DAV BR public school BINA (M.P.)

ONLINE PROVISIONAL REGISTRATION CUM ADMISSION APPLICATION FORM SESSION 2025-26.

1. Registration for Class 2. Form No
3. Stream 4. Subject
5. Admission No 6. Date of Admission

1. PERSONAL (CAPITAL LETTERS)

1. Name of the Student 2.Nationality
3. Date of Birth 4. Age as on 01.04.2025
5. Mobile 6. Aadhar No.
7. Email 8.Samagra ID No
9. Religion 10. Category
11. Mother Tongue 12. Gender
13. Blood Group 14. Ward
15. Bank A/c No 16. IFSC Code
17. Bank Ac Holder 18. Transportation
19. Permanent Address 20. Present Address
21. Pen No 22. Apaar Id
23. Samagra Id

2. Parent/Guardian Detail

1. Father's Name
2. Educational Qualification
3. Occupation
4. Name Of the organisation
5. Designation
6. Address
7. Mobile
8. Father's Annual Income:
9. Father's Email ID
10. Annual Family Income
1. Mother's Name
2. Educational Qualification
3. Occupation
4. Name Of the organisation
5. Designation
6. Address
7. Mobile
8. Mother's Annual Income:
9. Mother's Email ID:

3. Previous Academic Details

1. Name of the School Last Attended with Address
2. Name of the Board 3. Previous Class
4. Board Roll No. 5. Year of Passing/Appearing
6. Total Marks
7. Mark Obtained
8. Percentage

4. Sibling Detail

Sibling(Own Brother/Sister Only)
Sibling Name Class
Admn. No No. of own brother / Sister

UNDERTAKING

1. I know the registration fee is non-refundable and I fully understand that registration is no binding for admission.It may be given only when suitable vacancy exists and child’s performance is satisfactory according to the school norms.
2. In case my child is admitted to the school, I shall make my own arrangement for transport.
3. I have made note of all the payments need to be made to the school and shall deposit the school fees in time.
4. I hereby certify that the date of birth of my child & the name is correct and will not request the school authority for a change   at any point of time.
5. I hereby certify that I shall have no claim for caution money if it not claimed in the financial year in which T.C is taken.
6. I understand that rendering false or misleading information or withholding correct information may disqualify my child for admission/education at the school.
7. I hereby agree that I shall abide by the rules and regulations laid down by the school authority from time to time and the decision of the school authority is binding on me.


 
 
 
Signature of Father            Signature of Mother Place_____________ Date______________
Signature of Office Clerk Admission I/C Principal