Admission Category : GeneralThis application is for Standard *STUDENT INFORMATION (PART-I)(As per Bonafide / Leaving Certificate / Birth Certificate)First Name *Middle NameLast Name *Date of Birth *STUDENT UID No. / Aadhaar No. *Gender *MaleFemaleNationality *Religion *Caste / Sub Caste *Mother Tongue *Do you belong to Religious/Linguistic Minority *YesNoIf yes provide valid certificateUpload fileChoose FileNo file chosenDelete uploaded fileADDRESS & COMMUNICATION DETAILSStreet Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweChild is staying *With Parents in Parent's owned HouseWith Parents in Rented HouseUnder Guardianship with Relatives / NGO / CaretakerFamily InformationPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *Mobile No. *with country codeP. Email Address *Qualification *Occupation *Name of CompanyDesignationAddress of Business / CompanyCTCPAN No.Aadhar No. *PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *Mobile No. *with country codeP. Email Address *Qualification *Occupation *Name of CompanyDesignationAddress of Business / CompanyCTCPAN No.Aadhar No. *Is any of the/both the parent(s) *YesNoUpload valid certificate *Choose FileNo file chosenDelete uploaded fileAre the parents separated? *YesNoi) Who has the legal custody of the child? *MotherFatherii) The school information / SMS / e-Mail must not be sent to the *MotherFatherKindly upload copies of documents as mentioned in support of the separation of parents and custody of the child. *Choose FileNo file chosenDelete uploaded filePrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *Relationship with Child *Mobile Number *Email Address *Qualifaction *Occupation *DesignationName of CompanyAddress of Business / CompanyCTCPAN No.Aadhar Number *Note: This Guardian is also a *Custodian GuardianLegal GuardianNot ApplicableStudent's Photograph *Choose FileNo file chosenDelete uploaded fileParent's Photograph *Choose FileNo file chosenDelete uploaded fileMother's Photograph *Choose FileNo file chosenDelete uploaded fileGuardian's Photograph *Choose FileNo file chosenDelete uploaded fileLAST SCHOOL ATTENDEDSchool NameAddress Line 1Address Line 2CityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweTelephone / Contact NumberGR No.Details of Siblings (if any)Do you have a son/ daughter attending Jawahar Vidyalaya High School? *YesNoName (Sibling 1)GenderMaleFemaleDateSchool NameGR No.GradeBoardEnrolment No. (for Jawahar Vidalaya)Name (Sibling 2)GenderMaleFemaleDateSchool NameGR No.GradeBoardEnrolment No. (for Jawahar Vidalaya)Name (Sibling 3)GenderMaleFemaleDateSchool NameGR No.GradeBoardEnrolment No. (for Jawahar Vidalaya)Emergency Contact DetailsIf Parent is not immediately available, contact:Friend/Relative's Name *Phone *Friend/Relative's Name *Phone *Name of DoctorLandline *Phone *CommunicationPoint of contact in the order of preferenceMobile (put 1,2,3 in the preference order)Mother *Father *Guardian *Email (put 1,2,3 in the preference order)Mother *Father *Guardian *RefundIn tghe event of refund, cheque to be made in favour of:MotherFatherGuardian(please select the appropriate option)To, The Trustee/Principal, We request you to kindly consider our application for admission of our son/daughter to the above mentioned grade in your school. We submit herewith all the necessary details.Date *Upload Signature of Father/Guardian *Choose FileNo file chosenDelete uploaded fileUpload Signature of Mother/Guardian *Choose FileNo file chosenDelete uploaded fileApply