Delhi Public Secondary School

Registration Only 11 Class

Student Name:-

Father's Name:-

Mother's Name:-

Local Guardian(Name & Address):-

Adhar No:-

Date Of Birth:-

Gender:-

Nationality:-

Religion:-

Mother tongue:-

category:-

Permanent Address

PermanentAt:-

P.O:-

P.S:-

Dist:-

Pin-Code:-

Phone/Mobile No

Present Address

Present At:-

P.O:-

P.S:-

Dist:-

Pin-Code:-

Phone/Mobile No

Student Image:-

Signature of Candidate:-

Signature of Parent:-