Jayshree Periwal Pre School - C-SCHEME

Admission Form

Child's Details

Select Session Year :

Applying for Grade* :

First Name* :

Middle Name :

Last Name :

DOB* (DD/MM/YYYY) :

Aadhar Card No. :

Email. :

Place of Birth :

Religion :

Mother Tongue :

Nationality :

Languages Spoken :

Admission Date:

Gender* :

Child's Health detail

Height :

Weight :

Blood Group :

Residential Address

House No. & Street* :

City :

State :

Country :

Pincode :

Home Telephone :

Child's passport / Visa details

Passport Number:

Visa Number :

Place of Issue:

Date of Expiry :

Father Details

Full Name* :

Mobile Number* :

Email* :

Qualification :

Occupation :

Landline number :

Aadhar/Valid ID Proof :

Name of Organization :

Designation :

What'sapp Number :

Mother Details

Full Name* :

Mobile Number* :

Email* :

Qualification :

Mother - Occupation :

Landline number :

Aadhar/Valid ID Proof :

Name of Organization :

Designation :

What'sapp Number :

Guardian Details

Full Name* :

Mobile Number* :

Email* :

Qualification :

Occupation :

Aadhar/Valid ID Proof :

Name of Organization :

Designation :

Relation with the candidate :

Local Address :

Emergency Contact Detail

Person Name* :

Contact* :

Email* :

Relationship* :

Address :

Details of Brother(s) / Sister(s)

Name :

Class :

School :

Name :

Class :

School :

Last School Attended & Achievements

Previous School Name :

City / Country :

Previous Class :

Previous Board of Edu. :

Proficiency Record

Performing & Fine Arts :

Academic Achievements :

Position Held (if any) :

Recommended by parent /Student /Other : Name

Students you know who have attended JPIS :

Reasons for withdrawal from last school

Reasons for joining JPIS :

Please indicate in the space below if you may be able to make any special contribution to JPIS, such as substitute teaching, classroom volunteer, room parent, field trip chaperone, library assistance, tutoring, specialized teaching (art, music,dance, drama), coaching sports, talks to classes describing some aspect of your work or hobbies.We are keen to use talents and resources that are available in the community and that can enrich our school programe.Thank you. :

Please upload the self attested copies of the following documents.

The one with Asterisk is mandatory

Birth Certificate* :

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Birth Certificate

Passport Size photograph (Recent & coloured) :

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Upload Student Image

Report Card (If Applicable) :

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Report Card (Previous grade)

Transfer Certificate (If Applicable) :

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Transfer Certificate

Student Aadhar Card :

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Aadhar Card

Father Aadhar Card* :

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Aadhar Card

Mother Aadhar Card* :

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Aadhar Card

How did you hear about us?

Terms & Conditions
  I agree* 1.  I/We understand and agree that registration of my child does not guarantee her/his admission in the school and that registration fee or any other fee is neither transferable nor refundable. The Transfer Certificate has to be attached in original. Re-registration is not allowed. Admissoin on this registration form is not valid if the fee is not paid with in 7 days of the finaliztion of admission.
2.   I also
(a)   Certify that I am the bonafide parent of the child.
(b)   Hereby certify that the date of birth and spellings of the name of my child given in this form are correct to the best of my knowledge and I shall not make any request for changes in either.
(c)   Understand that till the Birth Certificate and Transfer Certificate of the child is not deposited, his/her admission will be deemed provisional.
(d)   Understand that once admitted, the child will not be entitled to refund of fee deposited, except caution money, irrespective of when the child was admitted, in case I / we wish to withdraw him/her.
  I agree* (e)   Understand that the admission fee of is non refundable and that registration does not guarantee admission. Admission is given only when a suitable vacancy exists and the child fulfills all the criteria of admission as per the school norms.
(f)   Have made satisfactory arrangements for remittance of school fees within due dates without waiting for a reminder from the school. I will pay the school fee through crossed cheques/cash in favour of the Jayshree Periwal Pre School as per rules.
(g)   Certify that in case I do not claim the Caution Money paid by me for a period of six months after my ward leaves school / hostel, my right over the refund of this amount will stand forfeited. The caution money will refunded only after original receipt of the same in produced.
(h)   Understand that rendering false or misleading information or withholding correct information may disqualify the child for admission to this school.
(i)   Having read carefully the rules, regulations and procedures laid down in the School Prospectus, we are desirous of having our child/ward educated in Jayshree Periwal International School, Jaipur. I hereby agree to abide by them in all respects. I understand that the decision of the management of the school shall be final and binding upon me/us.
3.   I do understand that
(a)   The New Academic Year begins in April each year
(b)   The Composite Fee does not include Uniforms, text books, annual camps, additional subject support/individual activity, tuition (if applicable), off campus sports/ activities.
(c)   Payments arriving after expiry of Pay By Date shall attract Late Fee Payment @ Rs. 50/- per day.
(d)   Though the Fee is denominated in INR, Parents falling under the NRI Fee Category need to pay the same in equivalent foreign currency based on the exchange rate in force at the time of payment.
  I agree* (e)   I understand that children while running, playing commuting or going on excursions and trips may get physically injured/hurt over which the school may not have control and for that the school will not be liable for such incidents. The school will not be responsible for the child beyond the exit gates.
(f)   I understand that the school is a place where discipline is very important and the school has to take some measures to enforce discipline. We shall abide by the decision and action of the school in the matters pertaining to discipline.
(g)   It is understood that tuition fee of the School is payable quarterly and not monthly. As such, if my ward attends school for a single day in a quarter (April, July, October and January), the fee for the entire quarter will be charged.
(h)   The fee structure may change yearly as per the decision of the School Management Committee.
(i)   The school retains the right to determine the fee slabs and the fee payment structure.
(j)   I understand that Mobile phones, I Pods, expensive gadgets, valuables etc. are NOT PERMITTED. School is not responsible for their loss and if found with the students, will be confiscated & not returned.
(k)   Any fee changes will occur from April month every year.
4.   The school shall not be responsible for
(a)   A deliberate or intentional act done by the student which results in death or injury.
(b)   Any injury to the student on account of accident or mishap on account of any kind of rash and negligent act including driving of motor vehicle by himself or vehicle carrying him/her and driven by some one else.
(c)   Any injury caused to the student while playing, running, and engaged with peers and any activity or due to the act of nature or otherwise during normal course of his/her studying or attending the school.
  I agree* (d)   The student bunking from the school and thereafter watching movie, joining, associating or mixing with antisocial elements, drug traffickers and thereby invoking the provision of I.P.C and Cr. P.C.
(e)   If the student, out of despair and disgust, injures or tries to injure him/her-self.
(f)   Any natural or manmade mishap or untoward happening takes place during picnic, outing, educational tours travels, sightseeing, school functions and alike.
(g)   Sustaining injury or loss of life and property on account of acts of indiscipline or quarrel amongst students inside and outside the school.
(h)   Any secret meeting with the student by divorced spouse, in the school premises or outside while enroute to /from school.
5.   We Shall
(a)   Maintain dignity and decorum while interacting with the principal/ class teacher/ subject teacher and any other staff.
  I agree* (b)   Not make derogatory remarks/ statements against Management / Administration, Principal and staff of the school.
(c)   I am aware that my ward might be going for Inter School Activity/ Workshops/Competition/Field Trips/Sports Meet. I hereby readily agree that I shall not have any problem in sending him for the same.
6.   We here by put my signatures to confirm the above declarations
  I agree* (a)   Parents should declare health, physical, physiological, learning concerns of their child along with certificates, prescription, instruction, etc.
(b)   In case of children commuting by parents vehicle / private vehicle, the parents have to ensure that the police verification of the driver has been done.
7.   (a) I hereby acknowledge & confirm that i have carefully read & understand the free structure.
(b)   The fee of the school as notified to us is commensurate with the infrastructure, faculty & facilities available in the school.
  I agree* (c)   The fee structure may change yearly as per the decision of the school management committee.
(d)   The school retains the right to determine the fee slabs & fee payment structure.
(c)   I take full responsibility of the financial commitment I am entering into.
  I agree* 8.   I understand that only after the payment of Rs. 2000/- as the Registration Fee my application will be processed further.