Online Kids Form

Please Upload Child's Photo *

Child's Name *

Last Name *

Birth Date *

Age *

Gender *

Father's Name *

Father's Mobile Number (WhatsApp Number) *

Mother's Name *

Mother's Mobile Number *

Address *

City *

Pincode

Email id

School Name *

Standard/Grade *

Blood Group
A+A-B+B-AB+AB-O+O-

Medium of education you study in *

Please mention other languages if you know

Tick the skills which you know *
DrawingCraftDramaComputerElocutionSportsSingingOther

Have you attended any jain pathshala? if yes, Name it:

Your Achievements / Results in Jain Pathshala

Reason for joining Look N Learn Jain Gyan Dham *

How did you get to know about Look N Learn ? *

Preferred Time *

Preferred Day *

Preferred Language *

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