Pt. A. K. Jain Memorial School
Isri Bazar, Dumri, Jharkhand 825167
Contact Nos.: 9934360388
Application form for Admission
Admission Sought For *
Play
Nursery
L.K.G
U.K.G.
1
2
3
4
5
6
7
8
9
10
Pupil’s Name *
Surname
Gender *
Male
Female
O+
A+
B+
AB+
O-
A-
B-
AB-
Date of Birth *
Category *
GENERAL
OBC
SC
ST
Religion *
Select Religion
Hinduism
Islam
Christianity
Sikhism
Buddhism
Jainism
Zoroastrianism
Others
Mother Tongue *
Aadhar No
Mobile No *
WhatsApp No
Email ID
Father's Details
Father's Name *
Mobile No
Profession
Income per month
Organisation's Name
Organisation's Address
Mother's Details
Mother's Name *
Mobile No
Profession
Income per month
Organisation's Name
Organisation's Address
No of Children
Boys
Girls
Address
Address *
Town / Village
District
State
Land Mark
School attended before joining Pt. A. K. Jain Memorial School
Name of the Institution
Location
Class attended
Pupil has brother / sisters in Pt. A. K. Jain Memorial School
Name
Year
In Class
Second Language
Hindi
English
Upload Documents
Student Photo *
Birth Certificate *
Aadhar Card
Cast Certificate
TC Certificate
I do hereby declare that the information given above is true and correct and the documents furnished along with the form are genuine to the best of my knowledge and belief. In case any of the documents is subsequently detected to be fake or false, I understand that my application stands cancelled. I promise to abide by the admission procedure of the school.
