GENERAL CERTIFICATE OF EDUCATION Advanced Subsidiary Level and Advanced Level APPLICATION FOR ADMISSION FORM TO BE FILLED BY THE APPLICANT Personal Details: 1. Name: _________________ _______________ _______________ First Second Surname 2. Sex: Male Female 3. Date of Birth: ____/____/_______ (D/M/Y) Photo 4. Residential Address in Kathmandu: 5. Permanent Address: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ 6. Phone Number: Residence: _______________ Mobile: _______________ Emails: _______________________________________ 7.Parents Details: Name Office/ Occupation Mobile No. Father Mother Guardian Contact in case of emergency other than Parents/Guardian 8. Academic Details S.No. Name of School Last Attented, Address Any cases of suspension or expulsion before (if any please mention) Any special honor (Academic / Non- Academic) I II 9. Course Details: Science Group A Group B Group C Non Science Group D Group E Group F COMPULSORY SUBJECT: COMPULSORY SUBJECT: COMPULSORY SUBJECT: COMPULSORY SUBJECT: COMPULSORY SUBJECT: COMPULSORY SUBJECT: English Language (AS) Physics (A) English Language (AS) Physics (A) English Language (AS) Sociology (A) Chemistry (A) English Language (AS) Economics (A) Business Studies (A) English Language (AS) Economics (A) Chemistry (A) English Language (AS) Economics (A) Business Studies (A) Psychology (A) Psychology (A) Biology (A) Mathematics (A) Accounting (A) Mathematics (A) Sociology (A) Optional Subjects: Mathematics Environmental Management (A) (AS) Computing (A) Accounting (A) Sociology (A) Art and Design Economics (A) Choose one of the Groups mentioned above : (Students may choose extra Subjects from above) Write the subjects you are interested in studying. Indicate A or AS in brackets. 1. _____________________________ 2. _____________________________ 3. _____________________________ 4. _____________________________ 5. _____________________________ 6. _____________________________ 10. Miscellaneous Details: 1. Please mention your interests. ______________________________________________________________________________________________ ______________________________________________________________________________________________ 2. Mention about your family and family life in short. ______________________________________________________________________________________________ ______________________________________________________________________________________________ 3. Why do you want to join A-Level? ______________________________________________________________________________________________ ______________________________________________________________________________________________ 4. How do you come to know about Chelsea International Academy? ______________________________________________________________________________________________ ______________________________________________________________________________________________ 5. In what ways do you expect Chelsea International Academy to influence you? ______________________________________________________________________________________________ ______________________________________________________________________________________________ 6. What do you see yourself doing 10 years from now, socially as well as professionally? ______________________________________________________________________________________________ ______________________________________________________________________________________________ 7. Any physical deformities or health problems which need special attention (if any, please mention)? _____________________________________________________________________________________________ ______________________________________________________________________________________________ 11. Declaration: Sir/Madam, I hereby request for my admission to Chelsea International Academy. I promise to abide by the school policies, rules and regulations regarding the payment of fees, student conduct and other school related matters. _________________________ Signature (Applicant) Date: ___/____/_______ (D/M/Y)