JUSCO SCHOOL KADMA - REGISTRATION

Date of Issue

CHOOSE YOUR STREAM :*

Computer ScienceHindiPhysical Education

HindiPhysical EducationMathematics

FULL NAME OF YOUR CHILD: *

DATE OF BIRTH :*

School Last Attended*

Previous Class Studied*

TC.No & Date:

Board: *

Please Specify Board (If selected Others)*

PLACE OF BIRTH :*

GENDER :*

NATIONALITY*

Others (Nationality)*

CATEGORY*

Except for General Category Supporting Documents are required

RELIGION/COMMUNITY*

Others (Religion)*

MOTHER TONGUE :*

Others (Mother Tongue) :*

BLOOD GROUP :*

Aadhar No :*

Parent's Aadhar No :*

FATHER / GUARDIAN NAME*

EDUCATIONAL QUALIFICATION : *

OCCUPATION & DESIGNATION :*

SPECIFIC DETAILS TO BE MENTIONED :

OCCUPATIONAL ADDRESS :

PHONE NO. :

MOBILE NO. :*

Email ID: (G-mail)*

example@example.com

RESIDENTIAL ADDRESS : *

AREA :

PIN CODE*

PHONE NO. :

PERMANENT ADDRESS : *

FULL NAME OF MOTHER :*

EDUCATIONAL QUALIFICATION OF MOTHER :*

OCCUPATION & DESIGNATION OF MOTHER :

MOBILE NO. OF MOTHER :

TATA STEELJUSCONA

PERSONAL NO. : (TATA)*

M.R No.: (TATA)*

DEPTARTMENT (TATA)*

PERSONAL NO. : (JUSCO)*

M.R No.: (JUSCO)*

DEPARTMENT : (JUSCO)*

YESNO

1. NAME :*

CLASS AND SECTION OF CURRENT YEAR :*

YEAR OF ADMISSION :*

2. NAME :

CLASS AND SECTION OF CURRENT YEAR :

YEAR OF ADMISSION :

3. NAME :

CLASS AND SECTION OF CURRENT YEAR :

YEAR OF ADMISSION :

STATEMENT OF UNDERTAKING BY PARENTS / GUARDIANS

1. I know that fees taken against admission is not refundable under any circumstances.

2. Even if the admission fee is accepted the admission shall remain provisional until all the documents are verified by the school authorities.

3. I hereby certify that the date of birth and spelling of the name of my child given in this form are correct and as per CBSE Class X registration.

4. I understand that rendering false or misleading information will lead to the cancellation of admission at any point of time.

5. I hereby agree by all rules and regulation applicable.

6. Admission in any stream will be confirmed after the Board Results are announced.

7. Stream offered will be provisional and may be changed after within one month of the commencement of the course.

8. Minimum qualifying marks for Science : 75% in English, Mathematics & Science (For JSK students), 80% (For

We declare that the above information is correct and agree to be disqualified if false information has been given. We understand and accept that any external or internal pressure, coercion, influence through recommendations will result in the disqualification of our ward.

Signature of Father/Guardian

__________________________________________________________________

LIST OF DOCUMENTS TO BE SUBMITTED WITH DULY FILLED FORM

1. CERTIFICATE/PROOF IN CASE YOU BELONG TO SC/ST/OBC category

2. Photocopy of Std IX & Std X report cards.

3. Two nos. of Passport size photographs.

4. In case of TATA STEEL / JUSCO employee :

(a) a copy of the first page child's medical book

(b) a copy of gate pass of the parent

5. Adhaar Card photocopy

__________________________________________________________________

LIST OF ATTESTED COPIES OF DOCUMENTS TO BE SUBMITTED AT THE TIME OF ADMISSION

1. Admit card of Secondary Board Exam.

2. Mark sheet of Secondary Board Exam.

3. Migration & T.C. from previous school attended.

_________________________________________________________________

SUBJECT COMBINATIONS:

STREAM	SUBJECT-1	SUBJECT-2	SUBJECT-3	SUBJECT-4	OPTIONAL (Any One)
Pure Science	ENGLISH	PHYSICS	CHEMISTRY	MATHEMATICS	Comp. Sc. / Hindi / Phy. Edu.
Bio Science	ENGLISH	PHYSICS	CHEMISTRY	BIOLOGY	Maths / Hindi / Phy. Edu
Commerce	ENGLISH	ACCOUNTANCY	ECONOMICS	BUSINESS STUDIES	Hindi / Phy. Edu./Maths

Special Combination shall be allowed for deserving candidates only after proper Interview & Test

___________________________________________________________________

SPECIAL REMARKS/COMMENTS

PRINCIPAL

______________________________________________________________

DOCUMENTS: (MAXIMUM SIZE OF DOCUMENTS (ONLY IN JPG FORMAT) TO BE UPLOADED IS 200 KB)

SC/ST/OBC Certificate :

if applicable

Parent’s Aadhar Card :*

Child Aadhar Card (if available). :*

Child Photo*

PASSPORT SIZE PHOTO

Report Card of Std-IX (Final Term)*

Report Card of Std-X (Term-I)*

Birth Certificate*

Date

SCHOOL EMAIL

example@example.com

APPLICATION FORM CLASS-XI 2023-2024

SELECTED TATA STEEL EMPLOYEE PROVIDE

SELECTED JUSCO EMPLOYEE PROVIDE