Jayshree Periwal High School

Registration Cum Admission Form

* Before beginning the admission process, please ensure that you have scanned copies of all the following documents ready for upload (maximum file size: 10 MB per document).
1) Passport size photograph 2) Birth Certificate 3) Marksheet (Previous class, Last exam taken)
4) Transfer Certificate 5) Aadhar card (Student) 6) 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) :

PEN (Permanent Education Number)* :

Place of Birth :

Blood Group* :

Nationality :

Aadhar Card No. (Student)* :

Category * :

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 )

Preferred mode of contact:

Father Name* :

Qualification* :

Year Of Birth* (YYYY) :

Blood Group *:

Occupation* :

Designation* :

Name of Organization :

Annual Income* :

Email *:

Mobile Number (WhatsApp)* :

Office Number :

Official Address :

Residential Address* :

Address Same as the Above

Mother Details ( NA )

Preferred mode of contact:

Mother Name* :

Qualification* :

Year Of Birth* (YYYY) :

Blood Group *:

Occupation* :

Designation* :

Name of Organization :

Annual Income* :

Email *:

Mobile Number (WhatsApp)* :

Office Number :

Official Address :

Residential Address* :

Address Same as the Above

Emergency Contact Details

Person Name* :

Contact No.* :

Email :

Relationship with Child :

Address :

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 Number :

Proficiency Record

Academic Achievement(Olympiad, NTSE,IOQM,NMTC etc OTHER EXTERNAL EXAMS) :

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

Co Curricular Activities :

Details of Last School Attended

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 (Would you be willing to offer your voluntary services to JPHS?)

Select Yes / No :

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

Passport Size photograph (Recent & coloured)* :

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Upload Student Photo

(Please Upload the File Below 10 mb)

Birth Certificate* :

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Birth Certificate

(Please Upload the File Below 10 mb)

Marksheet (Previous Grade or Last Exam Taken)* :

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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 before joining the school) :

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Transfer Certificate

(Please Upload the File Below 10 mb)

Aadhar Card*

(Please Merge Front and Back Aadhar Card in Single PDF) *
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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

(Please Merge Front and Back Aadhar Card in Single PDF)
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Aadhar Card

(Please Upload the File Below 10 mb)

Mother Aadhar Card

(Please Merge Front and Back Aadhar Card in Single PDF)
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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

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1.  The filling of the Registration Cum Admission Form does not guarantee a seat in the school. The admission of the 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 documents furnished by you is authenticated 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 within fifteen working days from the date of submission of the admission form failing which the admission shall stand canceled.Kindly ensure that the PEN is submitted along with the final document.
4.  The amount once paid as 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 of the School is payable yearly,half yearly or monthly. (Provision for monthly payments can be availed through our payment partner Gray Quest.)
7.  The application for withdrawal of your ward must be done before one month in advance.
8.  The fee for the entire academic session is payable irrespective of the date of joining the school or deserting the school.
9.   If your ward is admitted during the ongoing session,you are expected to pay the fee within fifteen working days, else the school will allot the seat to the next deserving candidate.
10.   The tuition fee payable to the school, as informed to the parents, is commensurable with its facilities, faculty, and infrastructure.
11.   The school retains the right to determine the fee slabs and the fee payment structure.
12.   The responsibility for the financial commitment that you have made lies with you only.
13.   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 and it will not be returned.
14.   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.
15.  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.
16.  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.
17.  You will refrain from making derogatory remarks/ statements against Management/ Administration, Principal, and staff of the school.
18.  *Media Consent Clause*
The School reserves the right to photograph and/or record students during school activities, events, and regular academic sessions. Such photographs, videos, or recordings may be used by the School for promotional, educational, or informational purposes across all official communication platforms, including but not limited to the School's website, social media handles, brochures, newsletters, and other publications.
By enrolling your ward, you acknowledge and consent to the School's right to use these images or recordings without any claim, remuneration, or restriction, while ensuring that all such use will be in keeping with the dignity and best interests of the student.
1.  The school shall not be responsible for:
(a)   A deliberate 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 himself/herself.
(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)   Any physical injuries or other issues that children may experience while participating in activities such as running, playing, commuting, excursions, or field trips, as these events may involve factors beyond the school's control.
(f)   Any complications arising from undisclosed medical conditions or inaccurate health information provided in the admission form during school hours.
    Note:
1.   The school does not sell books, stationery, uniforms, accessories, etc, and does not compel students to buy from any particular vendor.
2.   If children are commuting in a private vehicle driven by someone other than the parents, the parents must ensure that the driver has undergone police verification.
3.   Always notify the school authorities of any change in the child’s pick up or drop off arrangements even if there is any last minute change.
    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.   I hereby certify that the date of birth and spellings of my child, and parents are correct to the best of my knowledge and I shall not make any request for changes in either.
3.   In case the parents is divorced /separated, the custody rights or permission to meet student in the school will be as per the legal documents.
4.   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 adhere to the rules and regulations set by the school, and I will ensure that my child follows the school's code of conduct.
5.   We have made satisfactory arrangements for the remittance of school fees within due dates without waiting for a reminder from the school.
6.   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