EdPrime Online Registration

Registration Form

Online Student Application 2023-2024Have You Already Registered ?Note: This online registration form is to be filled at the time of new admission only.

Student Information
Review Information
Registration Successful
Registration Failed

STUDENT DETAILS

First Name

You can't leave this field empty

First name should be greater than 2 characters

Name should contain only characters

Middle Name

Name should contain only characters

Last Name

Name should contain only characters

Please select one of field

Date of Birth

You can't leave this field empty

Please correct date format

Aadhar Number

Aadhar number is not valid

Please enter valid email

Contact Number

You can't leave this field empty

Please enter valid phone number

You can't leave this field empty

Please select one of field

Last School Attended

Last Class Attended

Upload Image(5 KB to 2 MB) *

Please upload image

Required extensions are .JPEG, .PNG, and .JPG

File size should be at least 5 KB and maximum 2 MB

Preferred Branch

Please select one of field

SIBLING DETAILS

Sibling Studying Here ?

Select Branch

Enter Scholar Number

Sibling information has been linked successfully

Parents Information

Father details

First Name

You can't leave this field empty

First name should be greater than 2 characters

Name should contain only characters

Middle Name

Name should contain only characters

Last Name

Name should contain only characters

Please enter valid email

Primary Contact Number

You can't leave this field empty

Please enter valid phone number

Secondary Contact Number

Please enter valid phone number

Aadhar Number

Aadhar number is not valid

Please select one of field

Upload Image(5 KB to 2 MB) *

Please upload image

Required extensions are .JPEG, .PNG, and .JPG

File size should be at least 5 KB and maximum 2 MB

MOTHER details

First Name

You can't leave this field empty

First name should be greater than 2 characters

Name should contain only characters

Middle Name

Name should contain only characters

Last Name

Name should contain only characters

Please enter valid email

Primary Contact Number

You can't leave this field empty

Please enter valid phone number

Secondary Contact Number

Please enter valid phone number

Aadhar Number

Aadhar number is not valid

Please select one of field

Upload Image(5 KB to 2 MB) *

Please upload image

Required extensions are .JPEG, .PNG, and .JPG

File size should be at least 5 KB and maximum 2 MB

GUARDIAN details

First Name

You can't leave this field empty

First name should be greater than 2 characters

Name should contain only characters

Middle Name

Name should contain only characters

Last Name

Name should contain only characters

Please enter valid email

Primary Contact Number

You can't leave this field empty

Please enter valid phone number

Secondary Contact Number

Please enter valid phone number

Aadhar Number

Aadhar number is not valid

Please select one of field

Upload Image(5 KB to 2 MB) *

Please upload image

Required extensions are .JPEG, .PNG, and .JPG

File size should be at least 5 KB and maximum 2 MB

ADDRESS

CURRENT ADDRESS

Address

You can't leave this field empty

Addresss should be greater than 2 characters

Please enter valid address

Suburb / Landmark

Please enter valid address

Please select one of field

Pincode

Please enter valid zip code

Permanent ADDRESS

Address

You can't leave this field empty

Addresss should be greater than 2 characters

Please enter valid address

Suburb / Landmark

Please enter valid address

Please select one of field

Pincode

Please enter valid zip code

You can't leave this field empty

Emergency Contact Information

Same As

Father Mother Gaurdian

Contact Name

You can't leave this field empty

Contact Number

You can't leave this field empty

Please enter valid phone number

Contact Address

You can't leave this field empty

STUDENT DETAILS

Name

Gender

Preferred Branch

Preferred Branch 1

Preferred Branch 2

{{(dataPersonal.pre_branch_2_notify == "" || dataPersonal.pre_branch_2_notify === "undefined") ? "NA" : dataPersonal.pre_branch_2_notify}}

Preferred Branch 3

{{(dataPersonal.pre_branch_3_notify == "" || dataPersonal.pre_branch_3_notify === "undefined") ? "NA" : dataPersonal.pre_branch_3_notify}}

Parents Information

Father details

Name

Primary Contact Number

Secondary Contact Number

{{dataPersonal.per_father_secondary_number == "" ? "NA" : dataPersonal.per_father_secondary_number}}

Aadhar Number

{{dataPersonal.per_father_aadhar == "" ? "NA" : dataPersonal.per_father_aadhar}}

Qualification

Occupation

Annual Income

{{dataPersonal.per_father_email == "" ? "NA" : dataPersonal.per_father_email}}

Image

MOTHER details

Name

Primary Contact Number

Secondary Contact Number

{{dataPersonal.per_mother_secondary_number == "" ? "NA" : dataPersonal.per_mother_secondary_number}}

Aadhar Number

{{dataPersonal.per_mother_aadhar == "" ? "NA" : dataPersonal.per_mother_aadhar}}

Qualification

Occupation

Annual Income

{{dataPersonal.per_mother_email == "" ? "NA" : dataPersonal.per_mother_email}}

Image

GUARDIAN details

Name

{{dataPersonal.per_gaurdian_first_name == "" ? "NA" : dataPersonal.per_gaurdian_first_name}} {{dataPersonal.per_gaurdian_middle_name == "" ? "" : dataPersonal.per_gaurdian_middle_name}} {{dataPersonal.per_gaurdian_last_name == "" ? "" : dataPersonal.per_gaurdian_last_name}}

Primary Contact Number

{{dataPersonal.per_gaurdian_primary_number == "" ? "NA" : dataPersonal.per_gaurdian_primary_number}}

Secondary Contact Number

{{dataPersonal.per_gaurdian_secondary_number == "" ? "NA" : dataPersonal.per_gaurdian_secondary_number}}

Aadhar Number

{{dataPersonal.per_gaurdian_aadhar == "" ? "NA" : dataPersonal.per_gaurdian_aadhar}}

Qualification

{{dataPersonal.per_gaurdian_qualification_notify == "" ? "NA" : dataPersonal.per_gaurdian_qualification_notify}}

Occupation

{{dataPersonal.per_gaurdian_occupation_notify == "" ? "NA" : dataPersonal.per_gaurdian_occupation_notify}}

Annual Income

{{dataPersonal.per_gaurdian_income_notify == "" ? "NA" : dataPersonal.per_gaurdian_income_notify}}

Gender

{{dataPersonal.per_gaurdian_gender_notify == "" ? "NA" : dataPersonal.per_gaurdian_gender_notify}}

ADDRESS

CURRENT ADDRESS

Address 1

Address 2

{{dataPersonal.per_curr_address_2 == "" ? "NA" : dataPersonal.per_curr_address_2}}

Country

State

City

Pincode

{{dataPersonal.per_curr_pincode == ""? "NA" : dataPersonal.per_curr_pincode}}

Permanent ADDRESS

Address 1

Address 2

{{dataPersonal.per_parm_address_2 == "" ? "NA" : dataPersonal.per_parm_address_2}}

Country

State

City

Pincode

{{dataPersonal.per_parm_pincode == "" ? "NA" : dataPersonal.per_parm_pincode}}

Emergency Contact Information

Contact Name

Contact Number

Contact Address

Payment Information

Student Name

Father Name

Amount

₹ {{onlinePaymentAmount}}

Payment Option EazyPay RazorPay Pay at School Counter

Dear {{dataPersonal.per_father_first_name}} {{dataPersonal.per_father_middle_name}} {{dataPersonal.per_father_last_name}},

Your registration code is: {{reg_id}}.

Thank you for using the online enrolment system of Central Academy Jaipur.

An email with registration and further details will be sent to {{dataPersonal.per_father_email == "" ? dataPersonal.per_email : dataPersonal.per_father_email}}. Please keep that email safe, you will need it in future.

You have successfully submitted the registration details of {{dataPersonal.per_first_name}} {{dataPersonal.per_middle_name}} {{dataPersonal.per_last_name}} for class {{dataPersonal.per_class_notify}}. The filled registration form can be downloaded from the link below (or from here).

We look forward to welcome {{dataPersonal.per_first_name}} {{dataPersonal.per_middle_name}} {{dataPersonal.per_last_name}} you to our institute.

Regards

Central Academy Jaipur.

Student Name

Father's Name

Sibling Name

{{dataPersonal.sibling_student_name == "" ? "NA" : dataPersonal.sibling_student_name}}

Applying for Class

Contact Address

Preferred Branch 1

{{dataPersonal.pre_branch_1_notify == "" ? "NA" : dataPersonal.pre_branch_1_notify}}

Preferred Branch 2

{{dataPersonal.pre_branch_2_notify == "" ? "NA" : dataPersonal.pre_branch_2_notify}}

Preferred Branch 3

{{dataPersonal.pre_branch_3_notify == "" ? "NA" : dataPersonal.pre_branch_3_notify}}

Download Registration Form

Payment Information

Student Name

Father Name

Amount

₹ {{onlinepaymentAmount}}

Payment Information

Student Name

Father Name

Amount

₹ {{razorPayTxnAmt}}

Continue

Hello we have found these records related to your Mobile Number. Please click on perticular student if there is any amendment is needed

#	Registration Id	Name	Status	Date	Action
{{$index + 1}}	{{regstu.registration_id}}	{{regstu.first_name}}	{{regstu.email_status}}	{{regstu.created_at \| date:'dd-MM-yyyy'}}	Continue

Order Number	{{razorPayDBOrderId}}
Order Transaction Id	{{razorPayTxnId}}
Order Receipt Number	{{razorPayReceiptNumber}}
Order Amount	₹ {{razorPayTxnAmt \| number}}
Order Status	{{razorPayTxnStatus}}

STUDENT DETAILS

Preferred Branch

SIBLING DETAILS

Parents Information

Father details

MOTHER details

GUARDIAN details

ADDRESS

CURRENT ADDRESS

Permanent ADDRESS

Emergency Contact Information

Same As

STUDENT DETAILS

Preferred Branch

Parents Information

Father details

MOTHER details

GUARDIAN details

ADDRESS

CURRENT ADDRESS

Permanent ADDRESS

Emergency Contact Information

Payment Information

Payment Information

Payment Information

Payment Details