Convent of Jesus & Mary International School Kharghar - 410210     Online Admission 2025-26

Note :-Don't use apostrophe (') or quote (") character any where in the form

Fields marked with * in the form are compulsory

KINDLY USE COMPUTER WITH WINDOWS OS TO FILL THE FORM

Student Details

Name of the Candidate *
(In Block Letter)	(Surname)	(Child Name)	(Father Name)

Child's Date Of Birth  *	(Please use calendar only to pick the date. Do not type in the box.)
Browse Student's Photo  *	:
Browse Family Photo  *	:
Browse Birth Certificate  *	:

Place of Birth *

State  Select Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi-NCR Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal NRI  District  *  Town Name  *

Mother Tongue *

Religion *

Select Hindu Buddhist Christian Muslim Jew Sikh Jain Roman Catholic Parsi Navboudh Other

Category *

Select Open SC ST NT VJ Nav Boudh OBC Other

Nationality *

Gender *

Select Male Female

Aadhar Card No
Browse Aadhar card	:

School last attended

Standard in which admission is Sought

Present Residential Address *
Permanent Residential Address *	Same as Above
Mobile Number (For Communication Purpose) *
Browse Proof Of Address  *	:

Father Details:

Name: *
Mobile Number: *
Father's Aadhar Card Number: *
Browse Father's Aadhar card  *	:
Academic Qualification: *
Last School Attended:
Occupation & Designation: *
Present Residential Address: *
Permanent Residential Address : *	Same as Above
Monthly Income: *	Select Below 10,000 10,000 to 20,000 20,000 to 30,000 30,000 to 40,000 40,000 to 50,000 50,000 to 60,000 60,000 to 70,000 70,000 to 80,000 80,000 to 90,000 90,000 to 99,000 Above 1 Lakh Not Applicable
Email id:

Mother Details

Name: *
Mobile Number: *
Mother's Aadhar Card Number: *
Browse Aadhar card  *	:
Academic Qualification: *
Last School Attended:
Occupation & Designation: *
Present Residential Address: *
Permanent Residential Address: *	Same as Above
Monthly Income: *	Select Below 10,000 10,000 to 20,000 20,000 to 30,000 30,000 to 40,000 40,000 to 50,000 50,000 to 60,000 60,000 to 70,000 70,000 to 80,000 80,000 to 90,000 90,000 to 99,000 Above 1 Lakh Not Applicable
Email id:
Please upload Latest Qualification certificate of both the parents.  *	:
Please upload Income Proof of both the parents.  *	: