Dedicated Public School
Dina Vihar Karwandiya Sasaram(Bihar)
Affiliation No. :330657
APPLICATION FORM FOR REGISTRATION
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APPLICANT'S INFORATION
Session :
---Select Session---
2026-2027
*Session Is Required
Adhar Number:
*Adhar Number Is Required
First Name :
*First Name Is Required
Middle Name :
Last Name :
*Last Name Is Required
Date Of Birth :
*Date Of Birth Is Required
Place Of Birth :
Admission Sought In :
---Select Class---
Nursery
Prep Junior/LKG/KG-1
Prep Senior/UKG/KG-2
1
2
3
4
5
6
7
8
9
10
Present School Name:
*Present School Is Required
Present School Address:
*Present School Address Is Required
Present School Phone Number:
*Present School Contact Is Required
Particular Academic
Strengths of child:(Please specify subjects interests & activity):
Other Interest Of Child: (Art,Music,Sports etc)
Any Academic difficulties e.g.-dyslexia :
FAMILY INFORMATION
Father Name :
Father's Educational Qualification :
Profession :
Father's Mobile Number :
Father's Email Id :
Mother Name :
Mother's Educational Qualification :
Profession :
Mother's Mobile Number :
Mother's Email Id :
CONTACT INFORMATION
Permanent Address(Home) :
Correspondence Address :
Check If Correspondence Address is same as Permanent Address
Contact Number-I :
Contact Number-II :
SCHEDULE INFORMATION
Date :
--Select Date--
2026-01-17
Time :
Student Photo
Student photo :
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