Seth Anandram Jaipuria School Kanpur
70, Cantonment, Kanpur
Reach Us: +91-512-7131718 , +91-512-7131740
Please mail us at : kanpur@jaipuria.edu.in
ONLINE ADMISSION FORM
Student information
Student Name
*
Gender
*
Male
Female
Date of birth
*
Nationality
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Present address
*
Permanent address
(Same as present address)
Current school
Current class
Seeking admission for year
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for grade
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Blood Group
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Religion
*
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Hindu
Muslim
Sikh
Jain
Christian
Category
*
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SC
ST
GEN
OBC
Adhaar card no. of the student
*
School Transport
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Yes
No
Family information
Mother’s Name
*
Mobile
Email
Present address
Permanent address
(Same as present address)
Occupation
Name of organization/employer
Business/office address
Father’s Name
*
Mobile
*
Email
*
Present address
Permanent address
(Same as present address)
Occupation
Name of organization/employer
Business/office address
Marital status of parents
--Select--
Married
Unmarried
Divorced
If divorced, custody status
Who is the primary guardian
Other
Father
Mother
Parent/Guardian Information (fill if primary guardian is not mother or father)
Name
Relationship to child
Mobile
Email
Present address
Permanent address
(Same as present address)
Occupation
Name of organization/employer
Business/office address
Sibling Details
Brother/ Sister 1. Name
Age
School attending/attended
Brother/ Sister 2. Name
Age
School attending/attended
Payment Details
Admission Form Fee
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