Knowledge Academy School Admission Form

Knowledge Academy School

Ph: +91 8144412212 | https://www.kectschool.com

Date: 19/05/2024

APPLICATION FORM FOR ADMISSION

Campus

Academic Year

(Online Admission Form)

Contact No:*

Basic information

Applicant Name:*

Date of Birth:*

Application For Class:*

You will need to pay an Online Registration Fee of ₹1000.00 + service charges to proceed further with your application.

Personal Information :

Language Commonly Used at Home:

Native Place :

Place of Birth:*

Nationality:*

Religion:*

Mother Tongue:

Particulars of the School Last Studied :

School Start Date:

School End Date:

Name and Address of the School last Studied :

Class Studied last:

Medium of Instruction :

Reasons of Changing School :

Father's/Guardian's Particulars :

First Name:*

Last Name:*

Relationship:*

Date of Birth:*

Mobile/Phone:*

Email:*

Educational Qualification:

Occupation:

Name of Company:

Monthly Income:

Office Address:

Mother's Particulars :

Is Mother Employed?

Yes

First Name:*

Last Name:*

Date of Birth:*

Educational Qualification:

Mobile/Phone:*

Email:*

Permanent Address :

Pincode:*

State:*

City/District:*

Address:*

Particulars of Brothers and Sisters

Name	Gender	Name of School	Class

Particulars of Any Relatives of Student Studying/Applied in Knowledge Academy School

Name	Gender	Age	Relation

Have You Applied for Admission at Knowledge Academy School Before?

Yes

Other relevant information about the student (in brief) for consideration

Type of Schooling*

Achievements (if any):

Special Interest (if any):

Hobbies:

Health Status of the Student

Allergic to any drugs? Yes/No

Yes

Allergic Drugs:*

History of any chronic illness

Yes

Chronic Illness:*

Any Physical Ailment

Yes

History of any serious ailment

Yes

Serious Ailment:*

Major Surgery Done:

Student Blood Group:*

Documents to be Submitted

Photocopies of the following documents : (The orginal of which should be brought during the interview)

Birth certificate

Birth certificate of the student

Ration Card

Marksheet

Marksheet of all examinations appeared for in the previous school attended if any.

Passport Size Colour Photographs

Four additional passport size colour photographs of the student.

Note : All the materials submitted with this form will be retained by the school and will not be returned.

Declaration

We certify that all information furnished in this form is true and accurate with no admission of significance in context to this application *

Yours Truly

Father's/Guardians Signature:

Name:*

Date:*

Mother's Signature:

Name:*

Date: