REGISTRATION FORM

  • 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*
 
Date of Birth*
Aadhaar No.*
 
Academic Year*
Admission sought in class*
 
Email*
Mobile No.*
 
Category
Religion*
 
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
 
Occupation
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
 
Occupation
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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