Form – DAV Public School, Haldia

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Primary Details

Admission Type(Required)

Standard Applying For(Required)

Select the grade level the student will be starting in

Stream(Required)

Second Language(Required)

Student Details

Student Name(Required)

First Last

Student Gender(Required)

Date of Birth(Required)

Social Category(Required)

Blood Group

Academic Details (Currently Studying/Last Studied)

School Name(Required)

If Others

Name of student's current or most recent school

Parent Details

Mother's Name(Required)

First Last

Mother's Occupation(Required)

Mother's Highest Educational Qualification(Required)

Father's Name(Required)

First Last

Father's Occupation(Required)

Father's Highest Educational Qualification(Required)

Combined Annual Income (of Parents)(Required)

Contact Details

Main Contact (WhatsApp Number)(Required)

Alternative Contact (WhatsApp Number)(Required)

Parent/Guardian Email Address (Primary)(Required)

Parent/Guardian Email Address (Secondary)

Present Address(Required)

Street Address Address Line 2 City State Pin Code Country

Medical Information of the Student

Any allergies, medications, or medical conditions we should know about

Special Needs or Accommodations for the Student

Please describe any learning differences or special accommodations needed in accordance with Childs with Special Needs CwSN criteria

Registration