Online Admissions - Chitkara International School, Panchkula -SchoolPad

ADMISSION FORM FOR PANCHKULA CAMPUS
2025-26

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.
Self-attested scanned copies of the documents mentioned under 'Upload Documents ' should be submitted along with the admission application form.
A registration fee of INR 150 should be submitted at the time of registration.
Admission fee once deposited shall not be refunded.
In case you have any query, please contact the school admission helpline numbers: +918288099490 and +918288099491
IVR Contact Number +917291090935

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 *

Validated

E-Mail Id

ADDITIONAL DETAILS

Father's Details

Father's Occupation*

Father's Contact No (WhatsApp)

Mother's Details

Mother's Occupation

Mother's Contact No (WhatsApp)

STUDENT'S ADDITIONAL DETAILS

Date of Birth (in words)*

Age as on 31st March 2025*

Nationality

Indian Canadian American New Zealander Australian Norwegian Swedish

Place of Birth*

Mother Tongue*

Languages Spoken at Home*

Religion*

Student's 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 (WhatsApp) *

Father's Email ID (Personal Email ID)*

Father's Aadhaar Card Number

Father's PAN 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 (WhatsApp)*

Mother's Email ID (Personal)*

Mother's Aadhaar Card Number

Mother's PAN 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 (if other, please specify)

In the case of Single Parent or Guardian, Kindly Complete the School Admission Undertaking form and provide the relevant legal documents to support the information mentioned above. This information is requested in the interest of child's safety and security.

DETAILS OF THE GUARDIAN (to be filled if the student lives/will live with a local guardian)

Guardian's Name

Guardian's Nationality

Indian Canadian American New Zealander Australian Norwegian Swedish

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*

Gap Year*

RESULT OF THE LAST CLASS

1(a) Subject Name*

1(b) Max Marks*

1(c) Marks/Grade Obtained*

1(d) % Marks*

1(e) Remarks*

2(a) Subject Name*

2(b) Max Marks*

2(c) Marks/Grade Obtained*

2(d) % Marks*

2(e) Remarks*

3(a) Subject Name*

3(b) Max Marks*

3(c) Marks/Grade 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/Grade Obtained*

5(d) % Marks*

5(e) Remarks*

6(a) Subject Name*

6(b) Max Marks*

6(c) Marks/Grade Obtained*

6(d) % Marks*

6(e) Remarks*

Third Language

Subject Name

Max Marks

Marks Obtained

% Marks

Remarks

TRANSFER CERTIFICATE

Transfer Certificate*

Transfer Certificate Number

Transfer Certificate Date of Issue

Student Registration Number (SRN)

Parivar Pehchan Patra (PPP)

Permanent Education Number (PEN)*

PREVIOUS APPLICATION DETAILS

Have you ever applied before at Chitkara International School? (If yes, please share the class and year.)

Reason for leaving Chitkara International School?

Have you ever studied at 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/Significant Medical History (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 AT CHITKARA INTERNATIONAL SCHOOL

1(a) Sibling/Relative Name

1(b) Sibling/Relative Class

1(c) Relative Relation's (With the child)

1(d) Sibling's /Relative's Year of Joining/Leaving

2(a) Sibling/Relative Name

2(b) Sibling/Relative Class

2(c) Relative's Relation (With the child)

2(d) Sibling's /Relative's Year of Joining/Leaving

SOLE POINT OF CONTACT (SPOC) NOMINATION

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*

Contact Number

Relation with the Child

Email ID

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.

What expectations do you have from the school?*

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

I Understand that the fee, once paid, is non-refundable.*

Yes No

Have you submitted the required documents as mentioned in the document checklist?*

Yes No

If answer to point 7 above is No, please mention the details of the pending documents which are yet to be furnished:

Undertaking

Tick to Continue*

I/We have read the policies, fee structure, infrastructure, facilities, transport, etc. , carefully and understood them, including that the admission fee once paid/deposited shall not be refunded. I/We understand to make timely payment of fee as per fee cycle of the school. I/We understand that the school policies need to be adhered to once the admission is done. 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. I/We have understood that in case there are any documents which are pending (as specified above) the admission of my child shall be provisional and the school shall be free to cancel the admission in case these documents are not furnished by me/us to the school against a valid receipt within a period of 30 days of signing this application. I/We acknowledge and accept that should any material particulars be concealed during the admission process; the school retains the absolute right to review the admission at any time. I/We further certify that the information furnished by me/us in this form is true and correct to my/our knowledge and no part of it is false and nothing material has been concealed therein.

Note: The Transfer Certificate needs to be submitted latest by 20th April 2025 or within 30 days of admission in order to fulfill the admission criteria and to close the admission process completely.

How did you hear about us?

Other details

Other Option

Single Girl Child Specially Abled

PinCode

Add Permanent Address ( If Different)

UPLOAD DOCUMENTS

Upload Photo

Student *

Click Photo or

Remove

Father *

Click Photo or

Remove

Mother *

Click Photo or

Remove

Undertaking