JSS EDUCATION ACADEMY
(OPP-SHIV MANDIR, BEHSUM ROAD, JHUNJHUNI, MEERUT-9917059952)
Contact No :- 9917059952, 9627644559, Email-ID :-jaydevcom112017@gmail.com
A SENIOR SECONDARY SCHOOL
AFFILIATED TO U.P. BOARD PRAYAGRAJ
Student Registration Form
Registration No
Student PEN
Class *
Session
Student Name *
Aadhar No
Gender
DOB
Height (cm)
Weight (kg)
Religion
Category.
Email-ID
Blood Group
Medium
Candidate Type
Ration Card
Ration Card No.
Handicap
Certificate No.
S.R. No. (Old Student)
Year
Prev. School Attended
Bank A/c No.
Bank Name
IFSC Code



Parents & Guardian Information
Father's Name *
Mother's Name *
Father's Aadhar No
Mother's Aadhar No
Occupation
Mobile No :
Whatsapp No :
Address *
Pin Code
Bank A/c No.
Bank Name
IFSC Code
Last School Details
Last School Name With Address
Details of Brother/Sister Studying in JSS EDUCATION ACADEMY School (if any)