+91 858-885-9255, +91 858-885-9260
jayessacademygnida@gmail.com
Re-Print Application Form
Home
Jay Ess Academy
Delta-III Greater Noida, G.B. Nagar (U.P)
Application Form
Personal Information
Class
*
Candidate Name
*
Date of Birth
*
Gender
*
Male
Female
Previous Class Studying
Previous School Name & Address
Stream
*
Medium
*
Email
*
Mobile No.
*
Mother Tongue
Nationality
Religion
*
Category
*
Caste
Select Caste
Aadhaar No.
Blood Group
Identification Mark
Specific Ailment
IsPhysically Disabled
Yes
No
Name of Disability
Certificate No.
Next
Family Information
Father Name
*
Father Occupation
*
Select Occupation
Government Service
Private Service
Business
Self-Emplyee
Farmer
Father Designation
*
Father Qualification
*
Father Office Address
*
Father Annual Income
*
Father Nationality
*
Father Email ID
Father Contact No.
*
Mother Name
*
Mother Occupation
*
Select Mother Occupation
Government Service
Private Service
Business
Self-Emplyee
HouseWife
Mother Designation
*
Mother Qualification
*
Mother Office Address
Mother Annual Income
Mother Nationality
*
Mother Email ID
Mother Contact No.
Total Family Income
Parmanent State
*
Parmanent City
*
Parmanent PinCode
*
Parmanent Address
*
Previous
Next
Guardian Details
Yes
No
Guardian Name
Relationship
Select Relationship
Brother
Mother
Father
Uncle
Guardian Email
Guardian Contact No.
Guardian Address
Guardian PinCode
Guardian State
Select State
Guardian City
Select City
Previous
Next
Candidate Photo
*
Father Photo
Mother Photo
Group Photo
Guardian Photo
Previous
Proceed to Submit