APPLICATION FOR ADMISSION Std XI - XII (Senior Secondary School) [Wherever not applicable, please fill in as NIL]

Transcription

1 1. Class to which admission is sought 2. Name of the student* 3. Age * 4. Date of Birth: * 5. Sex* 6. Blood * 7. Nationality* 8. Category* 9. State to which the applicant belongs* 10. (a) Name of the Father / Guardian* Qualification * College Attended * Occupation* APPLICATION FOR ADMISSION Std XI - XII (Senior Secondary School) [Wherever not applicable, please fill in as NIL] [Years] [Months] [Days] (As on 1st April 2015) Backward Most Backward Scheduled Caste Scheduled Tribe Others

2 Income * Mother Tongue* (b) Name of the Mother* Qualification College Attended Occupation Income Mother Tongue* 11. Relationship to Guardian 12. Name of the Brother/ Sister studying in our School (mention the class ) 13. Address and Phone No. Relative Per Annum (eg : ) Per Annum (eg : ) Step son/ Step daughter Adopted Residence* Office (Father / Guardian)* Office (Mother) Locality: Phone: Phone: City: Mail ID: Mail ID: Pincode:

3 Phone: Mail ID: (This will be used for further communication) 14. School last studied* Arsha Vidya Mandir 15. Which is affiliated to* CBSE ICSE Matriculation SSLC Any other 16. Record of Previous Performance (in last 2 years)* a) IX Std. Annual Examination* S.No Subject Marks/Grade 1* English 2* Language 3* Mathematics 4* Science 5* Social Studies b) Last examination score in X Std.* S.No Subject Marks/Grade 1* 2*

4 3* 4* 5* c) Last examination score in XI Std* S.No Subject Marks/Grade 1* 2* 3* 4* 5* 6 7 8

5 Subjects at the Higher Secondary level (+2) applied for: A Physics Chemistry Maths Biology Economics Computer Science Agriculture Fine Arts-Painting B Physics Chemistry Biology Agriculture Economics Fine Arts- Painting C Business studies Accountancy Maths Economics Agriculture Fine Arts-painting

6 D Business studies Accountancy Economics Agriculture Fine Arts-Painting E History Philosophy Sociology Fine Arts-Painting Agriculture or Economics applied for class XI ( tick your option & mention the elective chosen): A B C D E Elective subject chosen 18. Should the student require any special medical or assisting facilities please state in detail what needs to be provided. 19. Choose any one Co-curricular activity (mandatory) Art Music Documents required to be scanned and attached (max. of 1.5 MB size each). [Not required for the students of Arsha Vidya Mandir School] Supported file types are.jpg,.gif,.png,.bmp,.doc,.docx,.xls,.xlsx and pdf. Attested copy of Birth Certificate* Attested copy of Proof of Residence* (Pass Port, Ration Card, Telephone bill, E.B. Bill etc.).

7 Record of previous performance (item No.16)* (Originals to be produced when called for interaction.) Scanned copy of the Mark sheet of X Std Board Examination / CCE(CBSE) should be attached on our web-site as soon as the marks are available. Original Transfer Certificate, Conduct/Character Certificate, Certificate of Merit in academics, Certificate of Merit in Co & Extra curricular activities and Certificate of any other achievements obtained from the previous school are to be produced later. DECLARATION: I will fully cooperate with the school to fulfil all its educational objectives for my child to be available to do so. I solemnly declare that what has been documented above is true to the best of my knowledge and belief. Security Code* *(Name of the Mother/Father/Guardian) I cannot read this. Please generate a New image Rules: 1. Application which does not give all the required information sought will not be considered. 2. Signature of a guardian will be accepted only with a written authorization by the parent, if they are alive (or) if guardian has been legally approved by a competent court. 3. In case, you withdraw your child in the Term I, full fees for the academic year have to be paid. 4. Both the parents are to be present at the time of interaction. 5. Admission will be only confirmed after all formalities are completed. 6. We request you to bear in mind that the application will get completed only after submission. Application in 'Draft' status will

8 not be considered for admission. So please make sure that you have submitted your application before the cutoff date.