Arya Gurukul Admission Form

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Little Aryans | 1, 3, 5, 6 | Admission Application

Academic Session *

2021 - 2022

Grade Applying For *

Junior Kindergarten

Branch *

Khadakpada, Kalyan

Little Aryans,
Shiv Villa, Above Cosmos Bank,
Opp. Saibaba Mandir,
Khadakpada, Kalyan

Read and Agree *

I recognize and understand that seats are subject to vacancy and due process. The payment for application by no
means guarantees a seat for my ward. Furthermore, I recognize that in case there is no vacancy, my application may not
be processed. This application processing fee amount is non-refundable. *

IMPORTANT INFORMATION

Dear Parents,

We are delighted by your interest in Little Aryans School. Please follow the instructions below to ensure that
your request for admission is processed efficiently.

Enrollment is a four-step process

1. Application Procedure
2. S.A. (Standardised Assessment)( only for Sr Kg students )
3. Meet & Greet Procedure
4. Fee Payment & Confirmation of Admission
Application Procedure
Application procedure involves mandatory filling of the online application form and payment of application fee.
Once the application has been successfully registered, the parent will receive an intimation through SMS /Email bearing
the Registration No. which will be used for further references
Only valid and complete applications will be considered for admission
Admission is subject to vacancy and due process as per the grade applied for. Submitting of application for admission
does not be construed as admission granted.
In case there is no vacancy, the application may not be processed.
Admission will be confirmed only on completion of each of the following –

The application form must be submitted with documents stated in the form. In case you are unable to submit a
required document, the school will only accept the incomplete application form against a written undertaking that
the required documents will be provided within 3 (three) working days.
Final admission is subject to physical verification of original documents.
All information must be complete and accurate. In case any false, incomplete and/or misleading information is
provided, Little Aryans reserves the right not to process the admission form.
Admissions will be granted subject to payment of fees, completing the prescribed admission procedure and
acceptance of all rules, policies and code of conduct applicable to Little Aryans students and parents/guardians.
No new admissions are granted in X and XII unless there is any vacancy and the child has studied from CBSE only with
grades not lower than A1 (before 31st July).
S.A. (Standardised Assessment)

Once the application has been successfully registered, the admission Office will review your application details. Upon
the validity of application form the parent will receive an intimation through SMS /Email bearing the details of S.A.
(Standardised assessment) for your ward.

Meet & Greet Procedure

If your ward successfully qualifies in his/her S.A. (Standardised assessment), the parent will receive an intimation through
SMS/Email bearing the details of the meet & greet from the Principal’s Office.
The parents are requested to carry all physical copies of original documents that have been submitted for physical
verification by the admission department.

Fee Payment & Confirmation of Admission

The parent then receives an intimation through SMS/Email bearing all the details regarding fees.
Admissions is confirmed subject to payment of fees, completing the prescribed admission procedure and acceptance of
all rules, policies and code of conduct applicable to Little Aryans students and parents/guardians within three working
days. (Learn more)

GENERAL INSTRUCTIONS FOR FILLING UP THE REGISTRATION FORM

All fields marked with asterisk (*) are mandatory to be filled.

1. Mention the correct Date of Birth as per Date of Birth Certificate issued by the municipal corporation. No change in Date
of Birth shall be allowed later
2. Full name of the student, date of birth, permanent address & name of the parents(first, middle and last) entered in the
form should match the supporting documents like Date of Birth Certificate, Aadhaar card, voter Id card, passport etc
3. All sections of this Registration Form must be completed in full to be processed. Submission of the Registration Form is
a request for Admission and does not guarantee Admission
4. Please identify one parent as Preferred contact for receiving all School communication by SMS, E-mail notifications or
telephonic communication. (not applicable for Single Parent / Guardian)
5. One application will be accepted per child. Kindly fill all the details including the Board selection and preference carefully
along with the applicable application processing fee. No change(s) will be allowed once the form is submitted
6. Printed copy of the Registration Form must be signed by hand by both the Parents / Single parent (legally Divorced or
having adoption rights) / legal Guardian and submitted with documentation as stated. Please refer to the instructions for
Parent details for Guardianship / Child Custody Policy/Form
Read and Agree *

Session: 2021 - 2022


Grade: Junior Kindergarten

Applicant's Photo

WhatsApp_Image_2021-01-30_at_13.44.47_passport.jpeg

Applicant's Name *

Hruday Ajinkya Bhavsar


First Middle Last

Applicant's Gender *
Male Female Transgender

Applicant's Date of Birth *

13-Jan-2017
dd-MMM-yyyy

Original Birth Certificate with date of birth, child and parent’s name

WhatsApp_Image_2021-01-30_at_13.45.18_1.jpeg

Caste *
General OBC SBC SC ST VSNT

Do you belong to a minority community ?


Yes No
Admission Category *
General Sibling Employee Alumni SEN

SEN (Special Education Needs)

Read and Agree *

I declare that the selection made above is true and correct and nothing has been concealed therefrom. This means that
my child does not require special assistance due to social, physical, emotional or cognitive delays or challenges. I
understand that if admission is granted to my ward by the school, then in the event of any misrepresentation, the same
will be cancelled. *

Applicant's nationality *

Indian

Applicant's aadhaar card number

801636302733

Applicant’s aadhaar card front

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Applicant’s aadhaar card back

WhatsApp_Image_2021-02-01_at_14.04.44.jpeg

Applicant's mother tongue *

Marathi

Applicant's blood group *

A+
Applicant's active passport number

Is the child adopted?


Yes No

Are you a Single Parent? *


Yes No

Are you a Guardian? *


Yes No

GENERAL INSTRUCTIONS TO ALL PARENTS FOR FILLING IN THE ADMISSION FORM

The admission form requires the details and signature of both biological or adoptive parents of the applicant.
You can identify one parent as the "Preferred Contact" for receiving all school communication by e-mail, or telephone
notifications (SMS or phone calls). In such a case, the "Preferred Contact" will receive school communication as per the
contact details provided in the admission form. Non-responding to communications will not bind the school for its
obligation.
The admission form may also be filled by a single parent / legal guardian having sole custody and care of the child
(supported by legally valid documentation).
In case of any of the change in marital status and/or change of communication details, it is the sole responsibility of
parents to inform the school immediately of such change through a joint application signed by both parents with
appropriate document reflecting such change. (See section on separation or divorce)
In case of death of a parent, the surviving parent is required to submit the death certificate to the school.
The school shall have the sole discretion to seek any further details/documents (if any) as required.
In case of any change in the details provided, which in turn requires a change in the school records, the responsibility of
School is limited to forwarding the application as per school process to the board. The school does not
guarantee/assure acceptance/update of records.

SPECIFIC INSTRUCTIONS FOR SEPARATED/DIVORCED PARENTS OR SINGLE GUARDIAN


Who can fill in the Admission Form ?

In case of joint custody, both parents must sign the Admission Form jointly.
In case of sole custody, Admission Form must be filled by the parent having legal custody of the child. (Please note:
information regarding the parent without custodial rights is also required and may be filled by the parent with
custodial rights filling the form or directly by the parent without custodial rights)
A guardian may fill and sign the Admission Form in case the parents are deceased or are unable to complete the forms
and care of the child has been placed in care of a guardian by law or otherwise. Please ensure that the guardian's role
and relationship is specified and supported by documentation where applicable.

Documents to be submitted with the Admission Form

Certified true copies of legal documents confirming legal status as single parent, or legally separated/ divorced must
be submitted with the Admission Form. (In cases of divorce, parent(s) must submit certified copies of final orders of
court at the time of registration)

Who can receive school communication (and other authorization instructions to the school)

Providing a safe and nurturing learning environment is a priority at Little Aryans and the safety and well-being of the
child comes first. All instructions on information sharing/communication from school and parent visitation, pick-
up/drop off and other issues must be provided in writing and supported by most current or final court orders. The
School will acknowledge custody rights of the child only based on court orders. Any instruction requesting the
restriction of interaction of one parent with the child or with the school will be accepted if its supported by a valid
court order granting or restricting such rights. In case of pending divorce cases, written consent of both parents will
be required for anything to do with the child. In case of request for striking out the name of either parent from the
record of the School, appropriate court order (s) must be presented to the School granting permission for removal of
name of such parent or stating that such parent has relinquished all rights and/or claims over the child.

In the event of legal separation or divorce after admission.

If Registration Form/Admission Form is signed by both the parents and subsequently separation/divorce occurs post
admission, then till appropriate court order granting sole custody to one parent to the exclusion of any one parent is
provided, the school will continue to communicate with both or with the parent with physical custody of the child,
depending on the circumstances and the safety and well-being of the child. Until custody rights are established by
court orders, signatures/permission of both parents will be required on documents or communication that requires
the consent of both parents. (such as notice of withdrawal or request for transfer certificates)

Visitation rights

School is not a venue to exercise visitation rights, unless otherwise directed by court. The school is a place for
learning in safe and secure environment and therefore the child's wishes and best interest will be given prime
consideration. Separated parents may please make a note not to involve the school in any marital dispute or with
child's custody or withdrawal from school.

Remarriage

In case of remarriage, the school records are not automatically updated unless: -

a joint application is made by the parents on record requesting for the inclusion of the new spouse and with clear
instructions on communications, pick-up/drop offs, PTMs and other school events etc. or
an attested copy of a registered legal joint adoption deed or remarriage proof is submitted confirming the facts
and request for name change (if any). or
if such application is supported with either court orders.

Updating school records

Parents are solely responsible for updating the school records and ensuring that the updated records are accurate
and functioning. The school will not be responsible for its inability to reach a parent or if a parent does not receive
any school communication due to inaccurate or outdated contact details. The school will not be liable for any
consequences resulting from situations.
Read and Agree *

Guardian's Details

Guardian's Photo

WP_20170201_16_35_42_Pro.jpg

Name *

Mr Ajinkya Jagdish Bhavsar


Title First Middle Last

Date of Birth

26-May-1987
dd-MMM-yyyy

Education Qualifications *

MBA (SCM), BE (E&TC)

(Please mention institutions & school attended)

Occupation *

Service

Designation *

Middle Level Management

Organization where you work *

Infiniti Retail Ltd


Office Address *

Kaledonia, Andheri Sahar Road, Anderi East - 400069


Street Address

Address Line 2

Andheri Sahar Road MH


City State/Region/Province

400069 India
Postal / Zip Code Country

Office Contact No. *

+91 8657428790

Email Id *

ajinkya.bhavsar@croma.com

Mobile No. *

+91 8657428790

Aadhaar card number *

239478714952

Guardian's aadhaar card front

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Guardian's aadhaar card back

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Annual family income in rupees *

₹ 5,00,000 to ₹ 10,00,000

Address

Current residential address *

303/D-1, SHIRISH, Lok Udyaan CHS


Street Address

Bail Bazaar
Address Line 2

Kalyan West MH
City State/Region/Province

421301 India
Postal / Zip Code Country

Current residential address proof of either parent *


Utility Bill (Water/ Electricity/ Phone etc.) Sale deed/ lease deed / rent agreement / possession
letter

Bank statement or Passbook Passport / Aadhaar card / Driving License

(Any 2 documents from the list given below)


Passport / Aadhaar card / Driving License

WhatsApp_Image_2021-02-01_at_14.15.06.jpeg

Permanent address same as current address

Emergency Contact Person 1

Other than Parents

Name of person *

Jagdish Bhavsar

Relationship with the child *

Grand Father

Contact number *

9028337425

Emergency Contact Person 2

Other than Parents

Name of person *

Ankita Bhavsar

Relationship with the child *

Aunt

Contact number *

9326695262
M e d ical Exam in atio n R e p o rt
------------------------------------
(To b e fi l l e d b y Pa re n t / G u a rd i a n o f the c hi l d )

Student Information

Child Name Hruday Ajinkya Bhavsar

Grade Junior Kindergarten

Date of Birth 13-Jan-2017

Gender Male

Blood A+

Height *

122
Approximate height in cm

Weight *

15
Approximate weight in Kg
ILLNESS *

Yes No

Tuberculosis

Diabetes

Rheumatic Fever

Epilepsy

Hepatits A or B

Malaria

Chicken - Pox

Measles

Mumps

Any other Illnessess

Does the child have any (Eye) Vision Condition? *


Yes No

Does the child have any Dental Condition? *


Yes No

Does the child have any ENT Condition? *


Yes No

ENT : Ears, Nose and Throat

Does the child have any Skin Condition? *


Yes No

Has the child been immunised/vaccinated? *


Yes No

Is the child receiving any long term medication? *


Yes No
Is the child Physically Challenged? *
Yes No

Has your child ever undergone any operation? *


Yes No

Is your child allergic to any substance? *


Yes No

Considering the amount of time the child spends in school , it is vital for school to have any other essential health
related information to keep the child safe. Please mention, if any? *
Yes No

S i g n a tu re :

Fa the r :.............................. D a te :.........................

M o the r :............................. Pl a c e :........................

D o c to r' s N a me :....................

C o n ta c t N u mb e r:..................

S i g n a tu re :...........................

D a te :..................................

Pl a c e :.................................

(us er s epa ra te s heet for a dditiona l informa tion) (S ta mp o f M e d i c a l Pra c ti ti o n e r)


Read and Agree *
Note:- The parent/guardian is responsible for completing and obtaining the physician’s statement on the form above.
The parent/guardian is requested to fill the form to the best of their knowledge take a print and have a physician fill the
rest and duly sign it. This is required at the time of meet & greet for physical verification by the admission office at
Li ttl e Arya n s . *

1. I/We hereby solemnly declare that the particulars furnished by me in the application form for admission, here before are
true and correct.
2. I/We have been informed about the fees structure and we agree that we shall pay the prescribed and permitted fees
regularly without dispute of any kind whatsoever. We shall not default the payment of fees, in case of default of any
nature, we agree to pay the penalty or actions as per the terms & conditions prescribed in the fee policy.
3. I/We abide by all the rules and regulations of the school mentioned in the school calendar/diary.
4. I/We also agree that the school authority shall be entitled to stop my child from attending the school in case of default in
payments of fees. I agree to pay the fees directly in the bank account of the school or payment modes as shall be
directed by the school authorities.
5. I/We understand that the fees once paid are never refundable under any circumstances, except excess payment than
due. We have been informed about the fee-structure and only on my/our agreeing to pay the fees, we have applied for
admission.
6. I /We am/are also informed that the present fee is also subject to revision as per law. I, therefore, agree to pay the revised
fees from time to time. Management reserves the right to retain the Workbooks / Activity Books / Photographs / CDs,
VCDs, DVD, Pen-drive / Online Material / Any material used by /of the students in the class.
7. The Management reserves the right to change the Curriculum implemented from Time to Time as the circumstance may
require, or as statutorily required.
8. I / We certifies that each part of the application is read carefully and the information inserted herein is true to the best of
my knowledge and has been carefully read.

I Agree *
I confirm that I shall submit all the necessary documents required for admission.

Students aspiring to take admission in Little Aryans Pre-K are hereby notified that Little Aryans Pre-K will accept online
application fees in CASHLESS mode only.

Application fee once paid will not be refunded under any circumstances

Filling up this form does not confirm admission.

Please pay to continue with the application process.

Payment *

₹ 1000.00

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