I request for admission of my son/daughter/ward/to your school. I have read the prospectus and I agree to abide by the Rules and Regulations printed on the back side. I solemnly declare that the date of Birth of my ward as given below is correct to the best of my knowledge and belief.

Select Branch*:	DIS HoshiarpurDIS Faridkot
Students Name*:
Class in which admission is sought*:
Date of Birth*:
Documents attached in support of date of birth*:	Passport Municipal Birth Certificate School Living Certificate of Previous School Rashan CardOther
Father's Name*:
Father's/Guardian's Educational Qualification*:
Father's/Guardian's Occupation*:
Father's/Guardian's Annual Income*:
Mother's Name*:
Mother's educational qualification*:
Mother's occupation (if Any):
Mother's Annual Income (if Any):
No. Of Children*:	-Select- 1 2 3 4 5 6 7 8 9 10
Religion:
Mobile No.*:
E-mail ID (if Any):
Residence's Address*:
Residence's Telephone No.:
Office's Address:
Office's Telephone No:
Name of the School attended previously with class:
Name & Class of brother/Sister studying in this School (if Any):	Brother Sister
Whether School transport is required or not*:	YesNo
	I have read the Rules & Regulations carefully