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 NameLast Name
NATIONALITY*
EMIS NO
AADHAR NO*
Birth Date *

MonthDayYear
Gender*
FATHER'S NAME*

First NameLast 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?*

YesNo
If yes, which year?
Current Residence Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*

Area CodePhone Number
MOTHER'S Cell Number*

Area CodePhone Number
FATHER'S Cell Number*

Area CodePhone 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

CityState / Province

Postal / Zip Code

Emergency Contact 1
Name*

First NameLast Name
Mobile Number

Area CodePhone Number
Emergency Contact 2
Name

First NameLast Name
MOBILE NUMBER

Area CodePhone 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*

HINDITAMIL
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

ORIGINALS WILL BE COLLECTED LATER AT TIME OF SCHOOL REOPENING , ANY QUERIES CONTACT 7338939363 OR EMAIL: info@gkjainschools.org
Cancelof
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