth, gender, religion, address, family details, and educational qualifications. The applicant, Shashank Tiwari, is applying for admission to Class XI under the science stream with Computer Science as the subject. He is currently studying at KV Garhwa and is seeking admission under the general category.

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    (DPS, Ranchi) PDF

    Uploaded by

    atul dwivedi
    329 views2 pages
    This document is an application form for admission to Class XI at Delhi Public School in Ranchi, Jharkhand, India. It contains personal details of the applicant such as name, date of birth, gender, religion, address, family details, and educational qualifications. The applicant, Shashank Tiwari, is applying for admission to Class XI under the science stream with Computer Science as the subject. He is currently studying at KV Garhwa and is seeking admission under the general category.

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    (DPS, Ranchi).pdf

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    This document is an application form for admission to Class XI at Delhi Public School in Ranchi, Jharkhand, India. It contains personal details of the applicant such as name, date of birth, gender, religion, address, family details, and educational qualifications. The applicant, Shashank Tiwari, is applying for admission to Class XI under the science stream with Computer Science as the subject. He is currently studying at KV Garhwa and is seeking admission under the general category.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    329 views2 pages

    (DPS, Ranchi) PDF

    Uploaded by

    atul dwivedi
    This document is an application form for admission to Class XI at Delhi Public School in Ranchi, Jharkhand, India. It contains personal details of the applicant such as name, date of birth, gender, religion, address, family details, and educational qualifications. The applicant, Shashank Tiwari, is applying for admission to Class XI under the science stream with Computer Science as the subject. He is currently studying at KV Garhwa and is seeking admission under the general category.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DELHI PUBLIC SCHOOL

    (SAIL TOWNSHIP, P.O. DHURWA, RANCHI-834004)


    Phone-0651-6452405, 6452406, 2441176, Fax-0651-2440707,
    Affiliated to CBSE, New Delhi, Affiliation No.-3430053
    Managed by The DELHI PUBLIC SCHOOL SOCIETY, NEW DELHI,
    (Registered Under the Society`s Registration Act. 1860)
    E-mail : [email protected], Website: www.dpsranchi.com

    Reg. Form No.: DPSRXI-17-10000271 Class-XI

    APPLICATION FOR THE ADMISSION IN CLASS-XI (2017-2018)th


    Stream: PCM Subject: Computer Science
    01. Student Id : 10000271
    02. Payment Reference No. : DU62055923
    03. Name of the Student : SHASHANK TIWARI
    04. Date of Birth : 11/06/2002
    05. Gender : MALE
    06. Religion : HINDU
    07. Adhar Card No (UID) : 257617532061
    08. Name of the present School : K V GARHWA
    09. Category : GENERAL 10. Nationality :INDIAN
    11. Is there any blood brother/sister at present in this School? :
    a) Name, Class/Sec, Admn.No : ,,
    b) Name, Class/Sec., Admn.No : ,,
    12. Parent Details
    a) Father : ARVIND KUMAR TIWARI
    Educational Qualification : GRADUATION
    Occupation : SERVICE
    Designation :
    b) Mother : SAROJ TIWARI
    Educational Qualification : INTERMEDIATE
    Occupation : HOUSE-WIFE
    Designation :
    13. Address & Communication
    a) Correspondence Address : ARVIND KUMAR TIWARI ,ASST. PCCF OFFICE,VAN
    BHAVAN,DORANDA,RANCHI
    Country India State JHARKHAND
    City RANCHI Pin Code 834002
    b) Permanent Address : ARVIND KUMAR TIWARI ,DIPUWA MUHALLA ,NEAR POICE
    STATION, GARHWA,JHARKHAND
    : Country India State JHARKHAND
    City GARHWA Pin Code 822114
    c) Phone No. :
    d) Mobile : 9430366470
    e) Email ID : [email protected]
    14. Physically chalenged : NO
    * Submit your application to the school office along with the photocopy of SBI payment reference slip, Birth
    Certificate, Adhar Card (UID)
    Declaration
    I agree to abide by the rules and regulations of the institution. If any information of declaration furnished by me proves to be false, my ward’s
    candidature may be cancelled at any stage.

    Date :
    Place :
    (Signature of Parent/Guardian)

    WWW.DPSRANCHI.COM 1 Powered by : COMPUTER Ed.


    DELHI PUBLIC SCHOOL
    (SAIL TOWNSHIP, P.O. DHURWA, RANCHI-834004)
    Phone-0651-6452405, 6452406, 2441176, Fax-0651-2440707,
    Affiliated to CBSE, New Delhi, Affiliation No.-3430053
    Managed by The DELHI PUBLIC SCHOOL SOCIETY, NEW DELHI,
    (Registered Under the Society`s Registration Act. 1860)
    E-mail : [email protected], Website: www.dpsranchi.com

    Reg. Form No.: DPSRXI-17-10000271 Class-XI

    [FOR OFFICE USE ONLY]

    Receipt No. : :.................. Date : ................ Form No.:..DPSRXI-17-10000271

    ACKNOWLEDGEMENT SLIP/ADMIT CARD

    (This Acknwoledgement slip will be treated as the Admit card for Admission test)

    Name: SHASHANK TIWARI

    Student Id: 10000271

    Stream : PCM Subject : COMPUTER SCIENCE

    Date of Submission :..................

    [Authorized Signatory]

    N.B.: Please collect the ACKNOWLEDGEMENT SLIP from the office at the time of submission of the
    application form.

    Kindly submit the Application form in time between 09:00am to 02:00pm.

    WWW.DPSRANCHI.COM 2 Powered by : COMPUTER Ed.

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