Online Screenshot 2017-18
SPV Admissions Application Form (201718)
Applicants are requested to carry passport size photos (1 each) at the time of verification. Details of the Applicant
Last Name dd
mm
yyyy
Gender
Age (In Words)
Is the School Transport required? (if available)
Select
(Click Here to refer the list of areas covered by school bus)
ol
Details of Parents
Father
ho
Mother
Select
co
Date of Birth
Applicant
nn
First Name
Mother
ec
Father
ts. in
Fill in all the details in Block Letters An Incomplete form in any respect is liable to be rejected. Please do not leave any field blank. Write N/A for Not applicable.
Name
Name
w w
Parent / Guardian Residential Address (To avoid errors please give complete address.)
tp
://
Tel. No.
Mobile No.
w .sc
Age (e.g. "28 etc")
Tel. No.
(O)
(O)
(R)
(R) Mobile No. (please ensure only ONE valid email id is entered)
ht
Father/Mother's Email
Age (e.g. "28 etc")
Hometown
Hometown
Nature of work
Nature of work
Name of the Organisation
Name of the Organisation
Office Address
Office Address
Mother Tongue Language(s)
spoken at home
Information
Gujarati parents : Please tick, if Does the father
speak
Does the mother
speak
Father and/or read
ts. in
(if yes on what grounds would you justify classifying yourself as a Gujarati )
mother is/are Gujarati
& write Gujarati.
read
& write Gujarati.
How long have you been in Delhi? Father
Mother
* You would be required to submit proof at the time of verification.
ec
Gujarati Select
years.
co
nn
Alumnus Select (you will be considered under this catogery with 4 or more years of association with SPV and having passed either X or XII from the Vidyalaya) & last class attended in the school How many years have you studied in SPV
w .sc
ho
ol
(you would be required to submit School Leaving Certificate or Board Marksheet if invited for verification). Contribution to school during & after your tenure here
* You would be required to submit proof at the time of verification.
w w
Sibling studying in SPV Select Name
Class
Age
Gender Select
Class
Age
Gender Select
://
Name
(in case of only one sibling, please fill the details in first row only.)
* You would be required to submit proof at the time of verification.
tp
Inclusive Education Select
ht
Please Click, if :
Single Parent Physically Challenged Adopted Child Child with special Needs (If Yes, Please justify inclusion in this category. Documentary proof would be required for verification.)
* You would be required to submit proof at the time of verification.
Kindly state which category you wish to apply Select
Selection Criteria Information (Parents would be required to provide supporting documents/proof for all claims in the point criteria at the time of verification.) S.No. Criteria Range of Points Please mention specific details A. Neighbourhood Kms Points Specify distance: Select Kms. 0 upto 8 40 pts (you will be required to carry proof of address Voter Id card, 8 upto 10 38 pts Electricity Bill etc, if invited for verification.) 10 upto 12 35 pts 12 upto 15 30 pts Distance between: 15 upto 20 25 pts Sardar Patel Vidyalaya, Lodhi Sardar Patel Vidyalaya, Lodhi Above 20 20 pts Estate, New Delhi 1100 03 Estate, New Delhi 110003
Both
(Seeking enrichment in terms of language and culture to be adequately supported with proof.) If you can speak, write and read three languages, points shall be added for your proficiency in(speak, write and read) the fourth language. Language 1. Select Language
Speak
Write
Read
Language 2. Select Language
Speak
Write
Read
Language 3. Select Language
Speak
Write
Read
Language 4. Select Language
Speak
Write
Read
w .sc w w
None
ec
Mother
nn
If any claim to Max 15 promotion of pluralism please elucidate.(Please tick all options applicable).
Father
ho
E.
(Distance by road to be calculated using Google map)
co
Sibling Studying in 15 the Sardar Patel Vidyalaya C. Alumnus Mother (10) Father (10) Both (20) D. First Born 10
ol
B.
ts. in
0 Kilometer
* Your ability to speak, write and read three languages will qualify you to get additional points based on your proficiency in the fourth language.
ht
tp
://
If there is any additional information that you would like to share for example if you have worked for the promotion of Indian Heritage/Exception achievement/Significant Inspirational work for the nation. Mention the field/fields of your involvement. Native of work and recognition. Give details in upto 200 words with documentary support of your statement.
Details mentioned below are to be filled manually at the time of verification Please register my son/daughter/ward named above in your school. I shall produce the requisite documents in original at the time of admission. Signature ______________________________
Undertaking I______________________father/mother of ___________________________ hereby declare that information given above by me is based on facts and authentic records. Admission of my child may be cancelled if any information is found to be false. Signature ______________________________ FOR OFFICE USE Registration for Class __________________________ Fee A/c No. __________________________________ A/c Asst. Signature ____________________________ Date ______________ Bus No. P V _______________ Fee receipt No. _______________________________
tp
://
w w
w .sc
ho
ol
For any queries regarding filling the form email us at [email protected]
ht
co
nn
ec
ts. in
Decision ________________________________ Class __________________________________ Division _________________________________ Principal’s Signature _______________________ G. R. No. ________ Date of Admn._____________ Off. Asst. Signature ________________________
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Applicants are requested to carry passport size photos (1 each) at the time of verification. Details of the Applicant
Last Name dd
mm
yyyy
Gender
Age (In Words)
Is the School Transport required? (if available)
Select
(Click Here to refer the list of areas covered by school bus)
ol
Details of Parents
Father
ho
Mother
Select
co
Date of Birth
Applicant
nn
First Name
Mother
ec
Father
ts. in
Fill in all the details in Block Letters An Incomplete form in any respect is liable to be rejected. Please do not leave any field blank. Write N/A for Not applicable.
Name
Name
w w
Parent / Guardian Residential Address (To avoid errors please give complete address.)
tp
://
Tel. No.
Mobile No.
w .sc
Age (e.g. "28 etc")
Tel. No.
(O)
(O)
(R)
(R) Mobile No. (please ensure only ONE valid email id is entered)
ht
Father/Mother's Email
Age (e.g. "28 etc")
Hometown
Hometown
Nature of work
Nature of work
Name of the Organisation
Name of the Organisation
Office Address
Office Address
Mother Tongue Language(s)
spoken at home
Information
Gujarati parents : Please tick, if Does the father
speak
Does the mother
speak
Father and/or read
ts. in
(if yes on what grounds would you justify classifying yourself as a Gujarati )
mother is/are Gujarati
& write Gujarati.
read
& write Gujarati.
How long have you been in Delhi? Father
Mother
* You would be required to submit proof at the time of verification.
ec
Gujarati Select
years.
co
nn
Alumnus Select (you will be considered under this catogery with 4 or more years of association with SPV and having passed either X or XII from the Vidyalaya) & last class attended in the school How many years have you studied in SPV
w .sc
ho
ol
(you would be required to submit School Leaving Certificate or Board Marksheet if invited for verification). Contribution to school during & after your tenure here
* You would be required to submit proof at the time of verification.
w w
Sibling studying in SPV Select Name
Class
Age
Gender Select
Class
Age
Gender Select
://
Name
(in case of only one sibling, please fill the details in first row only.)
* You would be required to submit proof at the time of verification.
tp
Inclusive Education Select
ht
Please Click, if :
Single Parent Physically Challenged Adopted Child Child with special Needs (If Yes, Please justify inclusion in this category. Documentary proof would be required for verification.)
* You would be required to submit proof at the time of verification.
Kindly state which category you wish to apply Select
Selection Criteria Information (Parents would be required to provide supporting documents/proof for all claims in the point criteria at the time of verification.) S.No. Criteria Range of Points Please mention specific details A. Neighbourhood Kms Points Specify distance: Select Kms. 0 upto 8 40 pts (you will be required to carry proof of address Voter Id card, 8 upto 10 38 pts Electricity Bill etc, if invited for verification.) 10 upto 12 35 pts 12 upto 15 30 pts Distance between: 15 upto 20 25 pts Sardar Patel Vidyalaya, Lodhi Sardar Patel Vidyalaya, Lodhi Above 20 20 pts Estate, New Delhi 1100 03 Estate, New Delhi 110003
Both
(Seeking enrichment in terms of language and culture to be adequately supported with proof.) If you can speak, write and read three languages, points shall be added for your proficiency in(speak, write and read) the fourth language. Language 1. Select Language
Speak
Write
Read
Language 2. Select Language
Speak
Write
Read
Language 3. Select Language
Speak
Write
Read
Language 4. Select Language
Speak
Write
Read
w .sc w w
None
ec
Mother
nn
If any claim to Max 15 promotion of pluralism please elucidate.(Please tick all options applicable).
Father
ho
E.
(Distance by road to be calculated using Google map)
co
Sibling Studying in 15 the Sardar Patel Vidyalaya C. Alumnus Mother (10) Father (10) Both (20) D. First Born 10
ol
B.
ts. in
0 Kilometer
* Your ability to speak, write and read three languages will qualify you to get additional points based on your proficiency in the fourth language.
ht
tp
://
If there is any additional information that you would like to share for example if you have worked for the promotion of Indian Heritage/Exception achievement/Significant Inspirational work for the nation. Mention the field/fields of your involvement. Native of work and recognition. Give details in upto 200 words with documentary support of your statement.
Details mentioned below are to be filled manually at the time of verification Please register my son/daughter/ward named above in your school. I shall produce the requisite documents in original at the time of admission. Signature ______________________________
Undertaking I______________________father/mother of ___________________________ hereby declare that information given above by me is based on facts and authentic records. Admission of my child may be cancelled if any information is found to be false. Signature ______________________________ FOR OFFICE USE Registration for Class __________________________ Fee A/c No. __________________________________ A/c Asst. Signature ____________________________ Date ______________ Bus No. P V _______________ Fee receipt No. _______________________________
tp
://
w w
w .sc
ho
ol
For any queries regarding filling the form email us at [email protected]
ht
co
nn
ec
ts. in
Decision ________________________________ Class __________________________________ Division _________________________________ Principal’s Signature _______________________ G. R. No. ________ Date of Admn._____________ Off. Asst. Signature ________________________
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