R
EGISTRATION
F
ORM
Opp. Nagbani Panchayat Ghar, Gajansoo-Marh Road, Jammu
0191-2642991
info@gdgoenkajammu.org
Note: All '
*
' marked fields are mandatory. Please mention '
NA
' if not applicable.
Enquiry No. :
Sibling Details
Sibling (Real Brother/ Sister) only studying in
G. D. Goenka Jammu
Admission No.
Sibling Name
Sibling Class
Student Details
Student First Name
*
Student Middle Name
Student Last Name
Gender
*
--Select Gender--
Male
Female
Transgender
Date of Birth
*
Aadhaar No.
*
Academic Year
*
Admission sought in class
*
--Select Admission Code--
Email
*
Mobile No.
*
Category
--Select Category--
EWS
GENERAL
OBC
SC/ST
STAFF
Religion
*
Select Religion
HINDU
ISLAM
SIKH
CHRISTIAN
BUDDHIST
JAINISM
OTHERS
Student's Photo (Max-2 MB)(JPG/PNG)
*
Permanent Address
Address
*
City
*
State
*
Pin Code
*
Communication Address
(Check this box if Communication Address and Permanent Address are same.)
Address
City
State
Pin Code
Father Details
Father Name
*
Qualification
--Select Qualification--
10th
12th
Graduation
Post Graduation
Occupation
--Select Occupation--
Business
Others
Service
Organization
Designation
Annual Income
Phone(Off.)
Address(Off.)
E-mail
Mobile No.
Father's Photo (Max-2 MB)(JPG/PNG)
*
Mother Details
Mother Name
*
Qualification
--Select Qualification--
10th
12th
Graduation
Post Graduation
Occupation
--Select Occupation--
Business
Service
Others
Organization
Designation
Annual Income
Phone(Off.)
Address(Off.)
E-mail
Mobile No.
Mother's Photo (Max-2 MB)(JPG/PNG)
*
Documents Details
Date of Birth (Max-2 MB)(JPG/PNG)
*
Transfer Certificate (Max-2 MB)(JPG/PNG)
Migration Certificate (Max-2 MB)(JPG/PNG)
Previous Class Marksheet (Max-2 MB)(JPG/PNG)
Father/Gaurdian Signature (Max-2 MB)(JPG/PNG)
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