Jayshree Periwal High School

Admission Form

* Kindly upload the scanned copy of Documents of Student applying for admission up to 10mb.
* Please keep these documents ready before starting the process to fill out the admission form *Birth Certificate, *Passport size photograph, *Marksheet(Previous class),Transfer Certificate, Aadhar card (Student), Caste Certificate (If Applicable)
* After submitting the form Kindly wait till you receive the message on your computer screen," Your Response is Recorded"
* This admission form is required to be filled up only once.
* All the contact details and Email IDs will be used for future communications.
* In case there is a change in any information provided by you at the time of admission, it is your responsibility to share the same via email ([email protected]) so that it is updated in official records.

Student Details

Select Session Year :

Applying for Grade* :

Stream :

First Name* :

Middle Name :

Last Name :

DOB* (DD/MM/YYYY) :

Gender* :

Email (Student) :

Place of Birth :

Blood Group* :

Nationality :

Aadhar Card No. (Student) :

Category * :

Contact Number (Student) :

Specific Ailment/Allergies :

Whether the candidate is Single Girl Child *:

Residential Address

House No. & Street* :

Pincode* :

City :

State :

Country :

Parent Details ( If single parent kindly click NA for one of the parents )

Father Details ( NA )

Father Name* :

Qualification* :

Year Of Birth* (YYYY) :

Blood Group *:

Occupation* :

Designation :

Name of Organization :

Annual Income :

Email *:

Mobile Number* :

Office Mobile :

Official Address :

Residential Address* :

Address Same as the Above

Mother Details ( NA )

Mother Name* :

Qualification* :

Year Of Birth* (YYYY) :

Blood Group *:

Occupation* :

Designation :

Name of Organization :

Annual Income :

Email *:

Mobile Number* :

Office Mobile :

Official Address :

Residential Address* :

Address Same as the Above

Contact No (In case of Emergency)

Contact No (In case of Emergency)* :

Local Guardian Details (To be filled in case father/mother is not the guardian)

Full Name :

Qualification :

Occupation :

Designation :

Relation with the candidate :

Email :

Residential Address :

Official Address (for correspondence) :

Mobile Number :

Office Mobile :

Proficiency Record

Academic Achievement(Olympiad, NTSE, KVPY etc) :

Sports & Games Achievement(District/State/National/Int) :

Co Curricular Activities :

Last School Attended & Achievements

Transfer From Sister Concern* :

Name of the School* :

Name of the City :

Previous Class* :

Overall percentage in the previous Grade* :

Examination Board of Previous School* :

Reason for withdrawal from the previous school

Details of Brother(s) / Sister(s)

Voluntary Services

Please indicate in the space below if you will be able to make any special contribution to JPHS, such as substitute teaching, classroom volunteer, room parent, field trip chaperone, library assistance, tutoring specialized teaching (art, music, dance drama), coaching sports, guest lectures related to your area of interest We are keen to use talents and resources that are available in the community and can enrich our school programme. Thank you.

Mode of Transport

Interested in Availing Transport facility?*

Yes

No

Boarding Facility

Would you be availing Boarding Facility ?*

Yes

No

Please upload the self attested copies of the following documents.

The one with Asterisk is mandatory

Birth Certificate* :

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Birth Certificate

(Please Upload the File Below 10 mb)

Passport Size photograph (Recent & coloured)* :

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Upload Student Photo

(Please Upload the File Below 10 mb)

Marksheet (Previous grade)* :

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Marksheet (Previous grade)

(Please Upload the File Below 10 mb)

Transfer Certificate (Original to be submitted in a hard copy at the school office) :

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Transfer Certificate

(Please Upload the File Below 10 mb)

Aadhar Card :

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Aadhar Card

(Please Upload the File Below 10 mb)

Caste Certificate :

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Caste Certificate

(Please Upload the File Below 10 mb)

Father Aadhar Card

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Aadhar Card

(Please Upload the File Below 10 mb)

Mother Aadhar Card

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Aadhar Card

(Please Upload the File Below 10 mb)

Father Signature *:

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Father Signature

(Please Upload the File Below 10 mb)

Mother Signature *:

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Mother Signature

(Please Upload the File Below 10 mb)

How did you hear about us?

Parents Kindly Note

1.  The filling of the Registration Cum Admission Form does not guarantee a seat in the school. The admission of my ward will be granted on the basis of availability of seats, his/her academic progress, written exam, interaction, and also if the applicant fulfills the overall criteria for admission as per the School norms.
2.  The admission given to your child shall remain provisional in nature till such time the authenticity of the documents furnished by you is determined by Jayshree Periwal High School. In case any of the documents submitted by you are proven to be false, fabricated, and obtained by any fraudulent means, the admission granted to your child shall stand canceled.
3.  The required documents must be furnished by you to the school within seven days from the date of submission of the admission form failing which the admission shall stand canceled.
4.  The amount once paid as tuition fee is NON-REFUNDABLE & NON-TRANSFERABLE. Only Caution Money can be claimed on producing the Original receipt of the fee paid at the time of admission. Caution Money cannot be claimed after six months of the child leaving school.
5.  Payment of tuition fee made after the expiry of “Pay by Date” shall attract Late Fee Payment @ Rs. 50/- per day.
6.  The tuition fee payable to the school, as informed to the parents, is commensurate with its facilities, faculty, and infrastructure.
7.  The school retains the right to determine the fee slabs and the fee payment structure.
8.  The responsibility for the financial commitment that you have made lies with you only.
9.   Mobile phones, iPods, expensive gadgets, valuables, etc. are not permitted in the school premises. School is not responsible for their loss, it will be confiscated and if found with the students, will not be returned.
10.   In case your ward goes for an Inter School Activity/ Workshop/Competition/Field Trips/Sports Meet. The parent shall not have any concerns in sending him/her for the same.
11.  You will be required to maintain dignity and decorum while interacting with the school authorities/Director/Principal/Coordinator/Class Teacher and any other staff of the school.
12.  Discipline plays a very important role in one’s life hence the school would take some measures to enforce discipline. You shall abide by the school management’s decision and action regarding the matters pertaining to disciplinary matters.
13.  You will refrain from making derogatory remarks/ statements against Management/ Administration, Principal, and staff of the school.
1.  The school shall not be responsible for:
(a)   A deliberate or intentional act done by the student that results in injury or is fatal.
(b)   The student bunking the school and thereafter watching movies, joining, associating, or mixing with antisocial elements,drug traffickers and thereby invoking the provision of I.P.C and Cr. P.C.
(c)   The student, if out of despair and disgust, injures or tries to injure him/her-self.
(d)   Any mishap that may be due to a natural disaster or a human-made accident on a picnic, an outing, an educational tour, a sightseeing trip, or other similar activities.
(e)   The children while running, playing, commuting, or going on excursions and field trips may get physically injured or hurt over which the school may not have control and for that, the school will not be liable.
(f)   Any injury caused to the student while playing, running, or engaging with peers and any activity due to the act of nature or otherwise during the normal course of his/her studying or attending the school.
    Note:
1.   The school does not sell books, stationery, uniforms, accessories, etc, and does not compel students to buy from any particular vendor.
2.   In the case of children commuting by parents' vehicle/ private vehicle, the parents have to ensure that the police verification of the driver has been done.
    Declaration:
1.   I hereby declare that the information given by me in this admission form is true and correct to the best of my knowledge and belief.
2.   Having read the rules, regulations, and procedures laid down by the school carefully, I am desirous of having my child educated at Jayshree Periwal High School, Jaipur. I hereby agree to abide by the School’s code of conduct.
3.   We have made satisfactory arrangements for the remittance of school fees within due dates without waiting for a reminder from the school.
4.   It is understood that you have read the rules and admission criteria if you will fill out this admission form for seeking admission to your ward.
5.   I understand that only after the payment of Rs. 2000/- (non-refundable) as the Registration form fee my application will be processed further.
  I agree*
READY FOR ANYTHING