JEEWAN PUBLIC SCHOOL Student Registration Form

STUDENT REGISTRATION FORM
(All "" marked fields are MANDATORY, mention "N.A." if not applicable.)*
Sibling Detail (only real brother / sister currently studying in this school)
Sibling :		Admission No. :
Sibling Name :		Sibling Class :
Application Form Information
Candidate Photo :
Class Applied for :
Candidate's Personal Information
First Name :		Middle Name :
Last Name :
Date of Birth (dd-mm-yyyy):		D.O.B. Certificate No. :
Email (for communication) :
Aadhaar No :		Nationality :
Mobile No. (for communication) :		Landline No. :
Gender :
Address :		City :
State :		Country :
PIN :		State of Domicile :
Category :		Religion :
Any medical condition requiring School's special attention :		Remarks :
Corresponding Relative :
School Transport Required :
Preference - 1:		Preference - 2:
Father's Detail
Father Photo :
First Name :		Middle Name :
Last Name :
Email Id :		Mobile Number :
Landline Number :		Occupation :
Organization :		Office Address :
Qualification :		Designation :
Annual Income (In Rs):
Mother's Detail
Mother Photo :
First Name :		Middle Name :
Last Name :
Email Id :		Mobile Number :
Landline Number :		Occupation :
Organization :		Office Address :
Qualification :		Designation :
Annual Income (In Rupees):
No. of Son(s) :		No. of Daughter(s) :
Additional Information
Present Class :		Present School Name :
Board Name :		Source of Information :
Disclaimer I/We understand that if any of the above information is found to be incorrect or false, my/our ward shall be automatically debarred from the selection / admission process without any correspondence in this regard. I/we also understand that the application / registration / shortlisting does not guarantee admission to my ward. I/We accept the process of admission undertaken by the school and I/we will abide by the decision taken by the school authorities. I have read all guidelines and information provided on the school website and promise to abide by the rules formulated by the school. I also understand and agree that in all matters pertaining to admission, the decision of the school authorities will be final and binding. It is mandatory to read the Terms and Conditions for Online Payment of Registration Fee before proceeding to make payment. Clicking on "Agree" will imply your acceptance of these Terms and Conditions.
Agree Disagree