Nursery Registration Form GD Goenka Dwarka

Student Details

First Name *

Middle Name

Last Name *

Date of Birth (dd-mm-yyyy) *

Age as on 31-Mar-2026

Gender *

Nationality *

Twin

Locality *

Residential Address *

Pin Code *

Parent Details

Father’s Name *

Father Mobile No. *

Father Email Id *

Father Residential Address *

Mother’s Name *

Mother Mobile No. *

Mother Email Id *

Mother Residential Address *

Other Details

Does the child have special needs (Disability/ Allergy/ Physical handicap/ Chronic ailment)

If yes, give details (Case history to be submitted along with form)

Is real sibling of the student studying in this school ? *

If yes, please give following details of the sibling :

Sibling Name

Sibling Class & Section

Sibling Admission No.

Thank You

The online form is submitted successfully. Your Unique Application No. is GDG/

The points attained are .

PLEASE NOTE:

Please take a printout of online form.

Please register my son/daughter/ward named above in your school. I shall produce the requisite documents at the time of submission of registration form.

UNDERTAKING


I, ____________________________, father/mother/guardian of ________________________________ hereby declare that the information given above by me is correct. Admission of my child may be cancelled if any information is found to be false.


______________________________	______________________________
Date	Signature of Parent / Guardian

———————————————————————————————————————————————————————————————————————————————————————————

	G. D. GOENKA PUBLIC SCHOOL
	Sector-10 Dwarka, New Delhi - 110075
For Class : Nursery	Session (2026-27)	Registration No. : GDG/

	ACKNOWLEDGEMENT SLIP


Name of the Student	:	________________________________________
Name of the Parent / Guardian	:	________________________________________
Date	:	________________________________________