ADMISSION FORM FOR CHANDIGARH CAMPUS
2024-25
INSTRUCTIONS

  1. Kindly fill the full form. Do not leave any mandatory column blank, else the form will not be accepted.
  2. Please attach/upload coloured passport Size Photograph.
  3. Photocopy of self attested scanned copies of the mentioned documents to be submitted along with the admission application form.
  4. 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.
  5. Incomplete form will not be accepted.
  6. Registration Fee: INR 150.
  7. Admission fee once deposited shall not be refunded.
  8. In case, you have any query please contact admission helpline numbers: +91 - 8288099489, 8288099490, 8288099491

Kindergarten Classes:

Chicklets - Playway

Nestling - Nursery

Fledgling - LKG

Cygnets - UKG

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)*
Nationality
Indian    Canadian    American    New Zealander    Australian    Norwegian    Swedish    
Age As On 31st March 2024*
Place of Birth*
Mother Tongue*
Languages Spoken at Home*
Religion*
Student Aadhaar Card Number
DETAILS OF THE PARENTS

Father's Nationality*
Father's Date of Birth*
Father's Academic Qualification*
Father's Occupation/Designation*
Organization*
Father's Office Address*
Office Telephone
Father's Annual Income*
Father's Email ID (Official)
Father's Mobile Number*
Father's Email ID (Personal Email ID)*
Father Aadhaar Card Number
Mother's Nationality*
Mother's Date of Birth*
Mother's Academic Qualification*
Mother's Occupation/Designation*
Organization
Mother's Office Address*
Office Telephone
Mother's Annual Income*
Mother's Email ID (Official)
Mother's Mobile Number*
Mother's Email ID (Personal)*
Mother Aadhaar Card Number
To be filled by International/Foreign Students Only

Type of VISA you currently hold for entry to India
OCI
Yes    No (Applied)    
Name on the Passport
Place of Issue of Passport
Passport Number
Expiry of Passport (Date)
Expiry of VISA (Date)
VISA Number
Reason for change
IN CASE OF SINGLE PARENT (PLEASE SPECIFY)

Student Lives with
Student Lives with(if other please specify)
Legal Guardian
Legal Guardian (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 Nationality
Guardian's Relation (with the student)
Guardian's Date of Birth
Guardian's Address (with pin code)
Guardian's Mobile No
Guardian's Email ID (Personal Email ID)
Guardian's Academic Qualification
Guardian's Occupation/ Designation
Organization
Guardian's Office Address
Office Telephone
Guardian's Email ID (Official Email ID)
Guardian's Aadhaar Card Number
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*
Academic History

Details of the previous school(s) attended:

Name & Address of School(s) Previously Attended
Board & Medium of Instruction
Session (Year)
Reason for Changing the School
10th (Pre Board)

Marks Obtained
Percentage(%)/Grade
Grade 10 (Board)

Marks Obtained*
Percentage(%)/Grade
Grade 9

Marks Obtained
Percentage(%)/Grade
Grade 8

Marks Obtained
Percentage(%)/Grade
Gap Year*
Yes    No    
Year
If Yes, Please Give Reason
RESULT OF LAST CLASS

Result of Pre-Board

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*
Any Additional Subject
Stream Sought For:*
Medical    Non- Medical    Commerce    Humanities    
TRANSFER CERTIFICATE

Transfer Certificate*
Transfer Certificate Number
Transfer Certificate Date of Issue
Permanent Education Number (PEN) as per UDISE*
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)
Reason for leaving Chitkara International School
Has the child ever been expelled/rusticated/not promoted to the next class by any school?(If yes, please give details)
ACHIEVEMENT HISTORY

Achievements
Achievement History (Prizes/Distinctions)

Academics
Co-Curricular
Sports
NSS/NCC/Scouts & Guides
MEDICAL/HEALTH RECORD

Blood Group
Allergies (if any)
Physical Disability/Special Needs (If any)
Family Doctor's Name and Contact (if any)
DETAILS OF OTHER CONTACTS (Kindly mention two emergency contacts other than parents.)

1(a) Contact Name*
1(b) Contact Relation(With the child)*
1(c) Contact Number*
1(d) Contact Correspondence Address*
2(a) Contact Name
2(b) Contact Relation(With the child)
2(c) Contact Number
2(d) 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
Siblings Who are Enrolled in Other Schools

Sibling Name
Relation (with the child)
Age & Class
Name of the School
Sibling Name
Age & Class
Relation (With the child)
Name of the School
What is SPOC?

SPOCs ensure joint hand-holding of the child from both the ends together (i.e. the school and the home). Hence, the Home SPOC and the School SPOC work together for the child's improvement and hold a joint responsibilty in the areas of schooling. Parents are requested to nominate Home SPOC (the person who will be coordinationg with the School SPOC) by filling in the following detais.

SPOC Nominated from Home

(to be filled by the parent or person responsible for the student's education)

Main Home SPOC's Name*
Relation with the Child
Email ID
Contact Number*
Subject-Wise Home SPOC

(to be filled only if different from the main home SPOC else, mention N/A)

Subject 1
SPOC
Relation
Subject 2
SPOC
Relation
Subject 3
SPOC
Relation
Subject 4
SPOC
Relation
Subject 5
SPOC
Relation
A SPOC from school will be duly assigned by the school for the holistic development of the student.

Points to Consider

Have you interacted with the Admissions Counsellor?
Yes    No    
Are you aware about the School's online communication system "SchoolPad"?*
Yes    No    
Have you read the Procedural Handbook uploaded on the school website?*
Yes    No    
Have you understood the fee structure?*
Yes    No    
Do you agree to pay the fee as per fee cycle of the school?*
Yes    No    
Have you submitted the required documents as mentioned in the document checklist?*
Yes    No    
If No, Please give reason regarding the pending document(s):
Undertaking

Tick to continue*
We have read the details regarding school policies, fee structure, infrastructure, facilities, transport, etc. carefully and have understood them. I/We understand that the school policies need to be adhered to once the admission is done. I/We further certify that the information furnished in this form is true to the best of my/our knowledge and belief. I/We understand that by submitting this form, admission to my child is provisional subject to the submission of all necessary documents within a period of 30 days and shall be subject to terms and conditions laid down by the management. I/We promise to abide by all the rules and regulations of the school which have also been read over and explained to me/us in language known to me/us. I/We assure that changes, if any, will be notified to the school promptly.    
Note: The Transfer Certificate Needs To Be Submitted Latest By 15th April 2024 Or Within 30 Days Of Admission In Order To Fulfill The Admission Criteria And To Close The Admission Process Completely.

How did you hear about us?
UPLOAD DOCUMENTS

Upload Photo

Student *
Father *
Mother *
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.

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