G.K . JAIN SCHOOLS REGISTRATION FORM

G.K.JAIN SCHOOLS ADMISSIONS REGISTRATION FORM

A GREAT PLACE FOR CHILD'S EARLY EDUCATION
A JAIN MINORITY INSTITUTION

(UNIT OF SHREE JAIN SIKSHAN SANGH)

#180, M.S.KOIL STREET, ROYAPURAM, CHENNAI 600013

PHONE :(044)-25952713, 45506342,43584422

MOBILE : 7338939363

www.gkjainschools.org
PLEASE UPLOAD YOUR COPY OF

1) BIRTH CERTIFICATE

2) COPY OF AADHAR CARD

3) COPY OF TC

4)MIGRATION CERTIFICATE (IF STUDENT BELONGS TO OTHER STATE)

5)ADDRESS PROOF

6)COMMUNITY CERTIFICATE

at the lasst page of application
Student Information
STUDENTS PHOTO (take pic using your phone camera and upload) *
Name *

First Name Last Name
NATIONALITY *
EMIS NO
AADHAR NO *
Birth Date *

Month Day Year
Gender *
FATHER'S NAME *

First Name Last Name
FATHER'S OCCUPATION *
MOTHER'S NAME *
MOTHER'S OCCUPATION *
MOTHER TONGUE *
RELIGION *
Email Address *
CLASS *
ANY SIBLINGS STUDYING IN THE SCHOOL
NAME AND CLASS OF THOSE SIBLINGS
Have you previously applied to or attended this school? *

Yes No
If yes, which year?
Current Residence Information
Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Home Phone Number *

Area Code Phone Number
MOTHER'S Cell Number *

Area Code Phone Number
FATHER'S Cell Number *

Area Code Phone Number
PERMANENT ADDRESS
Address *

Street Address

Street Address Line 2

City

Zip Code
Parent/Guardian Residence Information (if different from above)
NAME

Street Address

Street Address Line 2

City

Postal / Zip Code

Emergency Contact 1
Name *

First Name Last Name
Mobile Number

Area Code Phone Number
Emergency Contact 2
Name

First Name Last Name
MOBILE NUMBER

Area Code Phone Number
Medical Information
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.

GROUPS OFFERED

(to be filled up only by +1 applicants)

Part I: Language – Hindi/Tamil

Part II: English

Options under part III:

General stream:

Group I: Mathematics, Physics, Chemistry and Computer Science

Group II: Mathematics, Physics, Chemistry and Biology

Group III: Accountancy, Commerce, Economics and Computer Application

Group IV: Accountancy, Commerce, Economics and Business Mathematics
PART I LANGUAGE *

HINDI TAMIL
Select Your Group

GROUP 1(SCIENCE WITH COMPUTER SCIENCE) GROUP 2 ( SCIENCE WITH BIOLOGY) GROUP 3 (ACCOUNTS WITH COMPUTER APPLICATIONS) GROUP 4 (ACCOUNTS WITH BUSINESS MATHS)
NAME OF BOARD THROUGH WHICH PASSED (CBSE , STATE BOARD)
MARKS OBTAINED IN X Class
SCHOOL NAME
Notes
XEROX COPIES OF ALL CERTIFICATES , TC, MARK SHEETS,COMMUNITY CERTIFICATE ANY OTHER DOCUMENTS IN JPG FORMAT OR IN PDF

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ORIGINALS WILL BE COLLECTED LATER AT TIME OF SCHOOL REOPENING , ANY QUERIES CONTACT 7338939363 OR EMAIL: info@gkjainschools.org
Cancel of
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Thank you.

NOTE :

Being a jain institution , No Non-Vegetarian food including Egg is allowed inside premises
Signature of Parent (use your touch phone screen to sign)

Clear
Should be Empty:

G.K.JAIN SCHOOLS ADMISSIONS REGISTRATION FORM