Jagannath Vidyalaya Matriculation School

ONLINE APPLICATION / REGISTRATION

Student Details
Student Name: *
Gender : *	MALE FEMALE
DOB(dd/mm/yyyy) : *
Community : *	GEN BC BCM MBC DNC SC ST
Nationality : *
2nd Language :
Registration Class
Stream (Admission opted for ) :
How did you know about :
JAGANNATH VIDYALAYA ? :
Communication Address
Address : *
City : *
State : *
Pincode : *
Landline No. :
School Presently Studying Details
Studying School :
Address :
City :
State :
Pincode :
Contact Details
Parent Type : *
Contact Name : *
Contact Mobile No. : *
Contact Email ID : *
Parents Details
Father's Name :
Father's Qualification :
Father's Occupation :
Father's Mobile Number :
Father's Email ID :
Mother's Name :
Mother's Qualification :
Mother's Occupation :
Mother's Mobile Number :
Mother's Email ID :