Gender:

Aadhar Number:

Date of birth(जन्म का तारीख़):

Place of birth:

Select Class Applying For (कक्षा चुने):

Select Mother Tounge (मातृ भाषा चुने):{je_admission-form-for-s_mother_tounge}

Name: blood_group:

Have You Ever Applied in this school(क्या आपने कभी आवेदन किया है):{je_admission-form-for-s_have_you_applied_in_this_school}

Select Religion (धर्म का चयन करें):
Other Religion(Mention your religion):{je_admission-form-for-s_other_religion}

Select Caste Category:
Other caste(Mention your caste):{je_admission-form-for-s_other_caste}

Parent Status:

Student Living With:

Are you indian:

Mobile No. For Sms Correspondence:

Email:[email protected]

Residential Address With Pincode:

Permanent Address With Pincode:

Father’s Name:{je_admission-form-for-s_father’s_name}

Father’s Qualification:{je_admission-form-for-s_father’s_qualification}

Father Occupation:{je_admission-form-for-s_father’s_occupation}

Please specify:

Father designation:{je_admission-form-for-s_father_desiganation}

Father Annual Income:

Father’s phone number:{je_admission-form-for-s_father’s phone number}

Mother’s Name:{je_admission-form-for-s_mother’s_name}

Mother Qualification:{je_admission-form-for-s_mother_qulafication}

Mother Occupation:

Please specify:

Mother Designation:

Mother Annual Income:

Mother Phone Number:

Name of the local guardian (if any):

Local Guardian Address:

Relation With Child:

Name Of Previous/Present School Attended:{je_admission-form-for-s_name_of_previous_present_school_attended}

Reason for leaving:

Has a child ever been Expelled / Rusticated / Not Pomoted:{je_admission-form-for-s_has_a_child_ever_been_expelled_rusticated_not_pomoted}

Reason:

Allergy / Chronic / ailment (if any):{je_admission-form-for-s_allergy_chronic_ailment_if_any}
Name: allergy__chronic__ailment_if_any:{je_admission-form-for-s_name_allergy_chronic_ailment_if_any}

Allergy details:

Physical Handicap / Disability (if any):{je_admission-form-for-s_physical_handicap}
Name: physical_handicap__disability_if_any:{je_admission-form-for-s_name_physical_handicap_disability_if_any}

Physical Handicap / Disability Details:{je_admission-form-for-s_physical_handicap_disability_details}

Any Other Health Problem:{je_admission-form-for-s_any_health_problem}
Which type of heath problem:{je_admission-form-for-s_which_type_of_health_problem}