DBX Tirupattur - Online Admission Registration

ONLINE APPLICATION FORM FOR PREKG to IX & STD XI 2021 - 2022

Note : Kindly take a printout of the Application Form and submit in Principal Office.

Basic Information

Name of the Student ( As per Child’s Birth Certificate only ) *

Grade Applied For *

Date of Birth *

Place of Birth *

Gender *

Blood Group *

Mother Tongue *

Nationality *

Religion *

Community *

Sub Caste ( For the EMIS purpose ) *

Single Child ?

Yes

No. of Siblings

Sibling studying in DBMHS / DBX

DBMHS

DBX

Sibling's Grade / Section

Identification Mark -1 *

Identification Mark -2 *

Aadhar Number

EMIS No.

School Last Studied

Contact Address *

District *

State *

Pincode *

Permanent Address *

District *

State *

Pincode *

Mention if all vaccinations administered on the child

If differently – abled give details

Any health issues(eg serious allergies., etc)

Admission Information

Second Language

Current Grade

Parents Information

Name of the Father *

Educational Qualification *

Occupation *

Office Address

Department *

Designation *

What’s App No *

Mobile No *

Annual Income *

Name of the Mother *

Educational Qualification *

Occupation *

Office Address

Department *

Designation *

What’s App No *

Mobile No *

Annual Income *

Other Information

Preferred Phone Number for school SMS : *

Upload Student Photo

Choose file

Upload Father's Photo

Choose file

Upload Mother's Photo

Choose file

ENCLOSURES ( All documents are compulsory at the time of admission )

Birth Certificate
Transfer Certificate – Original (to be produced at the time of joining the school)
Blood Group Report
Passport size photos of child (5 Copies)
Passport size photos of parents (2 each)
Aadhar Card Copy of parents & Child
Copies of progress report cards for the last year
Community Certificate

The above documents (recently attested photocopies) must be produced along with the filled application form.

Please note : Staple all documents to the top left-hand corner of the application.

CONDITION :

Application for admission is not an automatic guarantee of admission to the school. You are advised to apply to other schools too.

WARNING :

Please do not give any donation to anyone in connection with admission.

DECLARATION BY THE PARENT :

It is here certified that all information provided to the school regarding age, health class etc pertaining to our ward is correct. At any point of time, if this information is found to be false, forged, incorrect or misinterpreted, then we are responsible for the same and we understand that immediately the admission will be held null and void.