Bharuch Campus, Paguthan-aldar Road, Opp. CLP india, Aldar, Bharuch - 392 015
7567133626, 9099598295, 9099598245 info@dpsbharuch.com

Registration Form

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 

Sibling Details

Sibling (Real Brother/ Sister) only studying in DPS Bharuch    
 
Admission No.
Sibling Name
 
Sibling Class
 

Student Details

Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Date of Birth*
Admission sought in class*
 
Current Class
Current School
 
Category
 
 
Religion
Aadhar No.
 
Email*
Mobile No.*
 
Mother Tongue
First Language Prefered
 
 
Do You Need Transport ?
 
 
If Transport Facility not Available, would You Still Seek Admission?
Special Skills and Interests of Student
 
Student's Photo (Max-2 MB)*
 
 
 

Communication Address

Address
 
Country
 
City
State
 
Pin Code
 
 

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Father's Details

Father Name*
Qualification
 
Occupation
Designation
 
Organization
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail*
Mobile no.*
 
Father's Photo (Max-2 MB)
 
 

Mother's Details

Mother Name*
Qualification
 
Occupation
Designation
 
Organization
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.*
 
No. of Sons
No. of Daughters
 
Mother's Photo (Max-2 MB)
 
 
 

1. A self-attested copy of birth certificate of the child along with original for verification. The certificate issued by Municipal Corporation only is valid.
2. One Passport Size Photograph of Father, Mother and the child is mandatory.
3. Photocopy of Caste certificate if SC/ST/OBC along with Original for verification (If applicable).
4. Original bonafide certificate is compulsory at the time of registration.
5. Transfer Certificate of current school (compulsory for admission to classes II onwards). TC from the previous school must be submitted within 15 days after the commencement of the academic session.
6. A copy of previous year report card / mid-term report card.
7. Original medical fitness certificate issued by MBBS/ MD doctor is mandatory.
8. A self-attested copy of Aadhar Card of the Student and both the parents along with Original for Verification (not mandatory).
9. A self-attested copy of PAN Card / Driving License / passport of both the parents along with Original for verification. This is required to verify the signatures on admission form.
10. In case of death of any one parent copy of death certificate is mandatory.
11. In case of separation copy of court custody papers are mandatory.
12. In case of single parent legal documents certifying the same are mandatory.

Please bring the original documents to be verified at the time of submission of the photocopies.

During session 2019-20, classes Pre-Nursery and Nursery will function at THE LITTLE CHAMPS, No.14 A, Abhishek Society, Near Shravan Chokdi, Near Federal Bank, Dahej Bypass, Bharuch - 392001 while class Preparatory will continue to function at Paguthan/Haldar Campus. From the Session 2020-21 the class Preparatory too will start functioning at "The Little Champs". The Children taken admission at The Little Champs will automatically be transferred to the Main Campus of DPS from Class 1 onward.

 
 
I Agree