Dolphin School Admission Form

Form No..........

DAY

Session 202 - 20

1) Name of candidate in Full (in Block Letters) | Write one letter in a box leave a box blank parts of the Name :

2) Name of the parents in block letters : Father and Mother)

A)
B)

3) Address in Block Letters)

4) Phone No. : Office ........................ Residence ................................. (Mob) ................................................

Pin ........................................................

a) Name of the Guardian / Local Guardian (if any) in Block letters : (with documents)

b) Relationship with the Guardian :

c) Address of the Guardian (in Block letters)

Phone No. : ........................................ Mobile No. : ...............................................................

5) Date of Birth: Day D D

Month M M

Year Y Y Y Y

6) Sex : Male Female

7) Class

8) Blood Group

9) Nationality :

10) Caste

11) Occupation of the Parents / Guardian :

a) Father's

b) Mother's

12) Monthly Income of the Parents / Guardian (App.)

13) Interview / Admission test Date DD MM YYYY

I do hereby declare that the above statements are true and undertake to abide by the rules and regulation of the Institution. I agree that payment made by me will not be refunded or adjusted in any way by the school authority. The caution money will be refunded interest free with deduction of damage charges if any.

Date

Signature of the Parent / Guardian

Admission Requirement - (i) Stamp size Photo - 2 Pcs. (ii) Last school Attending T.C. (iii) Xerox Copy of Birth Certificate (Original). (iv) Report card of Last Class attended (if applicable)

For Official use only

Name	Class		Roll No.
Receipt No.	Date	DD MM YYYY
Signature of Dealing Assistant		Signature of the Principal