Common Application Form for Admission under EWS & Disadvantaged Group Category (RTE Act 2009) For the session 2018-19
  Registration Number:
(To be filled by the school )
 
A.  Section :
1. Name of the School
(with address)
2. Class
3. Name of the Child First Name* : Middle Name :  Last Name :
4. Religion                                                                                                                                 
5. Sex*  
6. (a). Date of Birth** (dd-mm-yyyy)  
  (b). Date of Birth* (in words)  
7. Age as On (31-03-2014)(in words)
( in words)
 
8. Mother's Name First Name* : Middle Name : Last Name :
9. Father's Name First Name* : Middle Name : Last Name :
10. Guardian's Name
(if applicable)
   
11. Profession of the parents      
  Mother* Father*
12. Present Residential Address** : Area*:
(For example: Bakhtawar Pur)
13. Phone No. of the Parents/Guardian      
(a).  Landline No. 011    
(b).  Mobile Number +91  Mobile no. must be of 10 digit.    
14. Whether any house is owned by parents in Delhi
(if yes, then address thereof)

 
15. Total Annual Income of both parents from all sources*   
16. Proof of Income***
(required only in case of Economically Weaker Section)*
17. Ten or Fourteen Digit No. / I.D. of Income Certificate
18. Proof of Disadvantaged group*****
Declaration by the parents   
   I      Father/Mother of (name of the child) hereby declare that the information given above is true and correct to the best of my knowledge and belief. I have read and understood all the provisions of the notification in this regard. In case any information is found false or incorrect on verification, the admission of my ward may be cancelled.
In case of any technical query in filling up this form please email us at: info@crpsdelhi.in or call at +91-011-27722507.


(*) Required fields>
  Download hard copy for manual submission.




Submit any one of the following documents as proof:

* (1) Birth certificate under the Births,Deaths and Marriages Certification Act,1986.
  (2) Hospital/ Auxiliary Nurse and Midwifes (ANM) register record.
  (3) Anganwadi Record.
  (4) Declaration of the age of the child by the parent or guardian.
** (1) Ration card issued in the name of the parents(Mother/Father having name of the child).
  (2) Domicile certificate of child or of his/her parents.
  (3) Voter I-Card of any of the parents.
  (4) Electricity bill/ MTNL telephone bill/ water bill.
  (5) Unique Identity Card of mother/ father/ child issued by the Government of India.
  (6) Passport in the name of any of the parents or child.
*** (1) Income certificate issued by a Revenue Officer not below the rank of Tehsildar.
  (2) BPL Ration card (Yellow Coloured).
  (3) AAY Ration card (Pink Coloured).
**** (1) A Certificate issued by a Revenue Officer not below the rank of Tehsildar or any other Competent Authority.
  (2) Caste certificate issued by DC Office.
  (3) Medical Certificate from Govt. Hospital, in case of children with special needs/disabilities.
  (4) A Certificate issued in accordance with instructions issued by the Department of Women & Child Development, GNCT of Delhi, vide order dated 11/12/12 in case of       Orphan Child.