Registration Form

The Shishukunj International School, Jhalaria

Registration Form 2024-25

Jhalaria, Bypass Road, Indore, 452016, Madhya Pradesh, India
www.shishukunj.in/jhalaria-campus
info@shishukunjindore.in
+91 70654 65400

Registration Form

Student And Parent Details
Upload Documents
Complete

Student Details:

Step 1 / 3

Academic Year *

Class *

Date of Birth *

Class In Words *

Age in Words *

Date of Birth (In words)

First Name *

Middle Name

Last Name *

Aadhaar No.

Gender *

Primary Mobile No.

Email Id *

Category IF SC/ST/OBC is selected then please attach certificate.

Blood Group

Nationality

Birth Place *

Mother Tongue

Samagram ID

Upload Student Photo * File size should not be more than 1 MB and should be in png, jpg, jpeg.

Student Bank Detail:

Student Bank Name

Student Bank AC No.

IFSC Code

Proficiency/ Achievements Record, if any:

Sports

Performing Arts (Music, Dance, Drama, Craft etc)

Responsibility held in school or community

Other

Other Academic & Misc. Information:

Subjects studied (for aspirants of classes III and above)

Medium of instruction

Exceptional academic achievement, if any

Third Language studied in Previous Class

Second Language studied in Class IX

Third Language studied in Class VIII

Has the ward undergone any special needs assessment?*

Please upload the reports received : * File size should not be more than 1 MB and should be in png, jpg, jpeg.

Does the ward have any developmental difficulties or special learning needs? *

If 'Yes', please provide details: *

Has the ward ever received any specialised instruction e.g. speech therapy, remedial reading support?*

If 'Yes', please provide details: *

Father Details:

First Name *

Middle Name

Last Name

Mobile No. *

PAN No.

Office Phone No. *

Email Id *

Qualification *

Occupation *

Designation

Organization Name *

Organization Address *

Aadhaar No *

Upload Father Photo * File size should not be more than 1 MB and should be in png, jpg, jpeg.

School(s) Attended (Father)

School *

City*

Year *

School

City

Year

School

City

Year

College(s) / Institute(s) Attended ( Kindly enter in the order of the highest qualification to the lowest qualification )

College *

City*

Year *

College

City

Year

College

City

Year

Mother Details:

First Name *

Middle Name

Last Name

Mobile No.*

PAN No.

Office Phone No.*

Email Id *

Qualification *

Occupation *

Designation

Organization Name *

Organization Address *

Aadhaar No *

Upload Mother Photo * File size should not be more than 1 MB and should be in png, jpg, jpeg.

School(s) Attended (Mother)

School *

City*

Year *

School

City

Year

School

City

Year

College(s) / Institute(s) Attended ( Kindly enter in the order of the highest qualification to the lowest qualification )

College *

City*

Year *

College

City

Year

College

City

Year

Reference Details (Give Name, Address and Mobile Number of two known residents of Indore who know you well):

First Reference Name *

First Reference Address *

First Reference Email *

First Reference Mobile *

Second Reference Name *

Second Reference Address *

Second Reference Email *

Second Reference Mobile *

Details of Sibling(s) ( Real Brother and Sister studying in The Shishukunj International School, Jahlaria ):

First Sibling's Name

First Sibling's Gender

First Sibling's School/College

First Sibling's Class/Year

First Sibling's City

Second Sibling's Name

Second Sibling's Gender

Second Sibling's School/College

Second Sibling's Class/Year

Second Sibling's City

Third Sibling's Name

Third Sibling's Gender

Third Sibling's School/College

Third Sibling's Class/Year

Third Sibling's City

Other Details (Tick if applicable)

Staff Ward

Differently Abled / with Special Needs

Class Repeated

Local Address:

Local Address *

Country

State

City

Pin Code

Permanent Address:

Is Local & Permanent Address same?

Permanent Address *

Country

State

City

Pin Code

Documents Details:

Step 2 / 3

^* All File size should not be more than 1 MB and should be in png, jpg, pdf.

Child Birth Certificate *

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Child Previous Year Marksheet

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Candidate Aadhaar Card

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Mother Aadhaar Card *

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Father Aadhaar Card *

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Transfer Certificate

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Caste Certificate

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Previous Report Card 1 *

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Previous Report Card 2 *

Choose File

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Declaration by the Parent / Guardian:

I understand that incomplete application form will not be considered.

I affirm to abide by the rules & regulations laid down or amended by the authorities of the School.

I hereby confirm that the details in this form are true and correct to the best of my knowledge.

Any wrong information may lead to non admission or cancellation of admission*

Submission of application form does not imply confirmed admission*

I Agree

Registration Form 2024-25

Registration Form

Student Details:

Step 1 / 3

Student Bank Detail:

Present School And Class (Except Nursery):

Proficiency/ Achievements Record, if any:

Other Academic & Misc. Information:

Father Details:

School(s) Attended (Father)

College(s) / Institute(s) Attended ( Kindly enter in the order of the highest qualification to the lowest qualification )

Mother Details:

School(s) Attended (Mother)

College(s) / Institute(s) Attended ( Kindly enter in the order of the highest qualification to the lowest qualification )

Reference Details (Give Name, Address and Mobile Number of two known residents of Indore who know you well):

Details of Sibling(s) ( Real Brother and Sister studying in The Shishukunj International School, Jahlaria ):

Other Details (Tick if applicable)

Local Address:

Permanent Address:

Documents Details:

Step 2 / 3

Declaration by the Parent / Guardian:

Complete:

Step 4 / 4

Submitted Successfully

You have successfully submitted your details.

Complete:

Step 3 / 3

Not Submitted

You have not successfully submitted your details.