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Class PG to IX & XI
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Online Admission Open Class PG to IX & XI
Admission
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Admission
Student Details
Campus in which student is seeking Admission:
Shivalik Cambridge
Shivalik Public School
First Name:
Last Name:
Date of birth:
Birth Place:
Gender:
Male
Female
Wether frist bortn:
Yes
No
Age of student as on 31st March, 2020:
Father's Name:
Nationality:
Education:
Occupation:
Mother's Name:
Nationality:
Education:
Occupation:
Guardian's Name:
Nationality:
Education:
Occupation:
Father's Annual Income :
Father's Permanent Address :
Mother's Annual Income :
Mother's Permanent Address :
Religion:
Caste:
Select
GEN
ST
SC
OBC
EWS
SG Child
Other
Communication Details
Residential Address:
Father's Telephone
Landline No:
Office No:
Mobile No:
Office Address:
Office Mobile:
Mother's Telephone
Landline No:
Office No:
Mobile No:
Office Address:
Office Mobile No:
Email Id
Father:
Mother:
Class in which Student is seeking Admission:
Select
PG
LKG
UKG
I
II
III
IV
V
VI
VII
VIII
IX
X
XI Science
XI Commerce
XI Humanities
XII Science
XII Commerce
Name and Address of the School last attended:
Other Details of the Student
Whether Last School was CBSE Affiliated:
Yes
No
Affiliation No:
If the Last School was not CBSE Affiliated, specify Na:
Yes
No
If the Last School was not CBSE Affiliated, specify Name of Board:
Result of Last Examination
Percentage
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Student's Photograph
Transfer Certificate:
DOB Certificate:
Whether Transfer Certificate is Attached:
Yes
No
Date of TC:
Whether DOB Certificate Attached:
Yes
No
Sr. No. of DOB Certificate:
Other Details
Sibling Studying in Shivalik Group of Institutions(if any)
Yes
No
If yes, fill the details
Name:
Class/Sec:
Admission no:
Year of enrolment:
Ward of School Employee
Yes
No
Single Parent
Select
Not Applicable
Widow
Widower
Divorcee
Are any of the Parent Alumni of the School
Yes
No
If yes, fill the details
Father
Year of Study:
From:
To:
Admission No:
Mother
Year of study:
From:
To:
Admission No:
Is School Transport required
Yes
No
Terms and Conditions
I accept the Terms and Conditions
1. I have permitted(my son/daughter/ward)studying in Class.......................Section .......... Admission No................................................................................. .............................................................................................................................................School (Shivalik Cambridge College/Shivalik Public School) ....................................................He/ She may take part in any physical activity / tours / tournament/ sports camp / course / adventure /training / tours and treks/ swimming / NCC/ mountaineering / rock climbing / hiking / skating / cycling / horse riding etc. or any adventurous activity which involve risk, organized by the school or third party for the students' practice / show / competition at all levels during his / her stay & during or after event including movement by transport inside or outside the premises of the school.
2. I am aware that school is responsible only for First Aid treatment however any additional medical treatment & hospitalization if required shall be our responsibility and we shall not make claim or ask for any compensation from School Authority.
3. I undertake and agree to hold the school and its staff indemnified against all such claims that may arise out of any loss or injury to the property or person which my son/daughter / ward may suffer while or in consequence of participation in any such activity as described in Para 1 IB.
4. I also undertake and declare that I or any of my representatives will not claim any compensation from the school on account of any such injury or loss as described in - Para 3 IB.
5. I hereby promise to indemnify and keep indemnified and harmless the Shiva Shiksha Samiti Shivalik Cambridge College / Shivalik Public School, its patent body, their employees/officials, from any type of injury or damage(s) which may arise out from the action or inaction of my son / daughter / ward, during the said activities for the entire tenure in the Shivalik Cambridge College/ Shivalik Public School and also from any claim arising from such action or inaction of my son / daughter. I am competent to make the above said declaration. Hence, signed on this ..............................day of.................................month.................. year at Shivalik Cambridge College / Shivalik Public School in the presence of witnesses.