Best Activities and Excellent Infrastructure of Play School in Jaipur

Student’s Details

Name *

Middle Name

Last Name

Date of Birth *

Age *

Admission for *

Gender *

Aadhar No.

Personal Health Record of the Child

Details of serious illness (if any)

Blood Group

Allergies (if any)

Parent’s Details

Father's Details

Father Name *

Mother's Details

Mother Name *

Qualification *

Occupation *

Designation *

Mobile no *

Email id *

Guardian’s Details (if Applicable)

Name *

Relation with Child

In case of Emergency Call Order of Priority with 1st,2nd,3rd?

Relation

Number

Photo (Max File Size - 1MB)

Relation

Number

Photo (Max File Size - 1MB)

Relation

Number

Photo (Max File Size - 1MB)

Any Sibling in Pushvatika or Jaipuria Vidyalaya *

Please upload these documents file

Vaccination Card of Child
(Max File Size - 1MB)

Birth Certificate from Municipal Corporation*
(Max File Size - 1MB)

School leaving certificate from last school attended (if applicable) (Max File Size - 1MB)

I certify that I am the bonafide parent /guardian of the child and the information furnished above is correct to the best of my knowledge. In the event of my ward being admitted to the school I will abide by the school rules and procedures and the decision of the Headmistress shall be binding on me in all respect.