//----------- Form Details ----------------------------------------------

JYOTI KINDERGARTEN

Bodabagh Rewa (M.P.) - 486001

Ph: (07662) - 450159 | Website: www.jsssrewa.org

REGISTRATION FORM FOR NURSERY - 2025-2026



Payment ID Order ID Amount (in Rs.)
'.$razorpayPaymentId.' '.$razorpayOrderId.' '.$formAmount.'/- + Transaction Charges + GST

Form Number : '.$applicationNO.' Application Number: '.$formNo.'
Student Name : '.$student_name.'
Date Of Birth : '.$dob.'
Birth Certificate No : '.$birth_certificate_no.'
Gender : '.$gender.'
Child Id : '.$child_id.'
Aadhar No : '.$aadhar_no.'
Father Name : '.$father_name.'
Mother Name : '.$mother_name.'
Email Id : '.$email_id.'
Nationality : '.$nationality.'
Address : '.$address.'
Pin Code : '.$pin_code.'
Religion : '.$religion.'
Category : '.$category.'
Father Qualification : '.$father_qualification.'
Father Occupation : '.$father_occupation.'
Mother Qualification : '.$mother_qualification.'
Mother Occupation : '.$mother_occupation.'
Guardian Aadhar_no : '.$guardian_aadhar_no.'
Mobile No : '.$mobile_no.'
Parents Account No : '.$parents_account_no.'
Bank Name : '.$bank_name.'
IFSC Code : '.$ifsc_code.'
Location : '.$location.'

Please Note:
- The above information provided is true to my knowledge and belief.
- If any information is found incorrect, your request for admission to your ward remains canceled.
- After successful payment, an application number will be generated which confirms your Ward`s successful registration.
- Without an application number, your Ward`s registration stands invalid straightaway and all such transactions shall be refunded within 15 working days.