Boarding School Registration Form — Delhi Public School, Rudrapur

Student &
Boarding

Academic
Background

Parent &
Guardian

Medical
Details

Documents &
Submit

🧒 Student Information STEP 1 / 5

Student's Full Name *

Date of Birth *

Gender *

Male Female Other

Class Seeking Admission *

Academic Session *

Blood Group

Religion

Category

Nationality

Mother Tongue

Aadhar No.

🏨 Boarding Preference

Boarding Type *

Full Boarding Day Boarding

Hostel Wing *

Boys Girls

Distance From Home (km)

Usual Mode of Travel Home

Any Special Requirements

🎓 Academic Background STEP 2 / 5

Details of the school last attended by the student.

Previous School Name

Board / Affiliation

Class Last Attended

Year of Leaving

Percentage / Grade

Transfer Certificate No.

👨‍👩‍👧 Parent Details STEP 3 / 5

Father's Name

Father's Occupation

Father's Qualification

Father's Mobile

Father's Email

Mother's Name

Mother's Occupation

Mother's Qualification

Mother's Mobile

Mother's Email

🧑‍🤝‍🧑 Local Guardian (if different from parents)

Guardian's Name

Relation to Student

Guardian's Mobile

Guardian's Address

📍 Family Address & Contact

Permanent Address *

Correspondence Address (if different)

City *

State *

Pin Code *

Primary Mobile *

Email Address *

🩺 Medical Details STEP 4 / 5

This helps our hostel medical staff take proper care of your child.

Existing Medical Conditions

Allergies (Food / Medicine / Other)

Family Doctor's Name

Family Doctor's Contact

🚨 Emergency Contact

Emergency Contact Name *

Relation to Student

Emergency Contact Mobile *

📎 Documents Upload STEP 5 / 5

📌 Original documents must also be presented at the school office at the time of interaction/verification. Uploads here are for preliminary processing only.

Student's Passport Size Photograph * JPG/PNG only · Max size: 1 MB

Birth Certificate JPG/PNG/PDF · Max 1 MB

Previous Year Marksheet JPG/PNG/PDF · Max 1 MB

Transfer Certificate JPG/PNG/PDF · Max 1 MB

Aadhar Card Copy JPG/PNG/PDF · Max 1 MB

📜 Declaration

I/We hereby declare that the information provided above is true and correct to the best of my/our knowledge.

I/We understand that this registration is a preliminary step and does not guarantee admission to Delhi Public School, Rudrapur, and is subject to seat availability, document verification, and interaction/assessment.

I/We consent to the school contacting us via phone, SMS, WhatsApp, or email regarding this registration.

I/We Agree to the above declaration

Boarding & Day Boarding Registration