Registration Form

:+91 6390800091/92/93
info.khalilabad@jaipuriaschools.ac.in
Sant Kabir Nagar, Near Anaie Jail Road, Bankatiya Mehdawal Road, Uttar Pradesh, 272175

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 

Sibling Details

Sibling (Real Brother/ Sister) only studying in Seth M.R Jaipuria School, Khalilabad   
 
Admission No.
Sibling Name
 
Sibling Class
 

Student Details

Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Academic Year*
Admission sought in class*
 
Date of Birth*
Category
 
Nationality
Blood Group
 
Email*
Mobile No.*
 
Aadhaar Card No.
Religion
 
Student's Photo (Max-2 MB)
 

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Father's Details

Father Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail*
Mobile No.*
 
Father's Photo (Max-2 MB)
Aadhaar Card No
 

Mother's Details

Mother Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.*
 
Mother's Photo (Max-2 MB)
Aadhaar Card No
 
 
 

1. A self-attested copy of birth certificate of the child along with original for verification. The certificate issued by Municipal Corporation only is valid.
2. One Passport Size Photograph of Father, Mother and the child is mandatory.
3. Photocopy of Caste certificate if SC/ST/OBC along with Original for verification (If applicable).
4. Original bonafide certificate is compulsory at the time of registration.
5. Transfer Certificate of current school (compulsory for admission to classes II onwards). TC from the previous school must be submitted within 15 days after the commencement of the academic session.
6. A copy of previous year report card / mid-term report card.
7. Original medical fitness certificate issued by MBBS/ MD doctor is mandatory.
8. A self-attested copy of Aadhar Card of the Student and both the parents along with Original for Verification (not mandatory).
9. A self-attested copy of PAN Card / Driving License / passport of both the parents along with Original for verification. This is required to verify the signatures on admission form.
10. In case of death of any one parent copy of death certificate is mandatory.

Please bring the original documents to be verified at the time of submission of the photocopies.

 
 
I Agree