JP Academy

Class Sought for Admission*

Name of the Child*

Mother's Name*

Father's Name*

Email Address*

Date of Birth

Place of Birth

Nationality*

Religion

Gender

Male

Female

Caste

Aadhar Card No.

Mobile Number*

RECORD OF PREVIOUS EDUCATION :

Last Class Passed*

Last School Attended*

Hostel accommodation required :

Yes

Occupation of Father*

Occupation of Mother

Annual Income Rs

Telephone No. (Resi.)*

Full Postal Address of Parent with Telephone No. (Residence)*

Permanent Home Address

Upload Photograph

Registration Form