Application Form for GIIS Singapore Scholarship 2011.For Std 11 & 12.

Please attach true and attested copy (by a Gazette Officer or the School Principal) of the following documents.

Pre Board exam mark sheet Standard 10 Standard 9 mark sheet Standard 8 mark sheet All other Co- curricular Activities undertaken in Class VIII, IX and X only Valid Indian Passport Passport Applied For

STUDENT PERSONAL DETAILS: Student's Full Name Date of Birth Sex Passport No. / Birth Cert. No. Place of Birth Country of Birth Nationality Home Address Telephone No Valid Email ID
Choice of Curriculum

_________________________________________________________ _________________________________________________________ Male Female

_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________ Mobile No ____________________ ___________________________________________________ CBSE IB Yes No

National Talent Search exam (NTSE) Passed? Class Studying Presently Present School Name Name of Exam Board for Standard 10

_________________________________________________________ _________________________________________________________ _________________________________________________________

Tick Only One city in which you prefer to take the Written Test Mumbai Pune Delhi Bengaluru Hyderabad Chennai Kolkata

Nagpur Surat Trichy

Ahmedabad

Note: Selection Test might be held in these cities depending on adequate response

PARENT'S DETAILS:
Father Name Date of Birth Passport Number Nationality Highest Education Employer Name Current Position Length of Employment Total Annual Income Residential status Telephone Home Telephone Office Mobile (ISDCode - MobNo) Valid Email STUDENT'S CO-CURRICULAR ACTIVITY: (Please provide details for Class VIII, IX and X only) Level (International National / Co-Curricular Activity State / District Inter School only) Achievements (Position, Rank, Award etc) Mother

STUDENT'S MARK:
Class Name Pre Board Exam Subject Name Mathematics Science English TOTAL MARKS Aggregate Percentage Standard 8 Mathematics Science English TOTAL MARKS Aggregate Percentage Standard 9 Mathematics Science English TOTAL MARKS Aggregate Percentage Completed Application Forms with all necessary attachments, supporting documents and photographs to reach us by 9th March 2011. Please send your packets by post to The Program Manager (GIIS Scholarships), 201 & 226 DLF Tower B, Plot No 11, District Centre Jasola, New Delhi 110044. Note: the decision of Global Indian International School (GIIS) is full & final % Obtained Marks