DAV CENTENARY PUBLIC SCHOOL, JAIPUR
REGISTRATION FORM 2021-22
Email address *
NAME OF THE STUDENT *
SEEKING ADMISSION FOR GRADE *
REQUIRED OPTIONS TO BE FILLED FOR XI SCIENCE ONLY
Clear selection
GENDER *
DATE OF BIRTH (IN FIGURES) *
MM
/
DD
/
YYYY
DATE OF BIRTH (IN WORDS) *
OPTIONAL SUBJECT (FOR CLASS IX)
OPTIONAL SUBJECT (FOR CLASS XI)
FATHER’S NAME *
FATHER’S CONTACT NO. *
MOTHER’S NAME *
MOTHER’S CONTACT N0. *
Transaction ID (PAYMENT MODE-Phone Pe or Google Pe on 9829665677) Kindly Mention Transaction ID in 12-18 digits. *
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