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DPS Ranchi Class XI Admission Form 2025-26

This document is an application form for admission to Class XI at Delhi Public School in Ranchi, Jharkhand, India. It contains details about the student, Shibam Chatterjee, such as personal information, family details, present school and admission category. The form also notes the stream and subjects selected as Physics, Chemistry and Computer Science under the CBSE board. It provides instructions to submit the form along with required documents and declares agreement to the school's rules. Upon submission, an acknowledgement slip will be issued as an admit card for the admission test.

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shamb2020
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243 views2 pages

DPS Ranchi Class XI Admission Form 2025-26

This document is an application form for admission to Class XI at Delhi Public School in Ranchi, Jharkhand, India. It contains details about the student, Shibam Chatterjee, such as personal information, family details, present school and admission category. The form also notes the stream and subjects selected as Physics, Chemistry and Computer Science under the CBSE board. It provides instructions to submit the form along with required documents and declares agreement to the school's rules. Upon submission, an acknowledgement slip will be issued as an admit card for the admission test.

Uploaded by

shamb2020
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Student Application Form
  • Acknowledgment Slip/Admit Card Instructions

DELHI PUBLIC SCHOOL

(SAIL TOWNSHIP, P.O. DHURWA, RANCHI-834004)


Phone-0651-6452405, 6452406, 2441176, Fax-0651-2440707,
Affiliated to CBSE, New Delhi, Affiliation No.-3430053
Managed by The DELHI PUBLIC SCHOOL SOCIETY, NEW DELHI,
(Registered Under the Society's Registration Act. 1860)
E-mail : info@[Link], Website: [Link]

Reg. Form No.: DPSRXI-19-11100111 Class-XI

APPLICATION FOR THE ADMISSION IN CLASS-XI (2019-2020)


Stream: PCM Subject:Computer Science Board: CBSE
01. Student Id : 11100111
02. Payment Reference No. : DUA3778306
03. Name of the Student : SHIBAM CHATTERJEE
04. Date of Birth : 31/01/2003

05. Blood Group : B+

06. Gender : MALE

07. Religion : HINDU

08. Aadhaar Card No. (UID) : 841934933290

09. Name of the Present School : HOLY CROSS SCHOOL


Signature of Candidate
10. Category : GENERAL 11. Nationality :INDIAN
12. Proficiency :
13. Medium of Instructions : ENGLISH
14. Is there any blood relation (brother/sister) are presently studying in this School? :
a) Name, Class/Sec., [Link]. : ,,
b) Name, Class/Sec., [Link]. : ,,
15. Parent Details
a) Father : SUKHENDU CHATTERJEE
Educational Qualification : INTERMEDIATE
Occupation : SERVICE
Designation : [Link] ASSOCIATE
b) Mother : MOHUA CHATTERJEE
Educational Qualification : GRADUATION
Occupation : HOMEMAKER
Designation :
16. Address & Communication
a) Correspondence Address : C/O SUKHENDU CHATTERJEE, [Link] ASSOCIATE,SFK/4,
NEAR KALI MANDIR, HOUSING COMPLEX, WEST BOKARO D
Country India State JHARKHAND
City RAMGARH Pin Code 825314
b) Permanent Address : C/O SUKHENDU CHATTERJEE, [Link] ASSOCIATE, SFK/4,
NEAR KALI MANDIR, HOUSING COMPLEX, WEST BOKARO
: Country India State JHARKHAND
City RAMGARH Pin Code 825314
c) Phone No. :
d) Mobile : 9031789788
e) Email ID : cpuja4@[Link]
17. Physically challenged : NO
Exemplary Academic Performance : No

[Link] 1 Powered by : COMPUTER Ed.


DELHI PUBLIC SCHOOL
(SAIL TOWNSHIP, P.O. DHURWA, RANCHI-834004)
Phone-0651-6452405, 6452406, 2441176, Fax-0651-2440707,
Affiliated to CBSE, New Delhi, Affiliation No.-3430053
Managed by The DELHI PUBLIC SCHOOL SOCIETY, NEW DELHI,
(Registered Under the Society's Registration Act. 1860)
E-mail : info@[Link], Website: [Link]

Reg. Form No.: DPSRXI-19-11100111 Class-XI

* Submit your application to the school office along with the photocopy of SBI Payment
Reference Slip, Birth Certificate , Aadhaar Card (UID) and Supporting documents of
Exemplary Academic Performance
Declaration
I agree to abide by the rules and regulations of the institution. If any information of declaration furnished by me proves to be
false, my ward’s candidature may be cancelled at any stage.

Date :
Place :
(Signature of Parent/Guardian)

---------------------------------------------------------------------------------------------------------------------------------------------
[FOR OFFICE USE ONLY]

Receipt No. : ................................ Date : ...............................Form [Link]-19-11100111


Year of Appearing (Class-X) : 2019

ACKNOWLEDGEMENT SLIP/ADMIT CARD

(This Acknwoledgement slip will be treated as the Admit card for Admission test)

Name : SHIBAM CHATTERJEE

Student Id : 11100111

Stream : PCM Subject : COMPUTER SCIENCE

Date of Submission : ..................

[Authorized Signatory]

N.B.: Please collect the ACKNOWLEDGEMENT SLIP from the office at the time of submission of the
application form.

Kindly submit the Application form in time between 09:30am to 12:30pm.

[Link] 2 Powered by : COMPUTER Ed.

DELHI PUBLIC SCHOOL (SAIL TOWNSHIP, P.O. DHURWA, RANCHI-834004) Phone-0651-6452405, 6452406, 2441176, Fax-0651-2440707, Affil
DELHI PUBLIC SCHOOL (SAIL TOWNSHIP, P.O. DHURWA, RANCHI-834004) Phone-0651-6452405, 6452406, 2441176, Fax-0651-2440707, Affil

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