Group of Educational Institutions Branch, Varanasi

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Form No. /18-19/ Group of Educational Institutions Branch, Varanasi Non Sunbeam Regd. No. School Hostel Affix Passport Size Photograph Do not staple (Please mention your 1 st, 2 nd, 3 rd and 4 th PREFERENCE OF STREAM preference in the blocks provided) Professional batch Yes No PMC (English Core, Physics, Maths, Chemistry, any one of the 5 th subject) PBC (English Core, Physics, Biology, Chemistry, any one of the 5 th subject) Commerce (English Core, Business Studies, Accountancy, Economics, any one of the 5 th subject & 6 th Subject) Humanities (English Core, Political Science, History, Psychology, any one of the 5 th subject & 6 th Subject) Fifth Subjects Computer Science, Multimedia & Web technology, Mathematics, Physical Education, Psychology, Tabla, Sitar, Vocal, App. Arts, Bharatnatyam, Legal Studies, French, Economics Sixth Subjects (Vocal, Tabla, Applied Arts, Bharatnatyam, Sitar) 1. Name (In Block Letters) : 2. Father s Name : 3. Mother s Name : 4. Date of Birth (In Figures) : Day Month Year (In Words) :. 5. Nationality : Religion : S.C./ S.T./ O.B.C. : 6. Home Address : e-mail 7. Landline No. (R) : (O) : (Mobile) 8. Appeared in class X from (school) : Board : (CBSE/ICSE) 9. Registration No. of class IX (Board) Roll no. of Class X (board) 10. Email ID of the student: PREVIOUS ACADEMIC RECORDS Class School Year Percentage VII VIII IX X (Half Yearly) X (Preboard-I) X (Preboard-II) (Please attach photocopy of mark sheets from class VII upwards)

Co-Scholastic Area (Attach photocopy of certificates) Non Sunbeam i) Did you participate in any Quiz/Debate/Dance/Music/Cultural Programmes/Competitions? Yes (GIVE DETAILS) No a) b) c) d) ii) Did you participate in Sports competitions? Yes (GIVE DETAILS) No a) b) c) iii) Were you the House Prefect/ Captain / Monitor etc.? Yes No If yes, what responsibilities were assigned to you in school as : iv) Languages known : 1. 2. 3. 4. v) Give details of your hobbies vi) Your aim in life DECLARATION BY THE GUARDIANS I, hereby, declare that all information provided of my son / daughter is correct to the best of my understanding. I also promise to submit the attested Xerox copy of Class X mark sheet of school (CBSE/ICSE) as soon as the results are declared, otherwise the school authorities have the right to cancel my child s admission. I also understand that if my child does not pass in the class X board exam, the admission will stand cancelled. I understand that the prerogative of giving a subject stream or optional subject is on the Principal only. I will abide by the school rules & regulations and will ensure that my child attends the school regularly and meets the minimum attendance percentage criterion of 75% throughout the sessions in class XI & XII. I am sure that the child will be staying with his/her parent(s) only and not in a private hostel or guest house as paying guest. If my child is found not staying with his/her mother or father, the school has the right to cancel his/her admission with immediate effect. I have submitted the undertaking to this effect. Dated : Signature of Parents Whether child will stay with the local guardian: Yes No Parent s / Guardian s Signature Address & Ph No.

ELIGIBILITY CRITERIA FOR STUDENTS TO CLASS XI (for Non-Sunbeam Students) 1. The admission for all the students (CBSE/ICSE) will be decided on the cumulative performance of the students in the previous 4 years (i.e. classes VII to X) and Scholastic Aptitude Test - SAT. 2. The general attitude, discipline, performance in previous classes and regularity to school will also be taken into consideration for admission. 3. Only English Medium Students of ICSE/CBSE affiliated schools are eligible for admission. 4. It is compulsory for the selected students to appear for the interview and counselling session. (Timings will be displayed on the notice board along with the results). 5. Candidates appearing for the interview and exam should be in their previous school uniform and be accompanied by their parents. They should carry the original copy of all mark sheets and merit certificates from class VII upwards. 6. If the student fails to pass class X Exam or gets a compartment, the admission in class XI will not be granted. 7. Fees once paid will not be refunded for accounting purposes. 8. Admission is subject to the discretion of the management. 9. All students opting for Physical Education, Tabla, Sitar, Vocal, Bharatnatyam and Applied Arts will have to appear for a practical cum aptitude test. 10. All students opting for Computer Science, Multimedia & Web technology, Maths, Psychology, Legal Studies will have to appear for the written test in the subject. 11. The seat gets automatically cancelled if admission is not taken within 7 days of the result declaration. (a) Procedure Step-1 : Step-2 : ICSE/CBSE students will appear for the Scholastic Aptitude Test (SAT) in English, Maths, Science, Commerce, Humanities, Optional subjects. On the basis of the cut off percentage of the Scholastic Aptitude Test (SAT) selections of the students in class XI will be done. (b) Scholarship Slabs Criteria CBSE & ICSE 95% & above Scholarship No administrative expense will be charged (i.e. Rs. 10000/- or Rs. 5000/-* off on Administrative expense as applicable) Rs. 4,000/- off on development charges + Rs. 9,600/- (Rs. 800/- p.m.) off on academic fees Total Scholarship Rs. 23,600/- p.a. or Rs. 18,600/- p.a. as applicable CBSE & ICSE 91-94% Rs. 5000/- off on Administrative expenses + Rs. 2,500/- additional off in case of siblings as applicable* Rs. 4,000/- off on development charges + Rs. 7,200/- (Rs. 600/- p.m.) off on academic fees Total Scholarship Rs. 16,200/- or Rs. 18,700/- p.a. (as applicable) * Stands for siblings concession i.e. a brother or sister of a child who is taking admission/ is already studying with us in any of our core branches. Note: Special scholarship for very meritorious students.

Non-Sunbeam School: Hostel: Professional batch: Yes No Affix Passport Size Photograph Do not staple ADMIT CARD FOR SAT Stream + Optional (Photo to be attested Streams offered: PMC, PBC, Commerce, Humanities by the issuing clerk) Fifth subjects: Computer Science, Web technology, Maths, Phy.Edu., Psychology, Applied.Arts, Tabla, Sitar, Vocal, Bharatnatyam, Legal Studies, French, Economics Sixth Subjects : Vocal, Tabla, Applied Arts, Bharatnatyam, Sitar Name of the candidate Father s Name : Date for SAT: Time Subject : English (PMC / PBC / Commerce / Humanities) 5 th Subect 6 th Subject NOTE : 1. Candidates should reach the centre 15 min before the scheduled time. 2. Students opting for Physical Education, Tabla, Sitar, Vocal, Bharatnatyam and Applied Arts will have to appear for a practical exam on the same day. 3. Candidates should be in their previous school uniform for the SAT exam. 4. Please bring your Admit card for SAT & interview. Signature of the Clerk Full signature of the candidate