ADMISSION FORM
School Registration No.
Branch
General Instructions:
1) fill the form in BLOCK LETTER only
2) To be filled and signed only by Parents. Name and DOB entered in this form will be treated as final and no changes will be accepted in future.
Grade Applied For :
For Academic Session:
Student Information
Name of the Student (As per Birth Certificate / Passport)
Date of Birth
Gender
Aadhar Card No.
Blood Group
Caste
Nationality
Religion
Whether School transport required
Mother Tongue
Residential Address
Pin Code
Family Details (Please Tick the name of the person to be contacted in case of Emergency)
Father’s Full Name
Mother’s Full Name
Aadhar Card No
Aadhar Card No
Educational Qualification
Qualification
Occupation
Occupation
Name of the Organization
Name of the Organization
Annual Income
Annual Income
Mobile Number
Mobile Number
Other Details
Single Parent
In case parent are separated custody of the child is with
Guardian Details
Full Name
Relationship to the student
Residential Address
Mobile
Second Language and Third Language Selection
Second Language
Third Language
Note: a) 2nd and 3rd Language is compulsory from Grades I to V
b) Availability of 2nd and 3rd Language option to be checked with Relationship Executive before filling the details.
Academic Record
Name of the School Last attended
Board of the School Last attended
City
State
Number of years in the previous School
Reasons for withdrawal
T.C No
School DISE Code
Student Enrollment No.
Sibling Information (to be fill if applicable)
Sibling Name
Admission No
School & Grade Studying in
Declaration
I/ We hereby certify that the above information provided by me/us is correct and I/We understand that if the information found
to be incorrect or false, the ward shall be automatically debarred from selection/ admission process without any correspondence
in this regard.
I/ We also understand that the application/registration/short listing does not guarantee admission to my ward.
I/Weaccept the process of Admission undertaken by the school and I/we will abide by the decision taken by the school authorities.
Release and Indemnity Agreements & Parental Agreement Form
We,
, hereby agree to the terms & conditions
mentioned below and agree to be legally bounded by this release.
1. Waive to release, it’s entities and including parents of the student(s) during field trips, sports activities and by
any other liabilities by reason of any accident or injury suffered by the above named student.
2. In the event of medical emergency:
a. The administration of emergency first aid care and treatment at the scene of an emergency by faculty or staff members of
will be carried out.
b. The administration of any treatment deemed necessary by a licensed Medical Practitioner.
c. The transfer to any hospital reasonably accessible by faculty, staff members and volunteers.
We understand that is not financially responsible for any medical treatment, emergency care, or transportation
expenses and also not liable for any allergic reactions to medication resulting from failure of notification on my part.
We hereby certify that we have read and fully understand the conditions.
3. We also understand at the school, on accepting the admission form of our ward, is not bound to grant admission. If admission
is granted, we promise to abide by the rules and regulations of the school and pay all fees time to time as given in
admission notice.
4. We authorize the school staff to photograph my child or video record using any electronic media for use in presentations,
promotions and educational activities without compensation and such media will remain intellectual property.
Date:
Father’s Signature
Mother’s Signature
Guardian’s Signature
FOR OFFICE ADMINISTRATION USE ONLY
Accountant
Annual Tuition Fee :
in words
Other fees :
in words
Receipt No.:
Date Paid:
Complete admission checklist
Birth Certificate
Transfer Certificate
Passport Size Photographs
Aadhaar Card
Health Certificate
Any other relevant documents
Admin / Accountant Signature