For Office Use
CARMEL CONVENT SCHOOL, SECTOR 9B, CHANDIGARH
(A Private Unaided Christian Minority Institution)
APPLICATION FORM FOR LOWER KINDERGARTEN 2015-2016
Submission of Application Form does not guarantee Admission
THE COMPLET FORM MUST BE PRINTED ON LEGAL SIZE (21.5 CM X 34.5 CM) WHITE
PAPER. NO FORM PRINTED ON ANY OTHER SIZE OR COLOUR WILL BE ACCEPTED.
Dear Parents,
Thank you for applying for your daughter’s admission to Carmel Convent School. We wish you all the best.
CHECK LIST: Kindly tick off the documents being submitted along with your child’s/ward’s form.
Please ensure that all documents are legible and are attested by a gazetted officer or 1st class magistrate.
Notarized documents will NOT be accepted.
(1) Birth Certificate: (Any one of the following)
(i) Birth Certificate of the child issued in accordance with the
provisions of the Birth, Deaths and Marriages Registration Act 1969.
[ ]
(ii) Hospital register record
[ ]
(iii) Auxiliary and Midwife (ANM) register record
[ ]
(iv) Anganwadi record
[ ]
(2) Proof of current residence: Any of the following with present residential address.
(If the parents are living in two separate accommodations, kindly tick both proofs of residence
and write against the ticked option which one is for which parent.)
(i) Voter’s ID Card
[ ]
(ii) Valid Driving Licence
(iii) Valid Passport
[ ]
(iv) Photo Ration-Card
(v) Latest Electricity Bill [ ]
(vi) Latest Water Bill
(vii) Valid Rent Deed
[ ]
(viii) Latest MTNL Landline Telephone Bill
(3) Christians must attach :
(i) Baptism certificate / Dedication certificate
(ii) A letter from the respective parish
Priest/Pastor testifying to the membership of their parish.
(4) Alumni : ( Both )
(i) School leaving certificate/ Class 10/ 12 Pass Certificate
Membership card of CESA
(ii) List detailing the support given to CESA/CARMEL.
(5) Sibling in school: Copy Birth certificate of sibling with parent’s names clearly indicated.
(6)
[
[
[
[
]
]
]
]
[ ]
[ ]
[ ]
[ ]
Schedule Caste / Schedule Tribe / Other Backward Class :
Kindly Note: This is for our information only and has no relevance to the admission. Which is by draw
of lots.
(i)
Schedule Caste :
SC Certificate of the father issued by the appropriate authority.
SC Certificate of the child issued by the appropriate authority.
(ii) Schedule Tribe :
ST Certificate of the father issued by the appropriate authority.
ST Certificate of the child issued by the appropriate authority.
(iii) Other Backward Class :
OBC Certificate of the father issued by the appropriate authority.
OBC Certificate of the child issued by the appropriate authority.
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
(7)
Children who are differently abled and can be mainstreamed: Authenticated documents
– Medical documents and Disability Certificate from PGI/Sector 32 Hospital/Sector 16 General Hospital/any govt.
hospital
(8)
Single parents: Suitable supporting documentation indicating custody of the child by the applicant e.g.: Divorce
paper/court order/death certificate etc.
(9)
Is the child Foreign Passport Holder, if yeas, please attach attested copies of:
a) Valid Visa b) Residential Permit and c) Valid passport/PIO Card/OCI Card.
Kindly Note: This is for our information only and has no relevance to the admission. Which is by draw
of lots.
TOTAL NO. OF DOCUMENTS ATTACHED [
Signatures:
Page 1 of 5
Father’s/Guardian’s
]
Mother’s/Guardian’s
For Carmel Convent School: ___________________________
(Name with Date)
CARMEL CONVENT SCHOOL, SECTOR 9B, CHANDIGARH
For Office Use
(A Private Unaided Christian Minority Institution)
APPLICATION FORM FOR LOWER KINDERGARTEN 2015-2016
Submission of Application Form does not guarantee Admission
Kindly note that all admissions are done ONLY by the school. NO ONE has been authorized to give
admission/assurance regarding admission.
THE COMPLETE FORM MUST BE PRINTED ON LEGAL SIZE (21.5 CM X 34.5 CM WHITE
PAPER. NO FORM PRINTED ON ANY OTHER SIZE OR COLOUR WILL BE ACCEPTED
Kindly read the instructions carefully before you submit the application form:
1.
SC Judgement: The Hon’ble Supreme Court of India has held in the case of Society for Unaided Private Schools of Rajasthan v/s. U.O.I. & others Writ Petition
(C) No. 95 of 2010 that the provisions of the Right of Children to Free and Compulsory Education, Act 2009 (RTE) shall not apply to Unaided Minority
Educational Institutions. The National Commission for Minority Educational Institutions, Government of India, New Delhi has declared Carmel Convent
School and the other educational institutions run and maintained by the Congregation of the Apostolic Carmel in India are Minority Educational
Institutions within the meaning of Section 2(g) of the National Commission for Minority Educational Institutions Act, 2004 (‘NCMEI Act’). Carmel
Convent School Sector 9B, Chandigarh, therefore being a certified Christian Minority, Unaided Educational Institution is not governed by the
provisions of RTE.
2.
There are 5 printed pages in the form. Kindly ensure you have downloaded all the pages.
3.
Only those girls born between 1st April, 2010 and 31st March 2011 will be eligible for LKG admission for the academic year 2015-16. If your child is not
within the age limit specified, she will NOT be considered for admission.
4.
There will be no screening of the children or their parents. Number of seats in L. Kg, in total = 120
5.
Selection for free and open seats available will be made by draw of lots on 17th Jan. 2015 at 3.00 p.m. at the school premises. Only parents or their
representatives (ONE ONLY), CARRYING THE ACKNOWLEDGMENT SLIP will be permitted to attend the draw of lots. Please do not bring
children along.
6.
Filled in application forms along with attested photocopies of relevant documents will be accepted between 3.00 p.m. and 4.00 p.m. from 1st Dec. 2014 to 20th Dec.
2014, inclusive of both days (Excluding Saturdays, Sundays, 19th December 2014 and Holidays) between 3.00pm and 4.00pm. However, the school will be
receiving forms on the final day (Saturday, 20th December 2014) at designated time. No application forms will be accepted after 4 pm on 20 th December 2014
under any circumstances.
7.
Incomplete forms/those filled with incorrect information/unattested forms or forms without all the required documents, will NOT be considered for
draw of lots/admission.
8.
No enquiries will be entertained at the reception counter at the time of submission of forms.
9.
If the names and surnames given in the registration form do not match with the birth certificate of the child, the registration form will be considered incomplete
and will NOT be considered for admission.
10.
No alteration will be permitted in the registration form once the same has been submitted. Hence you are strongly advised, if you so
desire, that the necessary rectifications like addition/deletion of the name/surname/parent’s name/s is done legally from the Issuing
Authority before submission of the Registration form.
11.
In case it comes to the knowledge of the management, at any point that the information furnished is incorrect or wrong, the admission will stand cancelled
without having any right to claim the refund of the fee paid.
12.
Registration/draw of lots does not guarantee admission. The admission process will be considered complete only on completion of all formalities of admission
and payment of fees within the stipulated time.
13.
Both parents must be present with the child on the day of admission as the signatures of both are imperative.
14.
Originals of all documents must be produced at the time of admission, to permit verification. In case, on verification, any document is found to be fabricated,
forged or tampered with, the management reserves the right to cancel the admission.
15.
Please ensure that the acknowledgement slip that will be given to you, is retained and produced whenever you come to the school regarding all future
dealings pertaining to admissions.
16. Please note: The school does not take responsibility for providing transport facilities for the children. Parents are responsible for the same. However, there are a few
private contractors plying buses for the school under an agreement with the school. Students may avail of this, seats permitting. Parents are advised to take
admission in schools near to their residence. It will be the responsibility of the parent/guardian to drop and collect the child from the specified bus-stop.
17.
The school being a minority institution reserves its Constitutional Right to give preference to children from the Christian Community. Preference will also be
given to Siblings. Wards of Alumni, Management and Wards of Staff. As regards the wards of Alumni, preference will be given to those Alumni who have
been active members of CESA for a minimum of 5 years and who have been supportive of the school. Conditions apply. Kindly note: Preference does not
guarantee admission. All alumni are requested to attach the documents listed as well as a list detailing how they have supported CESA/CARMEL.
18.
With the firm belief that children should not be exposed to the stress of long journeys, the school will only consider those children eligible for admission who
are living within the Municipal City limits of the tri-city area of Chandigarh, Panchkula and Mohali. The only exceptions will be siblings.
19.
Being a Christian minority educational institution and in imitation of Jesus who made a preferential option for the poorest of the poor of the society, the school
has independently been educating children from the EDG. (Economically Disadvantaged Group) since 1959. The institution has never stopped to look after
EDG and will continue to reach out to them. Kindly note: This is an entirely voluntary exercise as the school being a Christian Minority, Private Unaided
school) does not come under the preview of the RTE.
20.
Only ONE application form per child will be accepted. In the event of it being discovered that more than one application has been submitted for a child, all the
forms will stand rejected and the candidate disqualified.
Forms and all the accompanying documents/photographs, once submitted, will become the property of the school and shall not be returned.
21.
22.
a)
b)
c)
d)
23.
24.
At the time of submission of forms:
A sum of Rs. 50/- is to be deposited with each downloaded form.
Kindly bring along an Original Date of Birth Certificate for verification purpose. The same will be returned immediately.
There will be preliminary examination of the forms. All forms found incomplete/ with documents missing/unattested/ with incorrect
information will not be accepted.
The accepted forms will, thereafter, be subjected to further detailed scrutiny after which final selection of eligible candidates will be done.
The final list of eligible candidates for the draw of lots will be put up on 30-12-2014. Kindly Note : Owing to the Christian School and already having certain
important Christmas functions planned earlier, this date has been finalized after discussion with the education department (U.T) Chandigarh
Contact numbers/E-mail IDs given must be permanent, valid and working. In the eventuality that the school is unable to reach you at the number(s) given, the
school will not be held responsible for the consequences.
I hereby certify that I have carefully read all the above instructions and agree to abide by them.
Signatures:
Page 2 of 5
Father’s/ Guardian’s
Mother’s/ Guardian’s
CARMEL CONVENT SCHOOL, SECTOR 9B, CHANDIGARH
For Office Use
(A Private Unaided Christian Minority Institution)
APPLICATION FORM FOR LOWER KINDERGARTEN 2015-2016
Submission of Application Form does not guarantee Admission
Application for class:
Please fill in the form in BLOCK LETTERS
Affix Photo
Over the Sample
Postcard Size
RECENT photo of the child with parents
only (Not taken more than a month ago)
Firmly affix a recent photograph
of the girl with gum/adhesive,
not taken more than a month
ago.
(Not to be pinned or
stapled) which clearly indicates
the name of the girl along with the
DATE OF TAKING THE
PHOTOGRAPH. (Sample Shown
Above)
Name of the Child (BLOCK LETTERS): ……………………………………………………………………………………………
Date of Birth: Day [
/
] Month [
/
] Year [
/
/
/
] Age as on 31-03-2015: ………………………….
Religion (please Tick) : Christian [ ] Hindu[ ] Muslim [ ]Sikh[ ] Budhhist [ ] Jain [ ] Parsi [ ] Any other [ ]
For Christians only: Date and place of Baptism…………………………………………..
Name of Church…………………Priest’s/Pastor’s Name & Contact No………………….
Caste (Please Tick, if applicable) : SC [ ] ST [ ] OBC [ ]
Nationality………………………
Is the child
a) Foreign Passport Holder: Yes[ ] No [ ] If yes, please attach a) valid Visa b) Residential Permit and c) Valid Passport
b) B) Holds dual citizenship: Yes[ ] No[ ] If yes, pelase attach a) valid Visa b) Residential Permit and c) Valid Passport/PIO
CARD/oci cARD
School being attended presently (and address):………………………………………………………………………………
Tel. of School………………………………………. E. Mail of School …………………………………………………………..
FATHER’S
Name in full:……………………………………………………………….
MOTHER’S
Name in full: …………………………………………………………………….
Occupation/ Business: ………………………………………………………. Occupation/ Business: ……………………………………………………….
(Please specify exact nature of company/business/shop)
(Please specify exact nature of company/business/shop)
Designation:…………………………………………………………………. Designation: ……………………………………………………………………..
Office/Shop/Business Address:…………………………....................
Office/Shop/Business Address:…………………………....................
……………………………………Tel. ……………………………………
………………………………………Tel. : …………………………………………
Home Address : …………………………………………………………….
Home Address : ………………………………………………………………….
………………………………………………………………………………
………………………………………………………………………………………….
Tel. : …………………………Mob………………………………………..
Tel. : ………………………………… Mob………………………………………..
E.mail…………………………….. Monthly Income: ……………………..
E.mail……………………………….. Monthly Income: ……………………..
Combined annual income of both parents:……………..
Note: Admission fee of Rs. 15,000/- to be paid at the time of admission. Balance fees to be paid by the
parents in April, 2015 when the session begins.
Page 3 of 5
CARMEL CONVENT SCHOOL, SECTOR 9B, CHANDIGARH
For Office Use
(A Private Unaided Christian Minority Institution)
APPLICATION FORM FOR LOWER KINDERGARTEN 2015-2016
Submission of Application Form does not guarantee Admission
Language spoken at home : ____________________________________________________________
Is your daughter an only child
Yes [ ]
No [ ]
Have you any other child/children already studying in Carmel Convent School/Other Schools? If so,
Name(s)
Class, Section & Adm. No.
Name of the School
1.
___________________________
_____________________ ____________________
2.
___________________________
_____________________ ____________________
3.
___________________________
_____________________ ____________________
4.
Non School going : NA [
]Yes [
]
No [
]
If yes, No. of Brother(s) [ ]
Is the girl’s mother an ex-pupil of Carmel Convent School?
Yes [ ]
Sister(s) [ ]
No [ ]
(a)
If yes, Year of Graduation : ______________________ (b) Squad _________________________
(c)
Years Studied in Carmel Convent School : ______________Year to ____________ Year
(d)________________class to ______________class
(e) Admission No.__________________
Please attach a separate list detailing how
CESA/CARMEL HAS BEEN SUPPORTED.
Family information (Please tick) :
STUDENT LIVES WITH
Both Parents [ ] Mother [ ]
Father
[ ]
Other [ ]
LEGAL CUSTODY
CORRESPONDENCE TO
Both Parents [ ] Mother [ ]
Both Parents [ ] Mother [ ]
Father
Father
[ ]
[ ]
Other [ ]
Other [ ]
CHECK IF APPROPRIATE
Father deceased [
]
Mother deceased [ ]
Parents Divorced [ ]
Parents Divorced [ ]
Father remarried [ ]
Mother remarried [ ]
Parents Living outside India [ ]
Parents not living in Tri-city [ ]
One Parent not living in Tri-city [ ]
Father [ ]
Mother [ ]
PLEASE ATTACH CUSTODY PAPERS IF PARENTS DIVORCED OR SEPARATED
Is your child differently abled but can be mainstreamed?
__________________________________
(Signature of Father / Legal Guardian)
Yes [ ]
No [ ]
____________________________________
(Signature of Mother / Legal Guardian)
For Christians Only :
As my child is s Christian, I understand and accept that he will be attending Christian scripture classes for
the duration of his stay in the school.
__________________________________
(Name of Father / Legal Guardian)
_____________________________________
(Name of Mother / Legal Guardian)
Note: The School does not accept any donations/capitation fees for admissions.
DECLARATION BY THE PARENTS
I/we hereby declare that the above information provided by me/us is correct and I/We understand that if the information is
found incorrect or false, my/our child shall be automatically debarred from selection/admission process without any
intimation in this regard. I/We acknowledge the school has the right to deny admission to the wards of persons working
against the interest of the School/Management know that this school is an unaided minority institution. I/We also know that
registration does not guarantee admission to our child. I/We accept the process of admission undertaken by the school and
I/We will abide by the decision taken by the school/Management. No claim in this regard will be entertained at the later stage
for any mistake made by me/us. We also accept that in the eventuality that we are unable to pay our daughter’s fee, we will
withdraw her from the school and will not seek a concession as we understand that the school already shoulders the expenses
for the EDG children enrolled in the school.
_______________________________
(Name of Father/Legal Guardian)
_____________________________________
(Name of Mother/Legal Guardian)
________________________________
(Signature of Father/Legal Guardian)
____________________________________
(Signature of Mother/Legal Guardian)
Date: _______________
Page 4 of 5
CARMEL CONVENT SCHOOL, SECTOR 9B, CHANDIGARH
(A Private Unaided Christian Minority Institution)
For Office Use
APPLICATION FORM FOR LOWER KINDERGARTEN 2015-2016
Submission of Application Form does not guarantee Admission
For office use only:
Date of Submission: ………………..
Office Copy
Time of Submission: ………………..
PLEASE FILL IN AND DO NOT DETACH
Name of the Pupil in full
: ………………………………………………………………………………………………
Date of birth of the pupil : Day [ / ] Month [ / ] Year [ / / / ] Religion………. Nationality…………….
Father’s Name
: ………………………………………………………………………………………………...
Mother’s Name
: ………………………………………………………………………………………………..
Residential Address
: …………………………………………………………………………………………………
Phone Number(s)/ E.Mail ID
: Phone No. Residence : ………………………………..
Mother’s : Office……………………. ….Mobile…………………….. ……E.Mail ……………………………………..
Father’s : Office………………………… Mobile………………………….. E.Mail ……………………………………..
Note: Contact numbers/E-mail IDs given must be permanent, valid and working. In the eventuality that the school is
unable to reach you at the number(s) given the school will not be held responsible for the consequences.
_______________________________
(Name of Father/Legal Guardian)
_____________________________________
(Name of Mother/Legal Guardian)
________________________________
(Signature of Father/Legal Guardian)
____________________________________
(Signature of Mother/Legal Guardian
For Carmel Convent School:
________ ___________________________
(Name with Date)
………………………………………………………………………………………………………………………………………………………………………
CARMEL CONVENT SCHOOL, SECTOR 9B, CHANDIGARH
(A Private Unaided Christian Minority Institution)
For Office Use
APPLICATION FORM FOR LOWER KINDERGARTEN 2015-2016
Submission of Application Form does not guarantee Admission
For office use only:
Parents’/
Guardian Copy
Date of Submission: ………………..
Time of Submission: ………………..
PLEASE FILL IN AND DO NOT DETACH
Name of the Pupil in full : …………………………………………………………………………………………………
Date of birth of the pupil : Day [ / ] Month [ / ] Year [
/ / / ] Religion………. Nationality…………….
Father’s Name
: ………………………………………………………………………………………………….
Mother’s Name
: ………………………………………………………………………………………………….
Residential Address
: …………………………………………………………………………………………………
Phone Number(s)/ E.Mail ID
: Phone No. Residence : ……………………………
Mother’s : Office…………………………… Mobile………………………….. E.Mail …………………………………
Father’s : Office……………………………Mobile………………………….. E.Mail ………………………………...
Note: Contact numbers/E-mail IDs given must be permanent, valid and working. In the eventuality that the school is
unable to reach you at the number(s) given the school will not be held responsible for the consequences.
_______________________________
(Name of Father/Legal Guardian)
_____________________________________
(Name of Mother/Legal Guardian)
________________________________
(Signature of Father/Legal Guardian)
____________________________________
(Signature of Mother/Legal Guardian
For Carmel Convent School: ___________________________
(Name with Date)
Page 5 of 5