Application Form - Era International School

FOR OFFICE USE ONLY
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ERA INTERNATIONAL SCHOOL
Total
Bellary Road, Rachanapalli (V),
Anantapur - 515004 Andhra Pradesh, India
Ph: +91 70953 99992 / 93 / 94 / 95
[email protected]
Entrance Test Marks
List of documents attached
Accepted
1. Original D.O.B. Certificate
Admitted into class
2. T.C of the previous School
Admission No
3. Photographs
Date of Admission
Rejected
www.erainternationalschool.com
4. Any other
Student’s Recent
Passport Size
Photograph
APPLICATION FORM
CEO/Principal
RULES & REGULATIONS FOR ADMISSIONS
USE BLOCK LETTERS ONLY
1.
Name of the Student
:
Parents / Guardians who desire to take this application form for registration of their child’s admission, are requested to note
the following important rules and regulations.
S U R N A M E
F
1. Application forms along with prospectus are available at our office on payment of Rs. 750/-. Duly filled in application forms
shall be submitted in our office to begin the procedure for admission test, as per grade.
2.
Gender
:
2. Please attach recent passport size photographs of parents (Mother and Father) and the person who will pick-up the child
from the school bus.
3.
Date of Birth
:
3. Admissions for Pre KG are open for children who are at least two years plus. For the purpose of calculation, a child's age as
on 31st March would be considered.
4.
Identification Marks
:
4. The fee is supposed to be paid strictly on time.
I
Male
D D
R
S
M
I
D D L
E
T
Female
M M
Y
Y
Y
Y
Age :
1
2
5. All fees are to be paid by Demand Draft in favour of ERA EDUCATIONAL SOCIETY, payable at Anantapur
6. Application, Admission, and Annual fee once paid are non refundable.
7. The school reserves the absolute right, at its discretion, to withdraw the admission of any child for reasons such as below:
a) On the grounds of indiscipline or serious breach of conduct.
b) Failure to pay the school dues.
5.
Entry Class
:
6.
Nationality
:
7.
Address (Home)
:
c) Failure to observe the rules and regulations of the school.
8. The school would take utmost care in respect of safety of the children. However, it is not liable for any damage or accident
due to any reasons whatsoever.
Pincode :
9. Conveyance facility provided by the school will only cover the town of Anantapur.
10. Parents are not allowed to consult any teachers directly. They should meet the In-charge/ Principal/ CEO, who in turn if
required, would direct them to the concerned teachers.
Phone :
11. All the above rules and regulations are subject to change without any prior notice.
8.
Father's Name
:
UNDERTAKING BY THE PARENT / GUARDIAN
9.
Father's Qualification
:
Occupation / Job title
:
Address (Office )
:
I declare that I have carefully gone through the rules and regulations for admission and I agree to abide by the same. I also declare that
the date of birth of my Son/Daughter as entered in this application form is correct and I will not apply for any alternation of the date of
birth and/or any change in the name of my ward.
10.
Age :
Place:
Date:
Signature of Parent / Guardian
Phone :
Email:
Mobile :
11.
Mother's Name
:
12.
Mother's Qualification
:
Occupation / Job title
:
Address (Office)
:
13.
20.
Age :
Phone :
14.
If yes, please indicate below
Mobile :
Name of Brothers / Sisters
Name
Birth Date
Are you aware of any learning support that your child will need ?
Sex
Class
21.
What are your long-term goals for your child ?
22.
What type of environment do you think is required for your child to fulfill his / her potential ?
23.
As a parent, what role do you play in your child's education ?
24.
Transport Facility
Yes
No
Maybe
25.
Hostel Facility
Yes
No
Maybe
26.
Two areas which you would like to participate in
Counseling
Yes
No
Maybe
Guest lecture in your area of expertise
Yes
No
Maybe
Field trips
Yes
No
Maybe
Science fares
Yes
No
Maybe
Educational tours
Yes
No
Maybe
School
1.
2.
3.
4.
15.
Languages spoken at home
:
16.
Proficiency in English
: Writing
17.
19.
Fluent
Speaking
Moderate
Fluent
Reading
Moderate
Fluent
Previous Education :
Name of the School
18.
Moderate
Period of Study
Class
Reason for Change
Achievements in co-curricular activities
If your child ever received any learning support, please indicate the areas below
Speech and Language :
Reading and Writing :
Mathematics :
Social Skills :
Motor Skills (e.g. Handwriting or Physical Education) :