S.No Particulars To be filled ADMISSION FORM 20 - 20

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S.No Particulars To be filled ADMISSION FORM 20 - 20
Vallipurathanpalayam, Erode - 112.
School Application No. (for office use):
ADMISSION FORM 20 - 20
(PLEASE COMPLETE USING BLOCK LETTERS)
S.No
1
Particulars
To be filled
First Name of the Student
Initial / last name
2
Sex
3
Date of birth in figures (dd/mm/yyyy)
Date of birth in words
(Photocopy of birth certificate to be attached)
4
Nationality and state
5
Religion & community
6
Does the pupil belong to BC, SC or ST?
7
Mother tongue of pupil
8
Blood group
9
Disabilities / Handicap
10
Medical diagnosis / Current medications
11
Whether living with parent or guardian?
12
Name of the father / guardian
13
Father's educational qualifications
14
Father's occupation
15
Name of the mother
16
Mother's educational qualifications
17
Mother's occupation
18
Residential address
19
Communication address (if different from above )
20
Primary mobile number for school messages
21
Secondary mobile number for school messages
22
Email address to send school messages
23
Yearly income of father and mother (total)
24
Class last attended.
(Mark list from the previous school to be attached)
25
Name of the school last attended
26
Was the above school recognized by the CBSE or
by the State Department ?
Rs.___________________
/ Annum
27
Medium of instruction of school last attended
28
Whether qualified for promotion
29
Class into which admission is sought
30
Any awards received in sports or co-curricular
activities?
31
Choice of Second language
32
Second language in previous school
33
Choice of Third language
34
Siblings studying in CS Academy
(name & class details)
35
Siblings applying to CS Academy along with this
application (name & class details)
36
Are any of the parents employees of CS
Academy? If so, which department?
37
Is school lunch required ?
38
Is school transport required ? If yes, please state
the pick up location.
39
Is hostel facility required ? If yes, please fill the
hostel application form. (Only for boys)
40
Is CEP** course required (for classes VIII
onwards)
41
Does the Parent/ Guardian agree to pay the
tuition fee for one full year, in case the child is
withdrawn part way during the year?
42
Reference if any
Class __________ Group* ________(For Std XI)
** Competitive Exam Preparatory course
I hereby declare (a) that the details furnished above are correct (b) that I will not demand any
changes to the date of birth given above and ( c) that I shall abide by the rules of the school.
_______________________
Guardian / Parent's Signature
Date :
For Office use only :
List of documents to be attached at the time of admission
1) Passport size photo - 2 nos.
2) Transfer Certificate from previous school.
(Number & Date:______________________)
3) Birth Certificate (Original)
4) Community Certificate(Photocopy)
Record purpose
Standard & Section: _______________
Student ID No.: ___________________
______________________
Verified by Record Keeper
________________________
Principal / Vice Principal
Vallipurathanpalayam, Erode - 112.
School Application No. (for office use):
GROUP SELECTION FORM
*Groups offered for Std XI :
Group I-a : Physics, Chemistry, Mathematics, Biology & English (Medical)
Group I-b : Physics, Chemistry, Computer Science, Biology & English (Medical & Engineering)
Group II : Physics, Chemistry, Mathematics, Computer Science & English (Engineering)
Group III-a : Economics, Accountancy, Business studies, Mathematics & English (Commerce)
Group III-b : Economics, Accountancy, Business studies, Computer Science & English (Commerce)
Date :
_______________________
Guardian / Parent's Signature
Vallipurathanpalayam, Erode - 112.
School Application No. (for office use):
APPLICATION / ADMISSION FORM FOR THE CS HOSTEL
(PLEASE COMPLETE USING BLOCK LETTERS)
S.No
1a
Particulars
To be filled
School Application Number (For new students)
(Or)
1b
Student's ID Number (For existing students)
2
Local Guardian’s Name & Address
3
Relationship with the student
4
Local Guardian’s Contact Number 1
5
Local Guardian’s Contact Number 2
6
Vegetarian or Non – Vegetarian
7
Any food allergies, Yes/No.
If yes, to be given in writing
8
Week boarding or Full boarding
I hereby confirm that all the information given above is true and take full responsibility for my
ward. I also agree to pay the full year’s fee, in case the child is withdrawn part way during the year.
_______________________
Guardian / Parent's Signature
For Office use only :
Comments
Status
Waitlist Priority: HP / MP / LP
Reject / Waitlist / Admit
Admit to class: ______
Authorised Sign.:_________________
List of documents to be attached
1) Passport size photo - 2 nos.
Record purpose
Standard & Section: _______________
Student ID No.: ___________________
________________________
Principal / Vice Principal