D.A.V. PUBLIC SCHOOL
19, Sitaram Nagar, Velachery, Chennai – 42.
REGISTRATION FORM FOR SCHOOL TRANSPORT 2017 – 18
ROUTE – 1 ( FOR CLASSES PRE.K.G – U.K.G )
DROP
PICK UP
Latest Stamp
Size Photo of the
person who will
come to drop the
Student
Latest Stamp
Size Photo of the
person who will
come to pick up
the Student
Latest
Stamp Size
Photo of Father
Latest
Stamp Size Photo
of Mother
Latest
Stamp Size
Photo of the
Student
Note: Admission Number and Section will be filled by school.
CLASS (201__ – 1__): _________ SEC. : _____
ADMISSION NO: _________________________
NAME OF THE STUDENT : ________________________________________________________________________
NAME OF THE PERSON WHO WILL COME TO PICKUP THE STUDENT: ________________________________
RELATIONSHIP WITH THE STUDENT: _______________________________________________
NAME OF THE PERSON WHO WILL COME TO DROP THE STUDENT: __________________________________
RELATIONSHIP WITH THE STUDENT: _______________________________________________
FATHER‟S NAME : ______________________________ MOTHER‟S NAME : ______________________________
RESIDENCE ADDRESS: ___________________________________________________________________________
_____________________________________________________________________ PIN: ______________________
Residence (Landline): ________________ Father's Office Phone:_________________ Extn._____
Mother's Office Phone ________________ Extn._____
Father's Mobile:__________________________ Mother's Mobile: __________________________
IN CASE OF AN EMERGENCY, THE FOLLOWING PERSONS MAY BE CONTACTED - IF THE SCHOOL IS NOT ABLE TO
CONTACT EITHER THE FATHER OR THE MOTHER.
RELATIONSHIP WITH
S.NO.
NAME OF THE CONTACT PERSON
MOBILE / LAND LINE NO.
FATHER / MOTHER

Tick ( ) the appropriate point which suits you as per the ‘Existing Route’ of the school.- ROUTE 1

S.NO
PROBABLE PICK-UP / DROP POINT
( )
PROPOSED
PICK-UP TIME
PROPOSED
DROP TIME
1
DEVI KARUMARI AMMAN NAGAR
8.25 a.m.
1.35 p.m.
2
ERATAIPILLAIAR KOIL
8.35 a.m.
1.25 p.m.
3
RAM NAGAR
8.45 a.m.
1.15 p.m.
4
MURUGU NAGAR
8.55 a.m.
1.05 p.m.
5
VIJAYA NAGAR
9.05 a.m.
12.55 p.m.
ARRIVAL TIME TO SCHOOL – 9.15
a.m.
LEAVING TIME FROM SCHOOL – 12.45 p.m.
The proposed time of pick up and drop may change and the same will be notified.
Date:__________________
Signature of the Father
Signature of the Mother