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DELHI PUBLIC SCHOOL BANGALORE EAST (CIE)

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NAME OF THE CHILD (NURSERY TO 1 AS PER BIRTH CERTIFICATE AND II TO IX AS PER TC CREDENTIALS)
Red Border Fields Are Mandatory

REGISTRATION FORM - AS & A Level

Category
Personal Information
ISSUE OF REGISTRATION FORM DOES NOT ENSURE ADMISSION
Registration is open for AS level


Age as on 1st June :
Is School transport required:   


If you have Aadhar please click :   
Aadhar Number:   
Aadhar Copy:   
If you have Passport please click :   
Passport Number:   
Passport Copy:   
Residential Address
Sibling and Alumni
Sibling in DPSBE(CIE):   
If yes,give details(only of biological/own brothers/sisters)
School Staff:
School Alumni :   
Year of studying :

Child with Special Need :   
Details of Parents
Areas in which you could contribute to enrich school life in terms of time, skill, etc, (Please tick)
Cultural :    Medical :    Professional :    Sports :    Academic :   
OTHER INFORMATION
Single parent :   
If child's is sponsored :   
Father's details
Mother's details
Guardian's details
Previous School Details
Marks (M) & Grades (G) obtained in the Mid Term Examination (MT) & Final Term Examination (FT)
No. Subject Mid Term Final Term
Marks Grades/Percentage Marks Grades/Percentage
1
2
3
4
5
6
Marks & Grade obtained in the Board Examination (BE) - Name of the Board
No. Subject Marks Grade/Percentage
1
2
3
4
5
6
Select one Subject from Each Group
English language is compulsory.
Does your subject choice fulfil the requirements for the CAIE AICE Diploma award



Group 1 - Physics/ Accounting/ Literature in English (any one - A level)
Group 2 - Chemistry/ Business/ Media Studies (any one - A Level)


Group 3 - Biology/ Economics/ Computer Science / Art & Design (any one - A Level)
Group 4 -Mathematics / Psychology / History (any one - A Level)


Note : A subject will be offered only if minimum of 3 students opt for it
Photograph
Student's Photo :   
KINDLY SUBMIT 2 PASSPORT SIZE PHOTOGRAPHS OF THE STUDENT AT THE TIME OF ADMISSION
Father's Photo :   
Mother's Photo:   
Father's Pan Card Copy:   
Mother's Pan Card Copy:   
Documents To Support your Application
DECLARATION :