C-128, Rajajipuram Lucknow
Email: skdjh@outlook.com | Tel: 0522-4060205

Registration Form

Note: All ‘*' marked fields are mandatory. Please mention 'NA’ if not applicable.

Sibling Details:

Sibling (Real Brother/ Sister) only studying in SKD Academy Rajajipuram JH    
Admission No.
Sibling Name
 
Sibling Class
 

Student Details:

Student First Name*
Middle Name
 
Last Name*
Gender*
 
Date of Birth*
Category*
 
Nationality*
Class*
 
Aadhar No
Email Id
 
Religion
Student Photo(file size not more than 50KB)*
 
Mobile no. for communication*
 

Communication Address:

Address
City
 
State
Pin Code
 

Father's Details:

First Name*
Middle Name
 
Last Name*
Qualification*
 
Occupation*
Designation
 
Organization*
Office Address
 
Telephone No.
Mobile No.*
 
Email Id*
Father Photo(file size not more than 50KB)*
 

Mother's Details:

First Name*
Middle Name
 
Last Name*
Qualification *
 
Occupation*
Designation
 
Organization
Office Address
 
Telephone No.
Mobile No.*
 
Email Id*
Mother Photo(file size not more than 50KB)*
 
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