Shalom International School

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( Passport Size Photo )

Personal Details

1. Name of the Applicant *

[Enter the name as per Government Records]

2. Class to which admission *

3. Second Language *

Present School *

5. Date of Birth *

6. Age *

7. Gender *

8. Aadhar Number

9. EMIS Number

Religion Details

10. Mother Tongue

11. Religion

12. Caste

Parent Details

13. Parent Details	Father	Mother
Parent Names
Educational Qualification
Employed/Self Employed
Employer/Organisation Name
Designation
Work Address
Mobile Number *
E-mail id *

Other Details

15. Name & Address of the Previous School

16. Presently in Class

17. Stream

18. Annual Income

Father Mother

Total

19. Details of siblings of the applicant presently studying at KCS ( Please attach a copy of Report Card )

Sno	Name	Class	Section	Roll No	Stream
1
2

20. Details of passport (if applicable) For NRI / Foreign Nationals

Passport No

Date of expiry

Visa Type

Place of Issue

Visa No

Date of expiry

21. Address For Correspondance

Door No

Road

State

Pin Code

ISD/STD Code

Mobile

House Name

City

Country

Telephone No

Office

Fax

Check if permenent address differ.

DECLARATION *

I parent of understand that my child, if admitted in the school, will have to compulsorily take part in all training activities. I hereby agree that I will not hold the school responsible for any untoward accidents that might take place involving my child inside the school campus. I will not put in any kind of compensation claim regarding such mishaps. If my child violates any of the school rules and regulations, I hereby give my consent to have my child withdrawn from the school. I will clear all monetary dues to the school on time. I also hereby agree to abide by all school rules.

I further agree that the school reserves its right to issue Transfer Certificate to the child for any act of indiscipline. KCS is a Christian institution. I have read and fully understood these conditions and declaration.

Filled by *

Date *

During school working days, the child will be staying with *

Reason for seeking admission in KCS
(kindly writebriefly in the space provided) :

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APPLICATION FORM FOR THE ACADEMIC YEAR
2024 - 2025