S. D. JAIN MODERN SCHOOL
A Trusted name in the field of Education
STUDENT REGISTRATION FORM (2024-25)
Note: All ‘
*
‘ marked fields are mandatory. Please mention ‘
NA
‘ if not applicable.
Nr. Vesu Char Rasta, Udhna Magdalla Road, Surat
Accounts Office: 0261-3530304
Main Wing Reception: 0261-3530300/13
Email Id:
[email protected]
registration form
Sibling Detail (only real brother / sister currently studying in this school)
Sibling :
Tick this only if candidate’s real brother and sister is studying in S. D. Jain Modern School.
Admission No. (1st) :
Sibling Name (1st):
Sibling Class (1st) :
Admission No. (2nd) :
Sibling Name (2nd):
Sibling Class (2nd) :
Student Information
Student's Date of Birth : (DD-MM-YYYY)
*
Stream Option No:
*
Click here to refer the Stream Combination.
Class Applied for:
*
Select Class
Candidate's Aadhar No :
*
First Name :
*
Middle Name :
*
Last Name :
*
Gender:
*
Select Gender
Boy
Girl
Place of Birth :
*
Nationality :
*
Present School Name :
*
Present Class :
*
Any medical condition requiring School's special attention :
*
Address Information:
Email (for communication):
*
Mobile No.(for communication):
*
Address :
*
City :
*
State :
*
Pincode :
*
Country :
*
Landline No:
Father's Information
First Name :
*
Middle Name :
*
Last Name :
Date of Birth :(DD-MM-YYYY)
*
Mobile No.:
*
Email ID :
*
Qualification :
*
Select Qualification
10TH
12TH
DIPLOMA
GRADUATE
POST GRADUATE
Specialization :
*
Occupation :
Select Qualification
BUSINESS
CHARTERED ACCOUNTANT
DOCTOR
ENGINEER
LAWYER
ARCHITECH
LECTURER/PROFESSOR/TEACHER
SELF EMPLOYED
SERVISE
Designation :
*
Organization :
*
Office Address :
*
Mother's Information
First Name :
*
Middle Name :
Last Name :
*
Date of Birth :(DD-MM-YYYY)
*
Mobile No.:
*
Email ID :
Qualification :
*
Select Qualification
10TH
Specialization :
Occupation :
Select Qualification
BUSINESS
Designation :
Organization :
Office Address :
Additional Information
Bus Stop No. :
*
Click here to check Bus Stops/Van Stops details.
Bus Stop Name :
Disclaimer
I/We understand that if any of the above information is found to be incorrect or false, my/our ward shall be automatically debarred from the selection / admission process without any correspondence in this regard. I/we also understand that the application / registration / shortlisting does not guarantee admission to my ward. I/We accept the process of admission undertaken by the school and I/we undertake to abide by the decision taken by the school authorities. I have read all guidelines and information provided on the school website and promise to abide by the rules formulated and modified by the school from time to time. I also understand and agree that in all matters pertaining to admission, the decision of the school authorities will be final and binding. It is mandatory to read the Terms and Conditions for Online Payment of Registration Fee before proceeding to make payment. Clicking on "Agree" will imply your acceptance of these Terms and Conditions.
Please verify Class applied, Date of Birth and Names of Candidate and Parents before proceeding for Payments.
Agree
Disagree
Submit
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