;
Admission Form 2023-2024
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. Incomplete form will not be accepted.
  5. Registration Fee: INR 100.
  6. In case, you have any query please contact admission helpline numbers: +91 - 8288099489, 8288099490, 8288099491
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)*
Age as on 31st March 2023*
Place of Birth*
Mother Tongue*
Languages Spoken at Home*
Religion*
Student Aadhaar Card Number
DETAILS OF THE PARENTS

Father's Nationality*
Father's Occupation*
Father's Office Address*
Father's Annual Income*
Father's Mobile Number*
Father's Email ID*
Father Aadhaar Card Number
Mother's Nationality*
Mother's Occupation*
Mother's Office Address*
Mother's Annual Income*
Mother's Mobile Number*
Mother's Email ID*
Mother Aadhaar Card Number
IN CASE OF SINGLE PARENT (PLEASE SPECIFY)

Student Lives with
Student Lives with(if other please specify)
Legal Custodian
Legal Custodian(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 Relation (with the student)
Guardian's Address (with pin code)
Guardian's Email
Guardian's Mobile No
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*
Gap Year*
RESULT OF LAST CLASS

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*
TRANSFER CERTIFICATE

Transfer Certificate*
Transfer Certificate Number
Transfer Certificate Date of Issue
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)
Has the child ever been expelled/rusticated/not promoted to the next class by any school?(If yes, please give details)
ACHIEVEMENT HISTORY

Achievements
MEDICAL/HEALTH RECORD

Blood Group
Allergies (if any)
Physical Disability/Special Needs (If any)
Family Doctor's Name and Contact (if any)
REFERENCES & CONTACT (Kindly mention two emergency contacts other than parent)

1(a) Reference/Contact Name*
1(b) Reference/Contact Relation(With the child)*
1(c) Reference/Contact Number*
1(d) Reference/Contact Correspondence Address*
2(a) Reference/Contact Name
2(b) Reference/Contact Relation(With the child)
2(c) Reference/Contact Number
2(d) Reference/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
Point to Consider

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 and agree to pay the fee as per fee cycle of the school?*
Yes    No    
Undertaking

Tick to continue*
I/We certify that the information finished in this form is true to the best of my knowledge and belief. I understand that the submission of this form is no guarantee of admission to the school and shall be subject to the terms and conditions laid down by the management. I/We promise to abide by all the rules and regulations of school which have also been read over and explained to me in language known to me.    
UPLOAD DOCUMENTS

Photocopy of self attested copy of Birth Certificate which has names of both parents mentioned on it*
Photocopy of self attested proof of residence (Ration Card/Voter I-Card/Electricity or Water Bill/Tenant's Deed/ Aadhaar Card/Passport etc)*
Photocopy of self attested Aadhaar card of the student/applicant.
Photocopy of self attested mark sheet/report card of the last 2 years from the last school if attended.
Blood Group Report of the child.
Medical Report/Medical History/Vaccination Record of the child.
Attested copies of legal document if the child is being brought up by a single parent.
Affidavit of guardianship to be submitted if student lives with a local guardian.
Transfer certificate
SC/ST Certificate (If Applicable)
Upload Photo

Student *
Father *
Mother *
Undertaking

Powered by SchoolPad