Online Admission Form

Siroman Nagar, Dimna Road, Mango, Jamshedpur, Jharkhand 831018

Phone : 0657 236 1782
Class *
First Name *First Name of the Pupil
Last Name *Last Name of the Pupil
Date of Birth *Date of Birth
Gender *
Nationality *
Caste *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
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Mobile *
Email *Please enter your Email Id for future correspondence.

Full Name of Father (Mr.) *

Full Name of Mother (Mrs.) *

Monthly Income

Name of the Organisation with Address

Designation

Full Name of Guardian (Mr./Ms.) If Applicable

Relationship of Guardian with the Pupil

Address of Guardian

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

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DECLARATION FROM THE PARENTS / GUARDIAN *

I hereby certify that I am responsible for my son's / daughter's studies, good conduct and regular attendance and payment of school dues. I also undertake to furnish such report and information regarding him/her as may be called for at any time by the school authorities. I agree to removal of my child's name from the rolls of the school if his/her presence in the school becomes detrimental to other students.'

I declare that the information given here is true