Sri Jnanakshi Vidya Mandir

Name of the Pupil (Full Name) *

Gender *

Male Female

Date of Birth *

Place of Birth *

Email Address *

Father's Name

Mother's Name

Pupil staying with: *

No. of Sisters

No. of Brothers

Elder Brothers

Younger Sisters

Admitting to Class *

I request that the above mentioned pupil may be admitted to SJVM School and I shall pay the committed fee ofand abide by all rules and regulations.

Digital Signature (Name of Parent) *Date: 4/14/2026