SPRINGDALES SCHOOL
Pusa Road, Upper Ridge Road Junction, New Delhi - 110005
Website : www.springdales.com

REGISTRATION FORM
FOR ADMISSION TO PRE-SCHOOL CLASS (NURSERY)
Under General Category, Staff Category and Special Needs Category 2017-18

The admission software will automatically REJECT the form if filled for more than one unit. Apply only for ONE unit.
1. Name of Child: Gender:
10
(10 points allotted for Girl child)
Aadhar Card Number of the Child (Optional):
2. Date of Birth:    
(Copy of Birth Certificate along with the form to be submitted. Minimum age 3 years and Maximum age 3 year 11 Months 30 days on 31.03.2017)
4. Name of Father: Age:
5. Name of Mother: Age:
6. RESIDENCE CRITERIA:
33
Residential Address:
Telephone No:
Mobile No (Father):
Mobile No (Mother):
Email:
Children living in the areas as per list of localities hereunder East Patel Nagar, West Patel Nagar, Rajinder Nagar, Pusa Road, W.E.A., Pusa Institute, Minto Road, Delhi University, Shankar Vihar, will get 33 points.
To counter the trauma of travel we have Kindergarten bus routes. In case you need the Kindergarten bus routes click here
Those applicants not living in areas mentioned above and can arrange for their own transport to and fro will get 23 points.
Kindly specify the transport arrangement:
Kindly mention what proof of residence has been attached
Ration Card issued in the Name of the parents (mother/father having the name of the child)
Domicile certificate of the child or his/her parents
Voter I D of any of the parents
Electricity Bill MTNL telephone bill Water Bill Passport
  in the name of any of the Parents or child
Aadhaar Card / UID card issued in the name of any of the parents
7. SIBLING CRITERIA (REAL BROTHER / SISTER ONLY)
27
Does the applicant have any real brother / sister studying in Springdales give details:
Sibling Name:
Class:
Section:
Unit:
(Enclose copy of fee bill/report card along with the copy of the form. Irrespective of the branch of the first child no inter unit transfers will be allowed.)
8. Do you have any children studying in any other school ? If so, kindly specify.
Name of Real Brother / Sister Age School Attending / Attended
9. SCHOOL ALUMNI
25
(Being an established school of long-standing Springdales has a very large alumni. Therefore this has to be a special category at Springdales.
Former Students who have been in school for 14 years i.e. from Nursery Std. XII and have become members of the Old Springdalians Association at least 3 years prior to this application, will get 25 points Kindly attach Character Certificate.
Former Students who have been in school from Nursery to Std X and have become members of the Old Springdalians Association at least 3 years prior to this application, will get 15 points
Students who joined in Std. XI XII and have become members of the Old Springdalians Association at least 3 years prior to this application, will get 10 points
Is the applicant parent a former student of Springdales
If yes, year of Passing OSA Membership No Unit
(A) Father
(B) Mother
In case of Springdalian mother, give maiden name.
In case you are a life member of the Old Springdalian Association, kindly give your membership No. and Year of membership.
(Old Springdalians are required to submit copies of their character certificates and copy of OSA Membership card along with the form)
10. SINGLE PARENT CRITERIA
5
For children with single parent: Father / Mother
  • Decree of Divorce to be attached mentioning the Legal custody of child
  • In case of death of Spouse death certificate to be attached
Are you a single parent?
If yes, please specify
11. SPECIAL NEEDS CATEGORY FOR DIFFERENTLY-ABLED CHILDREN (No Points)
Does your child need Special Education facility?
If yes, enclose authenticated documents. Children with Special Needs will be admitted if they can produce a certificate from a clinical psychologist / disability certificate from appropriate Government authorities that they are ready for inclusive mainstream education. A maximum of 3% seats available in this category. Upper age limit for pre-school class under this category is 4 years 6 months only.
Kindly specify the disability:
12. STAFF CATEGORY: (No Points)
  1. Children of staff members who are permanently employed in the Institution.
  2. Grand Children of Staff members who have attained Superannuation.
  3. Details of employment in the school to be given - position, date of employment and years of service.
Is the applicant parent an employee of the school
If yes, details of employment in the school
Will be admitted to a maximum of 5% seats under Staff Category. Unfilled seats will be converted to General Category.
INFORMATION ABOUT PARENTS FOR SCHOOL DATA-BASE ONLY
(Please Note : There is no allocation of points in this section)
EDUCATIONAL QUALIFICATION OF PARENTS:
Please write N/A if field not applicable.
Father:
Mother:
Schools/Colleges attended by father:
Schools/Colleges attended by mother:
Profession/Occupation of father:
Profession/Occupation of mother:
Office Address and Telephone Nos. of Father:
Office Address and Telephone Nos. of Mother:
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