JAYARANI MATRIC HIGHER SECONDARY SCHOOL
Nethimedu, Salem, TamilNadu - 636002

Online Admission Registration

Basic Information

Name of the Student(As per Child Birth Certificate) *
Class in which admission is sought *
Date of Birth *
Place of Birth *
Gender *
Blood Group *
Mother Tongue *
Nationality *
Religion *
Community *
Caste *
Single Child ?
Yes
No
Child's Aadhar Number *
EMIS No.
Name And std of Sibling studying in JMHSS(IF Any)
Identification Mark -1 *
Identification Mark -2 *
Mention if all vaccinations administered on the child
If differently – abled give details
Any health issues(eg serious allergies., etc)
Any Learning Disabilities
Permanent Address(Address proof ) *

Previous School Information

Previous School Name and Address *
Previous Grade *
Board
Second Language
Applied for the Ward in any of the Previous Year ?
Yes
No

Parent's Information

Father's Details

Name of the Father *
Educational Qualification
Occupation *
Office Address
Annual Income *
Mobile No *
Email *

Mother's Details

Name of the Mother *
Educational Qualification
Occupation *
Office Address
Annual Income
Mobile No *
Email

Other Information

Please let us know how you learnt about us
Priority Mobile No. (For SMS) *
Mode of Transport
Upload Student Photo(500KB;Only JPG) *