Online Admissions - Chitkara International School(CHD) -SchoolPad

ADMISSION FORM FOR CHANDIGARH CAMPUS
2024-25

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 150.
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.

UPLOAD DOCUMENTS

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.

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