REGISTRATION FORM
NRL and Associates
 
DELHI PUBLIC SCHOOL,NUMALIGARH
NRL Township,Dist:Golaghat,Assam-785699
Tel:+913776 266705, +913776 266897
Email:dpsnumaligarh@gmail.com website:www.dpsnumaligarh.in
 
Status : * Day Boarder
 
Organization * Employee Code *
 
Registration No. Registration Date : *
 
Name of the Child * Gender * Male Female
Date of Birth * Class *
Nationality * Mother Tongue *
Religion * Category *
 
Blood Group * NRI * Yes No
 
Address *
 
 
 
Pincode * Phone
Whatsapp *
 
 
Please fill in the following
Father
Mother
     
Name *
     
Academic Qualification *
     
Occupation *
     
Organisation
     
Designation
     
Office Address
 
     
Phone / Mobile No(s) *
     
E-Mail
     
 
Areas in which you could contribute to enrich school life in terms of time, skill etc.
 
Cultural   Medical   Media   Professional   Sports   Academics  
 
Special interest of the Child
 
The following information is important for short-listing children. Kindly fill whichever is applicable to you:
 
a) In case of staff child, name of the parent working at DPS, Numaligarh
 
b) If any siblings (real brother or sister) are already studying in our school, please fill in : *    Yes No
 
  Name Admission No. Class / Section
       
1.
       
2.
 
I certify that any information concealed or wrongly declared or presented will lead to rejection of my registration.
 
Please click the "Submit" button just once.
 
 
 
Copyright 2008 DPS, Numaligarh