Address : ROYAL SENIOR SECONDARY SCHOOL, Sanjeevani Nagar, J.D.A. Scheme No. 06, Jabalpur (MP) 482003, Cell. : +91-9993204840, Phone : +91-761-2423344

Registration Form


The Ward (Student)
Name of Student (in Capital) : * Gender :  Male        Female  
Date of Birth (in Figures) : *  
Admission in (Class) : Subject which you want to Study(Stream) :
the parents
Father's Name : *
Occupation : 		Qualification :
Mother's Name : *
Occupation : 		Qualification :
Total Annual Income (Mothers + Fathers) :  
Address
Residential Address : * Pin Code: *
Telephone and Mobile Numbers
Phone
Tele (O): Tele (R):
Email ID :    
Mobile
Mobile 1 : Mobile 2 :
Student
Mobile : Email ID :
Last Year Result
Terms and Conditions
 
I agree your Terms and Conditions.*