DAV PUBLIC SCHOOL KAIYA, MANPUR, GAYA BIHAR

(Affiliated to CBSE, New Delhi, Upto Higher Secondary)

REGISTRATION PROFORMA FOR CLASS IX, SESSION 2022-23

Transfer Certificate Birth Certificate

YES No YES No

SUBJECTS OFFERED (Tick the appropriate box)

ENGLISH HINDI SANSKRIT STD MATHEMATICS SCIENCE SOCIAL SCIENCE INFORMATION
TECHNOLOGY
NAME OF THE STUDENT
MOTHER'S NAME
FATHER'S NAME
SEX (MALE/FEMALE)
DATE OF BIRTH (DD/MM/YY)
CATEGORY
GENERAL OBC SC ST
ANNUAL INCOME
IF SINGLE CHILD OF THE PARENTS (Y / N)
ADMN NO / ROLL NO / SEC
DATE OF FIRST ADMISSION
E-mail ID
MOBILE NO
AADHAR NO

CANDIDATES SIGNATURE MOTHER’S SIGNATURE FATHER’S SIGNATURE

DECLARATION
I do hereby declare that above that, the information given above have been tallied and verified from
admission register and admission form by me.

Name of Class Teacher:

Class:
Section:
Signature:
Date: