Background of the Institution

Other institutions sponsored by the Jaipurias

Our torch bearers

Our mission & our logo

Curriculum, Faculty

Co-curricular, extra-curricular activitiesgames, physical education & excursions

Site and building, general information& school assembly.

Visiting hours, books and uniform,change of address & house system

General rules

Payments of fees

School uniform

Games dress & miscellaneous

Role of parents & change of prospectus

3 & 4

5

6

7

8

9

10

11

12

13

14

15

16

Contents

3

Background of the InstitutionBackground of the Institution

Padma Bhushan Seth M.R. Jaipuriawho founded the school

Seth Anandram JaipuriaIn whose memory the school was founded

House of Jaipurias-Commitment to Education

Seth Anandram Jaipuria School, Kanpur,

The House of Jaipurias is a recognized name in the Indian Industrial arena. Their Industrial group,

Ginni group of Industries, is a front runner in the field of textile manufacturing and exports. Their

success in this field is due largely to their philosophy to adopt cutting edge in technology and

managerial innovations. The same philosophy of staying abreast with the latest developments in

the management field is manifested by the promoters to the running of Jaipuria Institute of

Management.

The Jaipuria Charitable Trust / Seth Anandram Jaipuria Education Society runs various reputed

schools and colleges in the country. A degree College named 'Seth Anandram Jaipuria College'

founded by Seth Anandram Jaipuria Trust in 1945 at Kolkata is now a flourishing and famous

centre of excellence in Post Graduate Education. Its inauguration was done during British regime

by Pt. Jawahar Lal Nehru, who became the first Prime Minister of Independent India. On

completing 50 years of excellent performance in academics and extracurricular activities, the

College celebrated on 10th September, 1995, its Golden Jubilee. At present more than 7000

students are studying there.

started in 1974, was inaugurated by Dr. Fakhruddin

Ali Ahmed, President of India, while the foundation stone was laid by

Smt. Indira Gandhi, the Prime Minister of India. At present it has 2400

students from classes Nursery to XII and strives to maintain excellence

in Academics along with equal emphasis on co-curricular & extra-

curricular activities.

Seth Anandram Jaipuria Education Society further promoted Seth M.

R. Jaipuria School, Gomti Nagar, Lucknow, in April, 1992.

There are various other educational institutes run by the Jaipuria Trust, i.e. Seth Anandram

Jaipuria Inter College, Anandnagar (U.P.) and Smt. Nani Bai Jaipuria Rajkiya Balika

Vidyalaya, Mandawa (Rajasthan). Thus, the House of Jaipuria has already an excellent

record of running efficiently educational institutions of repute for catering to the needs of

different levels of boys and girls in the country.

It was in the year 1995, that Seth Anandram Jaipuria

Education Society felt the need to enter the field of

quality management education to further strengthen

their base in promoting excellent education and

training. To fulfil this objective, they started Jaipuria

Institute of Management at Lucknow in 1995.

Encouraged by the success of the Institution at

Lucknow and increasing students' demand for more

seats, Jaipuria Institute of Management was set up at

Ghaziabad in 2001 which is equipped with modern

teaching techniques and facilities.

As contribution to Society, the Jaipuria Charitable Trust has an Eye Hospital run by Seth Anandram Jaipuria Eye Hospital Trust at Nawalgarh (Rajasthan). It has 185 beds and is well equipped with modern X-Ray and Operation Theatre facilities. Public guest houses have been built at Varanasi, Haridwar, Vindhyachal, Vrindaban and Chitrakoot (U.P.). Jaipuria Trust has also constructed a temple by the name of 'Ram Darshan' at Chitrakoot in the memory of Padma Bhushan late Seth M. R. Jaipuria. The temple has been dedicated to the Nation during November, 2000.

Another branch of Seth Anandram Jaipuria School with excellent infrastructure has been set up at Ghaziabad and is functional since April 2004.

JAIPURIA INSTITUTE AND JAIPURIA INSTITUTE OF MANAGEMENT STUDIES have also been set up at Ghaziabad, to provide quality education through various courses in science and technology.

In Seth Anandram Jaipuria School at Kanpur which is today a leading light of Northern India, stress is laid on inculcating amongst students a spirit of Sanatan Aryan Culture through English medium, thus bringing out the best of the East and the West to discipline the life-style with emphasis on Indian Culture and to impart proficiency through the versatile medium of English. This is backed by the firm belief that character building and acquisition of right knowledge at a young age go a long way to groom the children to grow into disciplined, law abiding and knowledgeable persons capable of applying these acquired virtues to life as it unfolds itself.

Seth Anandram Jaipuria School, Kanpur

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5

Other institutions sponsoredby the JaipuriasOther institutions sponsoredby the Jaipurias

Kolkata

Gomti Nagar, Lucknow

Gomti Nagar, Lucknow

Vasundhara, Ghaziabad

Vasundhara, Ghaziabad

Vasundhara, Ghaziabad

Vasundhara, Ghaziabad

Anandnagar (U. P.)

Mandava (Rajasthan)

Nawalgarh (Rajasthan)

Ramghat, Haridwar

Vrindaban

Gudolia, Varanasi

Vindhyachal, Mirzapur

Chitrakoot (Banda)

SETH ANANDRAM JAIPURIA COLLEGE

SETH M. R. JAIPURIA SCHOOL

JAIPURIA INSTITUTE OF MANAGEMENT

JAIPURIA INSTITUTE OF MANAGEMENT

SETH ANANDRAM JAIPURIA SCHOOL

JAIPURIA INSTITUTE

JAIPURIA INSTITUTE OF MANAGEMENT STUDIES

SETH ANANDRAM JAIPURIA INTER COLLEGE

SMT. NANI BAI JAIPURIA RAJKIYA BALIKA VIDYALAYA

SETH ANANDRAM JAIPURIA EYE HOSPITAL

SETH ANANDRAM JAIPURIA SMRITI BHAWAN

SETH ANANDRAM JAIPURIA SMRITI BHAWAN

SETH ANANDRAM JAIPURIA SMRITI BHAWAN

JAIPURIA GUEST HOUSE

MATUSHREE JAIDEVI ANANDRAM JAIPURIASMRITI BHAWAN

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Our Torch Bearers

MANAGING COMMITTEE

WORKING COMMITTEE

Dr. Rajaram Jaipuria PresidentShri Shishir Jaipuria Vice PresidentSmt. Suniti Devi Jaipuria MemberSmt. Sunita Jaipuria MemberMr. S. S. Verma MemberPrincipal Member Kanpur School

Principal Member Ghaziabad School Shri B. S. Gupta Secretary

Dr. Rajaram Jaipuria ChairmanSmt. Suniti Devi Jaipuria Vice ChairpersonSmt. Sushila Singhania MemberShri Shishir Jaipuria MemberSmt. Archana Khaitan MemberSmt. Sudha Nagory MemberSmt.Rajshree Dalmia MemberSmt. Mridul Dalmia MemberSmt. Neeta Gupta MemberShri B. S. Gupta MemberDr. Amod Tandon MemberSmt. Mamta Bhatia MemberTeachers' Representative-1 MemberTeachers' Representative-2 MemberJoint Director of Eduaction Govt. NomineeKanpurShri A. S. Bisht Ex-Officio MemberPrincipal, & SecretarySeth Anandram Jaipuria SchoolKanpur

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Our mission

Our Logo

At Seth Anandram Jaipuria School we aim for a

perfect balance of complementary factors :

ancient and modern, traditional and innovative.

Our students will be knowledgeable, confident

meticulous and self reliant. We all want to give

our children the best start in life. The aim of the

school is to help the children grow into refined

citizens in a healthy environment. This is hoped

to be achieved through the development of :

1- Integrated personality through intellectual,

moral and physical development.

2- Qualities to enable children adapt themselves

to their environment through a forum of

self-expression and group interaction.

3- Self-confidence and leadership skills through

participation and involvement in co-

curricular activities.

We at Seth Anandram Jaipuria School rededicate ourselves

to keep our torch burning, fired by our missionary zeal

and untiring effort, widely spreading the light of

knowledge and helping our children to move from

darkness to light.

relks ek T;ksfrxZe;

Anurag Awasthi (Alumni 1994-2006, a

pass out from IIT Kanpur ) being

felicitated by Chairman,

Dr. Rajaram Jaipura and

Smt. Suniti Jaipurai on receiving the

highest package of ` 72 lakhs/annum

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CurriculumCurriculum

FacultyFaculty

Fundamental to the scheme is the concept that by the end of the

secondary stages, the special abilities and interests of children will

generally take a definite form and therefore varied or

diversified courses with a fairly wide latitude of choices are

provided in the school.

The various subjects of study are : English, Hindi, Sanskrit,

History, Geography, Mathematics, Science, Drawing & Painting,

Handicrafts, Music & Dance, Computer Science, Moral Science,

Environmental Science, Commercial Studies, Accounts,

Economics, Commerce, Physical Education etc.

Special courses in Physical Training, Athletics, Gymnastics,

Karate, Boxing, Tennis, Skating, Classical Dances and various

games and Co-curricular activities form an integral part of the

School calendar.

The medium of instruction is ENGLISH and the school will

eventually provide education to both boys and girls for courses as

under :-

Classes Nursery to V Junior School

Classes VI to VIII Middle School

Classes IX to XII Senior School

The syllabus of Inter State Board for Anglo-Indian Education is

followed upto Class VIII. The School is recognized by the Govt. of

U.P. and is affiliated to the Council for the Indian School

Certificate Examination, New Delhi, under the 10+2 pattern.

Moral and Religious Instruction is imparted to the students of all

classes. As desired by the Founders, teaching of the Hindu religion

is an essential part of the school curriculum.

Teachers are the heart of the school. The highly qualified faculty is

the result of a rigorous selection process. Management of Jaipuria

School possesses over 60 yrs. of experience in the education field.

Responsibility, dedication, love, care and efficiency are the key

assets of our teachers.

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Co-curricular & Extra-Curricular ActivitiesCo-curricular & Extra-Curricular Activities

Games & Physical EducationGames & Physical Education

ExcursionsExcursions

Games are compulsory for all students, extensive facilities exist in the school campus for playing Hockey, Football, Cricket, Volleyball, Basketball, Badminton, Lawn Tennis, Table Tennis, Boxing, Gymnastics and Athletics. All students must attend Physical Education courses like Drill, P.T. etc. unless an exemption has been sought on medical grounds. In classes VIII & IX N.C.C. is an option (for boys & girls both).

Our students are taken for trips and excursions along with their teachers. Besides learning through fun and games, these trips play vital role in building self confidence.

Facilities are provided in the school for the following co-curricular and extra-curricular activities and the students are encouraged to take part in these :

§Aero Modeling §Band§Batik§Block Printing §Boxing§Calligraphy§Candle Making§Card Making§Cane and Bamboo Work§Carpentry§Ceramic Works§Chemical Workshop§Clay Modeling§Community Service§Computer Science§Crafts of various kinds§Debating/Elocution§(English & Hindi)§Dramatics (English & Hindi)

§Drawing & Painting§Electronics§Embroidery§Fabric Painting§Flower Arrangement§Flower Making §Gift Packing§Glass Painting§Gymnastics§Home Science§I.A.Y.P.(International Award for Young

People)-Formerly DEAS

§Jewellery making§Karate§Mind Matters

§Journalism§Judo & Karate§Laboratory Workshop§Lawn Tennis§Mehandi§Music & Dance

(Indian-classical instrument)§N.C.C.§Needle Work§Nib Painting / cone painting §Origami§Philately

(Stamp/Coin Collection)§Photography§Printing§Public speaking §Creative writing & wordsmith§Relief Work§Robotics§Scrap Book§Screen Printing§Sculpture§Skating§Soft Toys Making§Table Tennis§Wall Magazine§Western Music§Yoga§Western Dance §German Language §Athletics §Pottery §French Language§Quiz

Site and BuildingSite and Building

General InformationGeneral Information

School AssemblySchool Assembly

Seth Anandram Jaipuria Education Society acquired and constructed its own school building according to the latest architectural designs on the spacious grounds at Cantonment, in close proximity to the city, having an area of about 9.3 acres.

Calendar :

School Timing : School Office Timings :

(8.00 a.m. to 11.30 a.m. for collection of fees)

Nur/Prep Timing :

(i) The academic year begins from April.

(ii) Summer holidays are observed from the third week of May to the first week of July.

(iii) Winter holidays of about two weeks are observed in the first fortnight of January.

(iv) Other holidays during the year are notified separately.

Summer 7.00 a.m. to 1.15 p.m. Saturday 8.00 a.m. to 1.30 p.m.Winter 8.00 a.m. to 1.50 p.m. Monday to Friday 8.00 a.m. to 3.00 p.m.

Summer 8.30 a.m. to 11.30 p.m.Winter 9.30 a.m. to 12.30 p.m.

The School conducts morning assembly daily for all students and staff. It is a congregation of staff and students where besides prayer and community songs, relevant information is passed to all concerned. The daily news headlines and school news are read out. Individual speakers from amongst the students speak on various informative and educative topics. Individual students artists are given an opportunity to perform in the assembly once a week. Eminent visitors from all walks of life are also invited to address the students during assembly.

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The school website was officially launched by the Chairman Dr. Rajaram Jaipuria Ji during the Annual function 2011

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Visiting HoursVisiting HoursPrincipal / Headmistress Principal / Headmistress

Books and UniformBooks and Uniform

Change of AddressChange of Address

House SystemHouse System

The parents may have an interview with the Principal on working days between 10.00 a.m. to 11.00 a.m. throughout the year, with prior appointments.

Teachers will be available to discuss with parents the progress of their wards on Parent - Teacher Meet days.

However, parents may be allowed, in exceptional case, to discuss the progress of their wards with the Teachers concerned after obtaining permission from the Principal/ Headmistress.

Parents are requested to ensure that their children are properly equipped with books, uniform and other material required by them before the school re-opens.

The approved items of the School (uniform/books/stationery etc.) are also available in the Book Stop.

Parents are requested to inform the Principal of any change of address or change of telephone number so that school records can be updated and they may be contacted quickly in case of necessity/emergency.

In order to realize the highest ideal of education and nurture the sterling qualities of well rounded personalities and inculcate a healthy competition, the school has been divided into the following four Houses :-

Such a division is intended to cultivate and awaken in the child, a striving for excellence and to place this precious acquisition of his, at the service of the community and the nation.

Each House is supervised by a House-mistress/House-master for various affairs who is assisted by a team of teachers and students in managing the day-to-day commitments.

a) Ganga/Yamuna Maroon Colour

b) Narmada/Tapti Blue Colour

c) Mahanadi/Godavari Yellow Colour

d) Krishna/Cauveri Green Colour

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General RulesGeneral RulesAdmission :

Examination & Promotion :

(i) Candidates desirous of seeking admission to nursery or class Ist are required to

register their names with the school provided they fall in the desired age group of

3+, 5+ years as on 1st April of the year. The registered applicants will be required to

appear for test interview after which the admission may be granted or refused.

(ii) Required age for admission to nursery is between 3 to 4 years and class Ist is 5+ years

to 6½ years at the beginning of the session (i.e. on Ist April of the year).

(iii) No student above the age of 16 years (in class XI) will be admitted to the school.

(iv) Applications for admission to classes other than nursery & class I should be made in

writing. The school reserves the rights to test the child in any or all the subjects.

(v) Children of Defence Services Personnel might be given preference in admission.

(vi) Students who are under transfer from school outside U.P. must have their transfer

certificates counter-signed by the Inspector of schools of the state concerned.

(vii) Parents are required to submit the date of birth certificate of their wards issued by

competent authority at the time of registration for admission to nursery class I. The

original copy of birth certificate must be produced for verification.

(viii) Prospectus and admission form for admission can be obtained from the school office

on payment of `. 500/- only. The registration fee, for admission to class I is `. 800/-.

(ix) Parents are requested to give advance notice of at least a month for withdrawal of

their wards otherwise a fee equivalent to the tuition fee for one month will be

charged for issuing the transfer certificate.

(i) The School prepares students for

(a) I.C.S.E. Examination (at the end of class X) and

(b) I.S.C. Examination (at the end of class XII)

(ii) Admission to Class XI (ISC) will be made subject to a student fulfilling the required cut off of the school, availability of seats and the past conduct record in the school. The decision of the school in this respect shall be final and binding. Students of class XI at the time of re-opening of school in April will be considered to be provisionally enrolled and their status may change after the board results are announced. Those finally selected for admission will have to take readmission in class XI.

(iii) Half yearly and Annual examinations are not held for classes nursery to V.

(iv) Cumulative assessment of the whole year's work is considered for promotion, except when otherwise specified (for classes Nursery - V).

(v) A student who fails in a class for two successive years or fails twice in three years will have to be withdrawn from the school by order of the Principal.

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Payments of feesPayments of fees

1. Fee is to be paid in advance for every three months before

the end of the first month. Fee once paid is not

refundable, unless specified otherwise.

2. Payments of fee by cheque shall be accepted by our banker

upto the last day of the first month of a term in which the

payment falls due. Thereafter payment will be accepted

by the school office through cheques only.

3. Cheque should be drawn in favour of SETH

ANANDRAM JAIPURIA SCHOOL, KANPUR,

payable at local banks.

4. In case a cheque is dishonoured for the first time, default

may be ignored, but if the cheque is dishonoured second

time during the same session, the facility of paying by

cheque would be withdrawn and then payment will be

accepted through Pay Order only.

5. If any collection charges are levied, the same would be

payable by the guardians / parents.

6. After the end of the first month, a fine will be charged per

fortnight or part thereof for late payment of fees as given

below :

If the fees remains unpaid for two consecutive months, the

name of the student will be struck off the rolls.

7. The fact that a bill or a memorandum has not been

received by the parent or that it has been received late,

neither exempts the students from paying fines nor

prevents the school from striking the name of the

students off the rolls for non-payment of fees.

If any student whose name has been struck of the rolls for

this, he/she will be charged a re-admission fee of Rs.:

500/- provided re-admission is allowed.

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`.

`.

`.

100/- 1st fortnight

200/- 2nd fortnight

300/- 3rd fortnight

400/- 4th fortnight

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School Uniform

Students are required to wear school uniform as given below :-1. (a) Grey Terycot Shorts (As per school colour) for boys upto class V (Summer only)

(b) Grey Terycot Trousers (As per school colour) for boys upto class V (Winter only)and for boys upto class VI and above(Summer and Winter)

(c) Grey Terycot Pleated Skirts & Grey Bloomers for girls (Summer and Winter)(Compulsory) (As per school colour)

(d) Grey Stockings / leggings for girls (Winter only)

2. (a) White Terycot Shirts Half Sleeves for summer(for boys) Full Sleeves for winter

(b) White Terycot Blouses Half Sleeves for summer(for girls) Full Sleeves for winter

3. Grey Socks4. (a) Shoes - Black Laced (All Plain) for boys.

(b) Shoes - Black Buckled strap - for girls.

5. White cotton inner clothes. (Bloomers are compulsory for girls)

6. Maroon Blazers (Single Breast) with school monogram are compulsory for winter.

7. Maroon Sleeveless Pullovers, (plain without designs) matching the colour of the School Blazer may be worn extra if it is very cold.

8. Cloth Badges stitched on shirts pockets as per House colours are compulsory.

9. School Belt.

10. School Tie.

11. Metal Badges as per House colours to be worn on left lapel of school blazer (class VI and above)

12. Mahroon Patka / turban for sikh boys.

N. B. : Fancy tailored and flare-bottomed, baggy (with more than one pleat) trousers with extra pockets are not allowed.

N. B. : Bush shirts, butterfly collar, many pockets, big buttons, coloured stitches etc., are not allowed.

N. B. : Decorations, high heels, pointed toes are not allowed.

Nursery & Prep Summer Uniform (Girls / Boys) :§ Half sleeved white shirt § Red cheeked pinafore / shorts § Black Shoes - Bucked Strap for girls / laced for boys. § White socks with 2 red stripe

Winter Uniform :§ Full sleeved white shirt§ Red checked trousers § Maroon Jackets § White socks with 2 red stripe

Games dress1. (a) Navy Blue Shorts for boys and for girls (classes I to III optional to wear skirt)

(b) Navy Blue divided skirts for girls (optional to wear shorts in classes I, II & III)

2. Half Sleeves Shirts - as per House colour(a) Maroon for Ganga / Yamuna House(b) Royal Blue for Narmada / Tapti House(c) Yellow for Godavari / Mahanadi House(d) Green for Krishna / Cauveri House

3. Grey socks

4. White plain Gym. Shoes.

Rules are strict regarding uniform.A student may be fined or sent backhome if found neglecting them.

Note :

MiscellaneousMedical & Health

Library

Publications

School Canteen

Book Shop, Stationery & Uniforms

Buses

(i) The school maintains a well equipped dispensary under the care of a trained nurse.(ii) Medical facilities are provided to the students regularly, under the care of a part-time

qualified Medical Officer.(iii) Regular record of weight, height, innoculation, vaccination, etc. are maintained.

(i) The school maintains a well furnished library and reading room.(ii) Newspapers and magazines are provided in addition to a wide range of books which also

includes Dictionaries, Encyclopedias, Books on General Knowledge & Year Books.

(i) The school publishes one calendar Diary every year.(ii) The school Chronicle is published annually.(iii) The school publishes Anand Samvad (news-letter) periodically.

The school canteen operates during the school hours and provides nourishing &delicious eatables at moderate rates.

(i) The school maintains a well equipped Book Shop to provide prescribed books for all classes on payment.

(ii) All stationery items as required by students and the approved items of school uniform are also made available on payment.

Nearly the entire city except the very remote or congested parts are covered by the school buses. Bus facility to students of classes nursery to X only will be provided subject to availability of seats in the buses. Right is reserved for changing the bus routes. Students of classes XI & XII will have to make their own conveyance arrangements.

15

16

Role of ParentsRole of Parents

(vi) Students till class X are not allowed to come to school on motored two wheelers, Students of classes XI & XII who come on gearless scooters should compulsorily wear helmets and possess D.L.

(vii) Long leaves will be granted only on medical grounds and on the merits of written requests that are submitted well in time. In case a student absents himself / herself from school for a period of more than 15 days without prior permission then his / her name will be struck off the school rolls.

(viii) Parents should ensure that their wards reach the school before the first bell goes. If a child is late then he / she will have to go back home.

(ix) Use of mobiles /bullying /fighting / use of abusive language / bunking classes / misbehaving with teacher are serious acts of indiscipline and likely to incur suspension / withdrawal from school.

(x) No request for handing over of tiffin, books etc. will be entertained at the gate. Parents should ensure that their wards have all the required things when they leave for school.

(xi) Parents can meet the Principal ONLY between the hours mentioned on all working days. They can meet the teachers during the Parent Teacher meetings.

(xii) Any change in Residential Address / Phone Numbers should be intimated to the school at once.

(xiii) Teachers of this school are not allowed to take tuition of the students studying here. Parents should not encourage private tuition from the staff.

(xiv) The school is not responsible for events that take place beyond the school premises before / after the Academic hours.

(xv) Parents are required to notify in advance (in writing) to the school authorities, if their child suffers from any illness / allergy. They should also specify the medicines being prescribed and if they feel should deposit those medicines in the school dispensary.

Change of ProspectusChange of ProspectusThe instructions given in this prospectus

s u p e r s e d e a l l o t h e r r e g u l a t i o n s

reproduced elsewhere or printed in

earlier issues. The prospectus is liable to

change without notice. Any such

changes, when made, will be binding

on all existing students also.

(i) Parents are expected to co-operate with school authorities in maintaining punctuality, regularity and discipline.

(ii) Parents should ensure that their wards do not carry excessive cash, mobiles or wear expensive rings/chains to school.

(iii) Colouring of hair, applying mehndi, wearing broad shaped shoes are not permitted.

(iv) No request for short leave during school hours is permitted.(v) If a child is sick, then he should be kept home, sending him to school

and then asking for leave after a couple of periods is not allowed.

SETH ANANDRAM JAIPURIA SCHOOL, KANPURAPPLICATION FORM

SESSION : ............................................

Registration No. : ........................................

Admisssion No. : .........................................

Caution No. : ...............................................

Scholar No. : ...............................................

Important : Please answer all questions and print the information clearly in BOLD, using black or blue ball pen.

Please affix latestPassport size

photograph in colour

STUDENT

General Information

Personal Data of Student

Class in which admission is desired

Su First Name Middle Name

Date of Birth Age as on 1st April 201 Years Months Days

Date of Birth (In words) Sex M/F

Nationality Religion Category GEN / OBC / SC / ST

(In case of OBC, SC, ST please attach a copy of attested certificate)

Permanent Address

City Pincode

Home Tele # Mobile # Fax #

Mailing Address

City Pincode

rname

Health Information

Educational Background

Allergy / Chronic ailment (if any) Physical handicap / disability (if any)

Any other health problem

Last School attended

Last Class attended Date of Leaving

Reason for Leaving

Parents' InformationFather :

Name

Age

Educational Qualifications

Profession :

Annual Income

Signature

Please affix latestPassport size

photograph in colour

FATHER

Mother :

Brothers / Sisters :

Transport : School Bus facility required Yes / NoDeclaration :

Date

Place

OFFICE SUPDT. PRINCIPAL

If parents are divorced, living separately or widowed, with whom is the child living :

Name Age Institution Class Legal guardian of child Sign.

Name

Age

Educational Qualifications

Profession :

Annual Income

Signature

Please affix latestPassport size

photograph in colour

MOTHER

I have read the rules & regulations of this school and agree to abide by the same. I note that FEE PAID is not refundable under any circumstances. I also note that T.C. and Conduct Certificate from the school last attended will have to be submitted in case my ward is to be admitted eventually. I hereby put my signature to confirm the above declaration.

Sign. of Father / Mother