Seth Anandram Jaipuria school Ghaziabad

Sector-14-C, Vasundhara, Ghaziabad - 201012
Reach Us: +91 120-4179300/323/328
Please mail us at : ghaziabad@jaipuria.edu.in
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ADMISSION FORM

Session :-
Instructions
  • Submit the duly filled form complete in all aspects.
  • Incomplete forms are liable to be rejected without any intimation.
  • No form will be accepted without proper documents.
  • Both Parents must accompany the child for interaction with the Principal.
To be filled in BLOCK LETTERS only.
Student Details
Full name of the student :
Class in which admission is sought:
Gender Date Of Birth (DD/MM/YY) Age Blood Group of the child
Mother Tongue Nationality School Transport Required
Type of Family
Religion:
Do you belong to Gen/SC/ST/OBC:   
Other Information
Name and Address of the last School attended:
Parent Details
Single parent option
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Recent Passport size
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Mother
Affix Father's
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Father
Full Name
Nationality
Educational Qualifications
Occupation
Name of Organization (Pvt./Govt.)
Designation
Office Address with Contact No
Present Address
Permanent Address
Mobile No
Email Id
Annual Income (₹)
Signatures
Details of Sibling(s) studying in Seth Anandram Jaipuria school Ghaziabad / Other School
Sibling
Studying in
Name 1 2
Class & Section
Date Of Birth
Name Of Other School

1) How did you come to know about Seth Anandram Jaipuria school Ghaziabad?

2) Has your child ever been identified with a learning disability or shown signs of social,physical, emotional or behavioural difficulties? If yes, please tick the appropriate box and attach a medical certificate for same.

(a) Autism (c) Visual impairment (e) Any Other
(b) Dyslexia (d) Physical disability (e) NA
Any other, please specify
Note: The Management reserves the right to grant, withdraw or amend the above at any point of time.

List of documents to be submitted:

S.No. Document Checklist Yes No Upload Document
1 A copy of Child's Birth Certificate
2 Progress Report of the last class attended

Undertaking by the Parent(s)/ Guardian(s)

  • I declare that the information furnished by me in the form is correct and to the best of my knowledge.
  • I understand and accept that revision of fee will be undertaken on yearly basis as per School norms.
  • I shall abide by the fee deposit rules of the School.
  • I shall abide by the School processes and amendments.

Signature of Father/Mother

20-08-2022

Date

Payment Details

Rs. 0