Details of Admission Sought Siroman Nagar, Dimna Road, Mango, Jamshedpur, Jharkhand 831018 Phone : 0657 236 1782 Class *NurseryLower KGUpper KGStd. IStd. IIStd. IIIStd. IVStd. VStd. VIStd. VIIStd. VIIIStd. IXStd. XIFirst Name *First Name of the PupilLast Name *Last Name of the PupilDate of Birth *Date of BirthGender *BoyGirlNationality *Caste *Address *Street AddressApt, Suite, Bldg. 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(optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryMobile No. SectionSelect Option 1Option 2Option 3Previous School DetailsName of the Previous School Previous Class Play SchoolNurseryLKGUKGStd. IStd. IIStd. IIIStd. IVStd. VStd. VIStd. VIIStd. VIIIStd. IXStd. XAffiliated to ICSECBSEOthers BoardLast Academic Status PassedFailedStudyingPrevious School Result Upload Photograph DECLARATION FROM THE PARENTS / GUARDIAN * I hereby certify that I am responsible for my son's / daughter's studies, good conduct and regular attendance and payment of school dues. I also undertake to furnish such report and information regarding him/her as may be called for at any time by the school authorities. I agree to removal of my child's name from the rolls of the school if his/her presence in the school becomes detrimental to other students.' I declare that the information given here is true VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: