Sri Kanchi Mahaswami Vidya Mandir

EDUCATE ENLIGHTEN EMPOWER

International Vedic and CBSE School

APPLICATION FORM FOR CBSE SCHOOL

Personal Details

Name

Grade

Affix your latest

photograph here
School year

Curriculum CBSE VEDIC CBSE +VEDIC

Instructions
Please fill the application form in CAPITAL LETTERS only.
The application form would be considered invalid without the signature of the parent/guardian.
Submission of the application form does not mean granting of admission.
The date of birth and the spelling of the pupil’s name should be according to the last school records.
The certificate from the previous school stating the date of birth and the progress report of the last
examination appeared is mandatory.
Please mention the international/national dialing code wherever applicable.
Please attach extra sheets for any additional information that you may wish to provide.
It is the responsibility of the parent /guardian to intimate the school in writing if there are any changes in
the details provided in the application form.
Documents to be submitted
Please ensure that all the following documents, which are required to complete the admission process, are
duly submitted.
Completed application form
Progress report of the last class attended
Rules and regulations, signed by the parents in acceptance
Two Passport size photographs of the student, Parents and Guardian
Copy of Birth certificate
School leaving certificate or Transfer certificate
Photocopy of the passport of both the parents ( applicable to NRI and foreign students )
 Sri Kanchi Mahaswami Vidya Mandir
-----------------------------------------------------------------------
Photocopy of the passport of the student (NRI Students)
One passport size photograph of each of the approved visitor
Medical History form

Student’s Information

Name: ……………………………………………………………………………………………………………………………...........................
(SURNAME) (FIRST NAME) (MIDDLE NAME)

Date of Birth ………………………………………………. Age as on 1st Jan 2011 ……………………………………………..

DD MM YYYY Years Months Days

Place of Birth …………………………………………………………. Mother Tongue ……………………………………………………..

Nationality: Indian or NRI

Address for Correspondence.....………………………………………………………………………………………………………………

City…………………………………………………………State …………………………………………Pin Code…………………

Email: ………………………………………………………………………………………………………………………………………………………

Tel No: ……………………………………………………….Mobile: ………….……………………………………………………………….

Passport Details for International Students

Country ………………………………Passport Number………………………… Place of issue ………………………………………

Date of issue …………………………………………………… Date of expiry ……………………………………………………………….

Type of Indian Visa held (if any): ………………………Date of issue…………………Valid Up to …………………………….

 Sri Kanchi Mahaswami Vidya Mandir
-----------------------------------------------------------------------
Academic Record of the Last Five Years[Last Grade attended to be filled in first]
Year Name of the School Grade Subjects Taken Marks in percentage
/Grade in Final exam

Present Class

Curriculum Followed

Medium of Instruction

Second Language

Third Language
 Sri Kanchi Mahaswami Vidya Mandir
-----------------------------------------------------------------------
Parents Information

Affix your latest Affix your latest

photograph here photograph here

Father’s Details Mother’s Details

Name: Name:

Home address Home address

Home Tel No. ( with dialing code) : Home Tel No. ( with dialing code) :
Mobile No. Mobile No.
Email: Email:

Alternate Email Alternate Email :

Educational qualifications Educational qualifications :

Organization Organization

Designation Designation

Work Address Work Address

Work Tel No. (with dialing code) Work Tel No. (with dialing code)

PAN Card No.

 Sri Kanchi Mahaswami Vidya Mandir
-----------------------------------------------------------------------
Guardian Information
Name of the Guardian: ………………………………………………………………………………………………… Age ……………….…

Spouse Name ………………………………………………………………………………………………………………. Age …………….……

Relationship to the student: …………………………………………………………………………………………………………………….

Address: …………………………………………………………………………………………………………………………………………………..

City…………………………………………………………State …………………………………………Pin Code…………………

Tel No. : ……………………………………… Mobile No. ……………………………….. Email………...…………………………………

Organization and Address...............................…………………………………………………...........................................

……………………………………………………………………………………………………………………………………………………..............

Work Phone No. …………………………………………….. Fax No. ………………………………………………………………………….

Guardians’ Signature ……….………………………………………………………………………………………………………………………

Emergency contacts
Name………………………………………………………………… Relationship to the student …………………………………………

Address ……………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………................

Tel no. : ……………………………………… Mobile No………………………………..Email …………..…………………………………

List of Visitors Approved by Parents

1. …………………………………………………………………….. Relationship to the student
2. …………………………………………………………………………… Relationship to the student

Should emails and circulars be sent to the Guardian/Emergency contacts? ……………………….

We declare that the information furnished in the application form is correct to our knowledge. We shall
abide by the school’s standard terms now or introduced in future. We also undertake to meet all
financial responsibilities in time regarding the study of our child in the school

Place: Father: Mother:

Date Guardian
For office use
Fee Receipt No. Date Admission No. Approved for Admission by