ACADEMIC YEAR : 2008-09
APPLICATION FORM
THE CHOICE SCHOOL
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Standard to which Admission is sought:
5
6
*
Indicates Mandatory fields
*
Name of the child
As entered in the Birth Certificate/Transfer Certificate
*
Date of birth (in figures)
Sex
:
Male
Female
*
Date of birth (in words)
Identification Marks
*
Place of birth
*
Nationality
*
Religion
*
Caste
OBC/SC/ST
*
Father's Name
Educational qualifications
Occupation
Office Address
Telephone No
*
Residential Address
*
Telephone No
E-Mail
*
Mother's Name
Educational qualifications
Occupation
Office address
Telephone No
E-Mail
*
Languages spoken at home
Previous Schools, if any
Allergies, if any
Family Doctor/Hospital
Telephone Number
PERSONAL INFORMATION
SIBLINGS
Name School Std
Div
HEALTH
Height
Weight
Blood group
Immunisation taken 1)
2)
Have you had a dental check up?
Yes
No
Mumps?
Yes
No
Jaundice?
Yes
No
Have you had Measles?
Yes
No
Chicken Pox?
Yes
No
Any other illness ?
ACTIVITIES
Do you like Art / Craft Work?
Yes
No
Elocution / Debate?
Yes
No
Sports / Games?
Yes
No
Reading?
Yes
No
Music?
Yes
No
Anything else?
ACHIEVEMENTS
Academic
Cultural /
Sports
Item & Details
Item & Details
1.
1.
2.
2.
3.
3.
Achievements in Academic / Sports / Co-curricular Activities to be supported by copies of Certificates
How would you describe your child?
Is there anything about your child that bothers you?
How much time do you spend with him/her?
Have you observed any special inclination / talent in the child?
What would you like your child to be ?
What are your expectations from your child's school?
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