Submission of Application

STUDENT INFORMATION

Name

Gender

Date of Birth

Nationality

Religion

Mother Tongue

Photo

Languages known to speak

Caste

Address

Email Id

Telephone

Mobile

Approximate distance of the Residence form school

Blood Group

Allergic to Drugs

Medical Ailments (if any)

PAST STUDIED SCHOOL INFORMATION

Name Of the School:

Standard

Subject"s Taken

Marks in Percentage / Grade in Final

Name Of the School

Standard

Subject"s Taken

Marks in Percentage / Grade in Final

CURRENT CURRICULUM INFORMATION

Present Class

Curriculum Followed

Medium of Instruction in present school

Second language in present school

Second Language *(opted for)

Third Language *(opted for)

ADDITIONAL INFORMATION

Why are you interested in admitting your child to CVMIS?

What are your expectations from CVMIS?

Special Interest and Hobbies of the student

Mode of Transport likely to be used to commute to school

Would you avail Bus/Van facility if it is provided by the school

PARENT INFORMATION

Recent Color Photograph of Father

Recent Color Photograph of Mother

FATHER'S DETAILS

Name

Specialization Sports Activities / Music / Dance / Art& Craft / Others Specify

Res Tel No

Mobile No

Education Qualification

Organization

Annual Income (in Rs)

Office Tel no

Office Address

MOTHER'S DETAILS

Name

Specialization Sports Activities / Music / Dance / Art& Craft / Others Specify

Res Tel No

Mobile No

Education Qualification

Organization

Annual Income (in Rs)

Office Tel no

Office Address

EMERGENCY CONTACTS

Emergency Name

Relationship to student

Address

Tel No

Mobile No

Email Id

We / I

Date

Place