ABACUS ACADEMY OF KERALA

(Master Franchisee Of Skills Education Academy for the state of Kerala)

st
Rajadhani Complex 1 Floor, Opp. PRS Hospital , Killipalam ,
Thiruvananthapuram 695 002, Phone : 0471-3057340, Mobile No. 09495901338 ,
Email: acmaskerala@gmail.com, Website www.acmaskerala.com / www.abacusacademyofkerala.com
6th KERALA STATE LEVEL A C MAS ABACUS & MENTAL ARITHMETIC COMPETITION - 2014
COMPETITION DATE: 08 th NOVEMBER 2014 (SATURDAY) COMPETITION VENUE: RAJADHANI AUDITORIUM, EAST FORT, TRIVANDRUM-1

APPLICATION FORM
Franchisee Code No : Name of Franchisee :
C I Code No : Name of C I :
Place of Centre/Town : State Kerala

Student Name
(As recorded in enrollment form. Use only CAPITAL LETTERS. Fill up one character in a box.)
Student Code : Sex : Male / Female
Date of Birth : Father's Name :
(Please put tick mark P in appropriate box against the box)
Completed Completed
Group Age Calculation Group Age Calculation
Term Put P Term
(Student Exam as on (Year 2014 Minus year Tick Mark (Student Exam as on (Year 2014 Minus year Put P Tick Mark
Code) 30.09.2014 of birth) Code) 30.09.2014 of birth)

Z1 6 years and below F1 7 years and below

Incomplete
Z2 7 years - 9 years F2 6th 8 years - 10 years
1st term
Z3 10 years and above F3 11 years and above
A1 6 years and below G1 7 years and below
A2 1st/KG 1 7 years - 9 years G2 7th 8 years - 10 years
A3 10 years and above G3 11 years and above
B1 6 years and below H1 8 years and below
nd
B2 2 /KG 2 7 years - 9 years H2 8th 9 years - 11 years
B3 10 years and above H3 12 years and above
C1 6 years and below I1 8 years and below
rd
C2 3 7 years - 9 years I2 9th 9 years - 11 years
C3 10 years and above I3 12 years and above
D1 7 years and below J1 8 years and below
D2 4th 8 years - 10 years J2 10th 9 years - 11 years
D3 11 years and above J3 12 years and above
E1 7 years and below
E2 5th 8 years - 10 years
E3 11 years and above

Term & Conditions

1 By signing this application, Parents (on behalf of the Students) and Franchisees agree to all the conditions of the "Competition -2014)
2 Late comers not allowed.
3 All Particulars should be filled up completely without any correction or overwritting.
4 Competition Fee Rs.500/- should be paid along with application form without fail (otherwise it will considered as incomplete.)
5 Incomplete / Non - filled up applications will be rejected.
6 Participation from Last competition (2013) to this competition (2014) the candidate has to be minimum complete three terms.
7 Last date of receipt for completed application at corporate office is 8/10/2014 at 5 P M
8 Time of competition for each student will be mentioned in HallTicket based on the group selected. Please follow the instructions given on HallTickets.

Signature of Parent Signature of the Franchisee/Course Instructor