Delhi Public School Ruby Park, Kolkata

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For Office use only 24418200 / 98313 22288/99 Fax : 2441 5301 2441 5302 / 5168, 98313 22277 Registration Form No. Money Receipt No. d Admission Order by Principal Admitted Not Admitted Class Section w.e.f. Admission No. Please read Rules and Regulations before filling up the Registration Form. ISSUE OF REGISTRATION FORM DOES NOT ENSURE ADMISSION. USE ONLY CAPITAL LETTERS. Please do not leave any column blank / Use N.A. wherever necessary OF THE of Birth Age as on 30/09/2014 Sex M F YEARS MONTHS DAYS Signature of Management Committee Representative Principal of Birth (in words) day of, Admission sought in Class Class (in words) M O N T H Y E A R The Class child presently studying in Medium of instruction The School child presently studying in Enclosure Registration Form duly filled and signed by Parents / Guardian (Local / Legal) Photograph of Candidate affixed on Registration Form as well as on Admit Card Parent s / Guardian (Local / Legal) Photograph affixed on the Registration Form Photocopy of birth certificate (issued by Municipal Corporation) or photocopy of passport of the candidate duly attested by both the parents Second Language Hindi Bengali Dipsite(Including Ex-DPS) Yes No Ex-student of DPS Ruby Park Yes No If Yes, Admission No. Own Brother/Sister studying in DPS Ruby Park Yes No Nationality Mother Tongue Does the child suffer from any medical / physical problem? Yes No Special skills and interests Marks / Grade obtained in the last examination (for students of Class 1 onwards) Subject % Marks / Grade English Second Language Hindi Bengali Others Mathematics General Science/EVS Social Science Aggregate Assessment / Observation / Interview / Interaction details DATE PLACE Assessment / Observation / Interview / Interaction details TIME ROOM NO. DATE OF REGISTRATION

Particulars of Parents / Guardian (Local / Legal) Sl. No. Particulars of Father Particulars of Mother 1 (in BLOCK LETTERS) 2 Educational Qualification If transport facility is not available, will you still seek admission? Yes No Area of interest where your contribution as Parents could enrich the School Music / Drama / Dance Social Skills Painting Sculpture Academic 3 Occupation 4 Profession/Designation or Exact nature of Business 5 Office Address 6 Phone Number(s) (Office) 7 Annual Income (`) 8 Mobile Number(s) 9 E-mail Address 10 Specimen Signature 11 Residential Address 12 Phone Number(s) (Residence) Public Speaking / Communication Skill Medical / Health Sports Community Programme Bus / Excursion Supervision Career Counseling Media / PR Other Details of Local / Legal Guardian (In case parents do not reside in Kolkata) Guardian : Relationship with the candidate: Residential Address: S FATHER S MOTHER S LOCAL / LEGAL GUARDIAN City: Pin: E-mail: Phone Number: Mobile Number: Details of Siblings Sl No. First Age Gender Class School Admission No. (If studying in DPS Ruby Park) Father s Signature Mother s Signature Guardian s Signature (if applicable) Father s Mother s Guardian s (if applicable)

Age Criteria for the Academic Year 2014-2015 24418200 / 98313 22288/99 Fax : 2441 5301 2441 5302 / 5168, 98313 22277 Nursery If the child is 3+ as on 30th Sept. 2014 LKG If the child is 4+ as on 30th Sept. 2014 UKG If the child is 5+ as on 30th Sept. 2014 Class I * If the child is 6+ as on 30th Sept. 2014 Class II * If the child is 7+ as on 30th Sept. 2014 Class III * If the child is 8+ as on 30th Sept. 2014 Class IV * If the child is 9+ as on 30th Sept. 2014 Class V * If the child is 10+ as on 30th Sept. 2014 Class VI * If the child is 11+ as on 30th Sept. 2014 Class VII * If the child is 12+ as on 30th Sept. 2014 Class VIII * If the child is 13+ as on 30th Sept. 2014 Class IX * If the child is 14+ as on 30th Sept. 2014 Class X * If the child is 15+ as on 30th Sept. 2014 *Limited seats. Nursery/LKG/UKG Class I Class II to V Class VI to X Tentative School Timing Class Starts 8:30 AM 8:30 AM 7:30 AM 7:30 AM Finishes at 11:55 AM 1:30 PM 1:00 PM 1:40 PM The management reserves the right to change the school timing as well as location of classes as and when deemed necessary. Fees Structure Nur - UKG Class I - V Class VI X Admission Fees ` 50,000/- ` 50,000/- ` 50,000/- Annual Session Fees ` 11,500/- ` 12,500/- ` 12,500/- Caution Money (Refundable) ` 12,500/- ` 12,500/- ` 12,500/- Quarterly Tuition Fees ` 7,200/- ` 7,800/- ` 8,400/- Almanac & ID/Escort Card Fees ` 600/- ` 600/- ` 600/- Total ` 81,800/- ` 83,400/- ` 84,000/- Forms available from : Office: 254 Shanti Palli, R. B. Connector, Behind SIEMENS, Kolkata 700 107. Phone No. 98313 22288 / 98313 22299 / 2441 8200 : 9:00 A.M. to 3:00 P.M. (Monday to Saturday except public holidays). Office: 138 Ruby Park, Kasba Rathtala, Kolkata 700 078. Phone No. 98313 22277 / 2441 5302 : 9:00 A.M. to 3:00 P.M. (Monday to Saturday except public holidays). Administrative Office: Flat No. 40, Queens Mansion, 3rd Floor. 12, Park Street, Gate No. 4, Kolkata 700 071 Phone No. 98317 22266 / 98318 22266 / 98319 22266 Fax : 2227 5967 E-mail: admission@dpskolkata.com Website: www.dpskolkata.com : 10:30 A.M. to 5:00 P.M. (Monday to Saturday except public holidays) Thank you for your interest in. Please read the following Rules and Regulations properly before filling up the Registration Form. Filling up the Registration Form: 1. Please fill up the Registration Form in Capital Letters. 2. It is mandatory that the Parents should fill the Registration Form themselves. 3. Age criteria must be strictly maintained. In any case, if the child's age does not match with the class he/she is seeking admission to, the management holds the right to cancel the Registration Form (Refer Age Criteria). 4. Attach one photocopy (Self attested by parents) of the child's Birth Certificate issued by Municipal Corporation / Passport. Do not enclose Birth Certificate issued by Nursing Home / Hospital. 5. Paste four latest identical passport size coloured photographs of the child on Registration Form, Student Admit Card I, Student Admit Card II and Parent Card. Also paste latest passport size coloured photograph of parents or local/legal guardian on Registration Form. 6. The Registration Form, duly filled-up and complete in all respect, together-with Registration Fees of ` 600/- (Rupees Six Hundred) only, shall be submitted in person to the Administrative Office. The parents or local/legal guardians are requested to bring Original Money Receipt (issued at the time of purchase of Registration Form) at the time of submission of Registration Form. 7. of assessment / observation / interaction / interview will be given at the time of registration or intimated to the parents later on. The same may be changed, without prior notice, by the School. 8. Registration does not imply admission, which is subject to assessment procedure and availability of seats. 9. Last date of submission of completed Registration Form is. 10. Applications must be complete and information mentioned in the Registration Form should be true. In case of any discrepancy with the fact, management holds the right to cancel the Registration Form as well as the admission of the child. Assessment / Observation / Interaction / Interview a. During assesment / observation / interaction / interview, Student Admit Card I, Student Admit Card II and Call Letter have to be produced. b. There will be assessment on intimated date for students seeking admission to Class I onwards and during the assessment, presence of both the parents will be mandatory. c. For admission to Nursery & LKG, there are no tests or interviews. The teacher observes / interacts with the child along with the parents. For admission to UKG, an observation / interaction will be held on the same day. Both the parents should be present. d. No request for the change of dates for assessment / observation / interaction / interview will be entertained. e. Student Admit Card II has to be submitted at School, once the assessment / observation / interaction / interview is done.

Admission Procedure a. The list of selected candidates will be put up on the Notice Board at the Administrative Office. b. Fee slip will be issued to parents or local/legal guardian of selected candidates against Parent Card I. c. The admission procedure will be intimated to the parents of the selected candidates along with fees slip. It is mandatory for both parents or local / legal guardian to be present to complete various admission formalities. d. For students seeking admission in Class I onwards, it is mandatory to submit Transfer Certificate (Original) from the last school attended. e. Fees, once paid at the time of admission, are not refundable in any case except the caution money (refundable) in case of withdrawal. f. The management reserves the right to have the last word in all matters relating to admission. School Transport The School provides transport facilities but offers no guarantee that a seat in the School Vehicle will be available. When the vehicles are full to capacity or do not ply in the area of the residence, it will be the responsibility of the parents/guardians to drop/collect the child from the specified vehicle stop. is, at present, running Euro II/III compliant vehicle for carrying its students who has opted for transport facility, covering Kolkata, Howrah and 24 Parganas. All vehicles are connected electronically to the control room through GPS tracking system installed in the buses. The vehicles are also equipped with first aid boxes. A lady attendant accompanies the junior students in the vehicle for their proper care. School Transport Routes (Tentative) SALT LAKE Hotel Hyatt EM Bypass Crossing - Tank No. 13 - Anandita Island - Laboni - PNB AB Block - Tank No.3 - BD Market - Tank No.4 - Kwality - Cap Camp Island - Tank No.5 Purta Bhawan - Baishakhi More - Tank No.7 - AJ Bus Terminus - Tank No.6 - City Centre - Bidhan Nagar Municipal Corporation School - Central Park - Tank No.10 - Mishra - Tank No.8 - Tank No.9 - CK Market - FE PNB - GD Island - Tank No.11 - Tank No.12 - Tank No.14 - Salt Lake Stadium Main Gate - Food Bazar - DPS Ruby Park. SOUTH KOLKATA Nonapukur Tram Depot. - Park Street Post Office - Russel Street - Theartre Road - Park Circus Tram Depot - Mithai - ICE Skating Rink - Mayfair Road - Ballygunge Post Office - Broad Street - Ballygunge Place - Kasba - Neelachal Complex - DPS Ruby Park Behala Janakalyan - Behala Shilpara - Behala Sakher Bazar Behala Chowrasta - JL Sarani Mani Tower - Taratola - New Alipore - Hindustan Sweets - Tollygunge Phari - Charu Market - Mudially - Tollygunge PS- Southern Ave - Lake Road - Vivekananda Park - Keyatalla Lane - Gariahat Golpark - Gariahat More - DPS Ruby Park Hastings - Khidderpore Crossing - Mominpur - Alipore SBI - Chetala Bridge - Rashbehari More - South Ave / Sarat Bose Road Crossing - Gariahat Trangular Park - Hindustan Park - Garihat Crossing - DPS Ruby Park.Kalighat Fire Brigade - Harish Park - Ganja Park - Bhawanipur - Elgin Road - Purna Cinema - Northern Park - Bal Mandir Neel Kamal Bldg ( Elgin Road ) - Hazra Lansdown Crossing - Ritchie Road - Ballygunge Circular Road - St. Lawrence School - Ballygunge Phari - Chaplin Park - Ekdalia - DPS Ruby Park Narendrapur Sugam Park - Kamalgazi More - Mahamayatala - Hindustan More - Fartabad More - KMD Bridge - Patuli - Garia Station - Peerless Hospital - Hiland Park - Bengal Ambuja - Calcutta Green - Abhishikta Complex - Mukundapur EM Bypass - Ruby Hospital - DPS Ruby Park Wireless Moore Avenue - Chandighosh Road - Tollygunge Tram Depot. - Ashok Nagar - Ranikuthi - Netaji Nagar - Bansdroni - Nacktala - Rathtala - Garia More - Baishnabghata 45 no. bus stand - Ramgarh - Ganguly Bagan - Baghajatin More - Sukanta Setu - Santoshpur - Garfa - Ramlal Bazar - Rathtala Minibus Stand - P. Majumder Road - DPS Ruby Park Golf Club Road - Better - Golf Green Central Park - Regent Estate - Bikramgarh - Golf Green Daily Market - Nabina Cinema - Prince Anwar Shah Road - Lords Bakeri More - Jadavpur Thana - Jadavpur 8B Bus Stand - Selimpur - Jodhpur Park - Jodhpur Post Office - Dhakuria Dakhinapan - Panchnantala - Gilpark Mouchak - DPS Ruby Park NORTH KOLKATA Malapara - Jorabagan Power House - Ganesh Talkies - Girish Park - Bagbazar Bata - Shyambazar Five Point - Raj Ballavpara - Sova Bazar - Hati Bagan - Central Avenue - Ram Mandir - Indian Airline - Hind Cinema Hall - Moulali Crossing - CIT Road Philips - Paddo Pukur CIT Road - Dev Lane - Chittaranjan Hospital - 4 No. Bridge - Vrindaban Garden - Science City - VIP Bazar - Tagore Park - Ruby General Hospital - Narkel Bagan Bus Stop - DPS Ruby Park Dunlop- Sirthir More - Kashipur Thana - Motijheel - Rodkol - Satgachi - Mrinalini Cinema - Nager Bazar - Central Jail - Airport 1 No. Gate - Kaikhali - Haldiram - Poddar Vihar - Raghunathpur - Teghoria - Baguihati - Kestopur - Shree Bhumi - Lake Town - Kalindi More - Jessore Road EMC Factory - Barat - Bangur 227 Bus Stand - Bangur Swimming Pool - Golaghata - Ultadanga More - VSNL Building - Manicktala - Kankurgachi ESI Hospital - Kankurgachi - Phool Bagan - Beliaghata CIT More - Rashmoni Bazar - Beliaghata Main Road Metropolitan - Silver Spring - DPS Ruby Park HOWRAH Mandirtala - Daner Sekh Lane - Bataitala - Aloka Cinema - Howrah Jute Mill - Howrah Sandhya Bazar - Howrah Mullick Phatak - Howrah Maidan - Howrah AC Market - Janata Medical - Golabari P.S. - Brabourne Road Church - Tea Board - DPS Ruby Park. This gives an idea of various important bus points and the same can change without any further explanations. Even, the bus routes may differ for and and the exact bus pick-up & drop point shall be determined and informed only after the beginning of the academic session 2014-2015. Bus charges subject to change due to fuel price, etc., are mentioned here in below. Candidates pick-up/drop bus point located in Distance (Kms.) Bus Charges per month Kolkata Upto 5.50 Kms. `1,800/- > 5.50 Kms. upto 10.50 Kms. `1,950/- > 10.50 Kms. upto 15.50 Kms. ` 2,000/- > 15.50 Kms. upto 30.00 Kms. ` 2,050/- Howrah ` 2,150/- Bus Registration Charges of ` 250/- shall have to be paid in addition to bus charges at the time of opting for transportation as well as at the beginning of each academic year. Fees will be charged for all 12 months. A parent, who withdraws the transport facility before the vacations and rejoins after the vacations, may not be given the transport facility. The amount is payable along with the school fees on a quarterly basis.

Registration Form No. Place Assessment / Observation / Interaction / Interview parent CARD This Parent Card must be retained by the Parent / Guardian (local / legal) at the time of Assessment / Observation / Interaction / Interview. Please bring this card at the time of viewing list of selected candidates. student admit CARD I Registration Form No. Place Assessment / Observation / Interaction / Interview This Admit Card must be produced at the time of Assessment / Observation / Interaction / Interview. student admit CARD II Registration Form No. Place Assessment / Observation / Interaction / Interview This Admit Card must be produced at the time of Assessment / Observation / Interaction / Interview and has to be submitted to the teacher in the school