Students Registration Form-GJAJB

GYANJYOTI ADARSHA JATIYA BIDYALAYA, BILASIPARA

ADMISSION FORM

Basic Information
Full Name*

First NameMiddle NameLast Name
Father's Name*
Ayub Ali Ahmed
Name of institute last attended
E-mail*
Mobile Number*
Birth Date*

MonthDayYear
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Person to contact in case of emergency:*
Parent/Guardian
Relationship*
ex. Father, Mother, etc.
Contact details of person to contact in case of emergency*
Admission Sought in

Academic Background
Last Exam Passed / Year*
Total Mark Achieved:
Estimate your family monthly income
Photo*

Upload a File
File should be in jpg format Cancelof
Upload Mark-Sheet & Certificate:

Browse Files

Cancelof
Signature

Clear
Enter the words shown:*
Make Payment

prevnext( X )
INRDescription

The payment is ready! It will be completed once you submit the form.
Should be Empty: