Student Registration Form

Basic Details

Class in which admission sought *

Whether Bus Facility Required *

Student's Name *

Mother's Name *

Father's Name *

Date of Birth *

Gender *

Blood Group *

Category *

Religion *

Caste *

Email Address *

Nationality *

UID/Aadhar Number *

Permanent Education Number (PEN)

Contact Details

Mobile Number - Calling *

Mobile Number - WhatsApp *

Present Address *

Permanent Address *

Social Status

Do you belong to economically weaker section *

Do you belong to the Scheduled Minority Section *

Previous Class/School Details

Last class attended

Eligibilty Status

Details of Transfer Certificate: TC Number

Date of Issue

Name of the school last attended

Address of the School last attended

Board of Affiliation

U-DISE+ Code/ Number

Is your child identified with special needs (CWSN) *

Parents Details

Father's Qualification *

Mother's Qualification *

Parent's Occupation *

Name of Establishment

Employee Code (If employed with JSP & Allied Company)

Annual Income - INR *

Legal Guardian's Details

(Only if Father & Mother are not alive/stay out of station)

Name of the legal guardian

Relation with Father/Mother

Contact Number

Address Line1

Address Line2

Address Line3

District

State

Pin Code

Details of Siblings (Only Real Brother/Sister details to be furnished)

#	Name	Relation	Age (Yrs.)	Date of Birth	Class	School Name
1
2
3

Declaration

I solemnly declare that all the information furnished by me in this application is true to the best of my knowledge and belief.
I will abide by all the existing/modified guidelines, instructions, rules and regulations of the school (mentioned in the School Almanac & various parental circulars) and assure that the same will be adhered by my ward, too. I will extend full co-operation in all regards.
If I wish to stop availing the School Bus Facility for my ward, I will give one month's notice or will pay one month's bus fee, in lieu of it. Adequate reasons, thereof, will be made to such withdrawals.
I accept that, the decision of the Principal with regard to the discipline of my ward shall be final and binding on me and my ward.
I, hereby ensure that, in case my ward is found to be suffering from any contagious / constitutional / hereditary disease or infirmity, I will immediately bring it to the notice of the authority of the school.
I will ensure that he/she is regular in studies, in attending all the activities organized by the school and the payment of fees and dues are made on time. I undertake full responsibility for the payment of fees on account of my ward.
Under any circumstances, I will not approach the authority of the school for any change in the schedule pertaining to examination, curricular activities.
I hereby assure that I will not hold the school responsible for any matter due to unforeseen circumstances, if any, occurred during the outdoor and indoor activities.
I hereby authorise the school to document/preserve/ use the pics and videos of my wards taken during different school events for the educational/ promotional purpose. I do not have any objection to the use of such and videos of my wards in school’s social media.
I have gone through the pre-requisite eligibility of admission before filling the registration form and found my child suitable according to age/ class.
I understand: If any information furnished in the Registration Form/Admission Form, is found to be incorrect/misleading, the admission of my ward will be cancelled, even after the admission is granted.

Agree

O P Jindal School
JSP Campus, Patratu (JH)

O P Jindal School