Online Admissions - Chitkara International School(CHD) -SchoolPad

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ADMISSION FORM FOR CHANDIGARH CAMPUS

INSTRUCTIONS

Kindly fill the full form. Do not leave any mandatory column blank, else the form will not be accepted.
Please attach/upload coloured passport Size Photograph.
Photocopy of self attested scanned copies of the mentioned documents to be submitted along with the admission application form.
The Transfer Certificate, Character Certificate and Migration Certificate need to be submitted within 10 days of Grade 10 board result, in order to fulfill the admission criteria and to close the admission process completely.
Incomplete form will not be accepted.
Registration Fee: INR 100.
In case, you have any query please contact admission helpline numbers: +91 - 8288099489, 8288099490, 8288099491

STUDENT'S PERSONAL DETAILS

Admission for Class*

Gender*

Female Male Transgender

Student's Name*

Father's Name*

Mother's Name *

Student's Date of Birth*

Category*

CONTACT DETAILS

Address*

Country*

State*

City*

Locality

Mobile Number *

E-Mail Id

ADDITIONAL DETAILS

Date of Birth(in words)*

Age as on 31st March 2023*

Place of Birth*

Mother Tongue*

Languages Spoken at Home*

Religion*

Student Aadhaar Card Number

DETAILS OF THE PARENTS

Father's Nationality*

Father's Occupation*

Father's Office Address*

Father's Annual Income*

Father's Mobile Number*

Father's Email ID*

Father Aadhaar Card Number

Mother's Nationality*

Mother's Occupation*

Mother's Office Address*

Mother's Annual Income*

Mother's Mobile Number*

Mother's Email ID*

Mother Aadhaar Card Number

IN CASE OF SINGLE PARENT (PLEASE SPECIFY)

Student Lives with

Student Lives with(if other please specify)

Legal Custodian

Legal Custodian(if other please specify)

Correspondence/Communication

Correspondence /Communication(if other please specify)

Parents Divorced/Parents Separated/Other?

Parents Divorced/Parents Separated/Other(if other please specify)

DETAILS OF THE GUARDIAN (To be filled if the student lives/will live with a local guardian)

Guardian's Name

Guardian's Relation (with the student)

Guardian's Address (with pin code)

Guardian's Email

Guardian's Mobile No

ACADEMIC HISTORY (Details of Previous School(s), Play School or Creche (if attended))

Name and address of previous school(s), play school, creche attended*

Class/Grade Attended(Previous School)*

Board & Medium of Instruction*

Last Year's Marks Obtained(Previous School)*

Sessions Attended (From - To)*

Reason for the change*

Gap Year*

RESULT OF LAST CLASS

1(a) Subject Name*

1(b) Max Marks*

1(c) Marks Obtained*

1(d) % Marks*

1(e) Remarks*

2(a) Subject Name*

2(b) Max Marks*

2(c) Marks Obtained*

2(d) % Marks*

2(e) Remarks*

3(a) Subject Name*

3(b) Max Marks*

3(c) Marks Obtained*

3(d) % Marks*

3(e) Remarks*

4(a) Subject Name*

4(b) Max Marks*

4(c) Marks Obtained*

4(d) % Marks*

4(e) Remarks*

5(a) Subject Name*

5(b) Max Marks*

5(c) Marks Obtained*

5(d) % Marks*

5(e) Remarks*

6(a) Subject Name*

6(b) Max Marks*

6(c) Marks Obtained*

6(d) % Marks*

6(e) Remarks*

TRANSFER CERTIFICATE

Transfer Certificate*

Transfer Certificate Number

Transfer Certificate Date of Issue

PREVIOUS APPLICATION DETAILS

Have you ever applied before in Chitkara International School?(If yes, please share the class and year)

Have you ever studied in Chitkara International School? (If yes, please share the class and year)

Has the child ever been expelled/rusticated/not promoted to the next class by any school?(If yes, please give details)

ACHIEVEMENT HISTORY

Achievements

MEDICAL/HEALTH RECORD

Blood Group

Allergies (if any)

Physical Disability/Special Needs (If any)

Family Doctor's Name and Contact (if any)

REFERENCES & CONTACT (Kindly mention two emergency contacts other than parent)

1(a) Reference/Contact Name*

1(b) Reference/Contact Relation(With the child)*

1(c) Reference/Contact Number*

1(d) Reference/Contact Correspondence Address*

2(a) Reference/Contact Name

2(b) Reference/Contact Relation(With the child)

2(c) Reference/Contact Number

2(d) Reference/Contact Correspondence Address

SIBLINGS / RELATIVES WHO ARE STUDYING/HAVE STUDIED IN CHITKARA INTERNATIONAL SCHOOL

1(a) Sibling/Relative Name

1(b) Sibling/Relative Class

1(c) Sibling/Relative Relation(with the child)

1(d) Sibling/Relative Name Year of Joining/Leaving

2(a) Sibling/Relative Name

2(b) Sibling/Relative Class

2(c) Sibling/Relative Relation(with the child)

2(d) Sibling/Relative Name Year of Joining/Leaving

Enquiry Type

Walkin Telephonic Online Email Sibling Reference

Point to Consider

Are you aware about the School's online communication system "SchoolPad"?*

Yes No

We have understood the fee structure and agree to pay the fee as per fee cycle of the school.*

Yes No

Have you read the Procedural Handbook uploaded on the school website?*

Yes No

Undertaking

Tick to continue*

I/We certify that the information finished in this form is true to the best of my knowledge and belief. I understand that the submission of this form is no guarantee of admission to the school and shall be subject to the terms and conditions laid down by the management. I/We promise to abide by all the rules and regulations of school which have also been read over and explained to me in language known to me.

UPLOAD DOCUMENTS

Photocopy of self attested copy of Birth Certificate which has names of both parents mentioned on it*

Photocopy of self attested proof of residence (Ration Card/Voter I-Card/Electricity or Water Bill/Tenant's Deed/ Aadhaar Card/Passport etc)*

Photocopy of self attested Aadhaar card of the student/applicant.*

Photocopy of self attested mark sheet/report card of the last 2 years from the last school if attended.

Blood Group Report of the child.

Medical Report/Medical History/Vaccination Record of the child.*

Attested copies of legal document if the child is being brought up by a single parent.

Affidavit of guardianship to be submitted if student lives with a local guardian.

Transfer certificate

SC/ST Certificate (If Applicable)

Photocopy of self attested detailed mark sheet/report card of Grade 10 (Pre Board) and periodic test result.

Photocopy of self attested mark sheet/report card of Grade 9

Character Certificate

Migration Certificate (Only for NON-CBSE students seeking admission in 11th)

Upload Photo

Student *

Click Photo or

Remove

Father *

Click Photo or

Remove

Mother *

Click Photo or

Remove

Undertaking

Note: The Transfer Certificate, Character Certificate and Migration Certificate need to be submitted within 10 days of Grade 10 board result, in order to fulfill the admission criteria and to close the admission process completely.