Registration Form New 23.04.15

REGISTRATION FORM
KINDLY FILL IN ALL DETAILS IN BLOCK LETTERS (All Fields Mandatory)
Form no: CIS / Academic Year
/
Student's name:
Grade for which admission is sought:
Date of birth:
Gender:
Blood group:
Position in family:
(Number of older & younger siblings)
Sibling details
(If studying in Calibre International School)
Name of the school last attended:
Period from:
to:
class last attended:
Strike off whichever not applicable
Second language:
Tamil / Hindi / Sanskrit / French
Parent Details
Name
Nationality
Age
Mother tongue
Religion
Caste and community
ST/SC/MBC/BC/GC/OC
Qualification
Occupation
Designation
Income (annual)
E-mail
Mobile number
Organization name & address
Residential address &
telephone number
Third language (for grade I to VIII):
Tamil / Hindi / French / Sanskrit
Father
Mother
=
Does the student have a medical history that you wish the school to record: Yes / No
If yes, kindly provide brief details of the same: as a separate attachment with medical
certificate
=
Is the child toilet trained: Yes / No (for Pre-KG - UKG only)
Emergency contact details
Kindly provide details of one guardian (other than parents) who can be accessed by school in emergency
Academic performance details:
Marks / grade obtained in last class attended:
English:
Mathematics:
Science:
Social Science:
II language:
Registration form duly completed must be submitted at the school office along with the below mentioned
documents.
A) Birth certificates in English only. if in regional language kindly submit an affidavit of the English
translation.
B) Transfer Certificate (duly countersigned by education department if child is transferred from out of state
in India or endorsed by the embassy if shifting from abroad)
C) Residential proof (copy of passport / ration card / driving license / Rent or lease deed)
D) A copy of the latest progress report certified by the school last studied in.
E) A copy of the immunization record of the student
Declaration by parent:
I hereby declare that all the details mentioned above are true to my knowledge.
Please affix passport size photograph:
Father
Mother
Child
Name & signature
Name & signature
Name
For office use only
Admission No:
Calibre International School
Tel: 4265 8552, 2498 7012
# 21/6, Krishnaswamy Avenue,
Mylapore, Chennai - 600 004.
Email: [email protected]
Website: www.calibrefoundation.com