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Admission Form 2014 2015
Admission Form 2014 2015
DAY BOARDING
Passport
NON DAY BOARDING Photograph
ADMISSION TO CLASS
ADMISSION FORM
Affix Passport
Academic Year : size photo of
the pupil
Admission No. :
1. Name of Pupil :
(In Block Letters)
3. Place of Birth :
(City and State)
5. Nationality a) b) Religion
6. Caste :
(b)
Tel : Mobile:
Tel : Mobile:
13. Does your child has any disability : (if yes, please specity)
14. Name(s) of brother(s), Sister(s) studying in any of the branches of Sanskruti / Chaitanya
Public School
S.No. Name Class School Relation
I hereby declare that the information provided in the form above is correct. I also confirm
that I will not change the date of birth now noted.
Date: PRINCIPAL
PARENT’S PROFORMA
1. Child’s Name :
3. Father’s Name :
4. Educational Qualification :
5. Occupation/Employment :
6. Office Address :
13. Occupation/Employment :
Mother : Yes / No
19. For overall development of our child we at SANSKRUTI GLOBAL SCHOOL, we will solicit
your encouraging participation. Please indicate the following:-
20. It will be better for us, if you could share some specific information about your child’s
strength/weaknesses.
21. Would appreciate, if you could kindly specify two reasons as to why you wish to seek
admission in Sanskruti Global School (CBSE Syllabus)
Passport size
photograph of Passport size
Passport size Family photograph of
photograph of Mother
Father
DECLARATION BY PARENTS
1. The Registration fee of Rs. ________________________ (non refundable) is paid herewith and
I understand fully that the school on accepting this fee and on registering the name of my
ward is not in any way bound to provide a seat but the admission may be given only when a
suitable vacancy arises and if the student is found fit for admission in the school.
2. In the event of my child being admitted in the school, I shall have no objection to the regular
medical annual inspection of my child by the medical officer engaged by the school, for this
purpose.
3. I have made a careful note of various details regarding the payment of school fees. I have
made satisfactory arrangement for the remittance of school fees as per challans issued through
concerned Class Teachers from time to time, at Authorized bank(s) within due dates without
waiting for the reminder from the school. I shall abide by the schedule of fee remittance and
specified in the fee challan.
4. I understand that a suitable fine will be imposed if the fee is not paid before the due date as
specified in the challans.
6. I further declare that I shall not make any request for change either int he date of birth or the
spelling of the name.
7. I hereby certify that if I do not claim the caution money paid by me for a period of three years
after my ward leaves the school, that amount may be treated as a donation to the school
and my right over the refund of this amount will stand relinquished by me.
8. I hereby agree to accept any revision of fee structure as taken by school management from
time to time.
9. I Certify that my son/ward is not suffering from any contagious, constitutional or hereditary
disease or infirmity.
10. On my own accord I will withdraw the child on a letter from the school in the event of any
violation of the school’s code of conduct. IN THIS REGARD THE DECISION OF THE PRINCIPAL WILL
BE FINAL AND BINDING ON ME.
Date :
MEDICAL PERMISSIONS
I give my consent to the school nurse to administer over the counter medication for common
aliments. I am conscious of the fact that the medication rarely may produce unwanted side effects.
Yes No
EMERGENCY PERMISSION
I give my consent for emergency measures to be taken in case of emergency situation due
to an accident / violent injury / medical or surgical emergency with the understanding that I (the
father / the mother / the guardian of the student) shall be notified / informed as soon as possible. The
school will accept no responsibility for any unforeseen incident that may occur due to the
administration of medicine / treatment in both emergency and non emergency situations, though
necessary precautions are taken.
2. Transfer / Leaving Certificate from the school in which the candidate has
been studying at the time of admission to Sanskruti Global School.
3. Original of the present school report card or the year before report card.
TRANSPORATION FORM
(for use by Transport Cell)
City : Pin :
Address (2) :
City : Pin :
Nearest Landmark :
I/We agree to pay the school transport fee prescribed by the school and I understand
that this is an annual charge which is non refundable.
Date :
MEDICAL INFORMATION
1. Weight : Kgs.
2. Height : Cms.
3. Blood Group :
4. General Health :
CLINICAL :
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