CHINMAYA VIDYALAYA

School with a Difference

Affiliated to CBSE, New Delhi

Affiliation No : 1930025

Tapovanam, 9B Taylor's Road, Kilpauk, Chennai-600010.

Phone: 26460631

E-mail:kilpauk@cvchennai.org

APPLICATION FOR ADMISSION

KINDERGARTEN

Note: All ‘*' marked fields are mandatory.

CHINMAYA VIDYALAYA

School with a Difference

Affiliated to CBSE, New Delhi

Affiliation No : 1930147

Plot No. 5063A, Z-Block, Belly Area, Anna Nagar, Chennai - 600 040.

Phone: 044 - 2626 1358.

E-mail:chinmayach40@gmail.com

APPLICATION FOR ADMISSION

KINDERGARTEN

Note: All ‘*' marked fields are mandatory.

CHINMAYA VIDYALAYA

School with a Difference

Affiliated to CBSE, New Delhi

Affiliation No : 1930100

Chinmaya Nagar, Stage II, Virugambakkam, Chennai – 600 092.

Phone: 24796802

E-mail:cvvprincipal@gmail.com

APPLICATION FOR ADMISSION

KINDERGARTEN

Note: All ‘*' marked fields are mandatory.

Student Details

Name of the Pupil*

Gender*

Date of Birth (mm/dd/yyyy) * The birth date of the child should be between December 11, 2020 and December 10, 2021. The birth date of the child should be between December 11, 2020 and December 10, 2021.

Address*

Pincode*

Distance from School in Kms *

Mobile Number for Communication *

E-mail Id* {{studErr}}

Total Monthly Income of the Parents*

Nationality*

Mother Tongue*

Name of the Pre-school Attended

Religion *

Category *

Aadhar No. * Kindly enter 12 digit Aadhar Number

Has the pupil been vaccinated?

History of any allergies (or) any serious illness suffered

Mention if the child is a child with special needs (CWSN).

Mention the disability

Student Photo

attach photo online (or) Affix Photo after printing the application

Father's Details

Father's Name*

Father's Educational Qualification*

Father's Occupation/ Designation*

Office Address*

Email Id* {{fatErr}}

Father's Mobile Number*

Father's Aadhaar Number Kindly enter 12 digit Aadhaar Number

Mother's Details

Mother's Name*

Mother's Educational Qualification*

Mother's Occupation/ Designation*

Office Address*

Email Id* {{motErr}}

Mother's Mobile Number*

Mother's Aadhaar Number Kindly enter 12 digit Aadhaar Number

Guardian's Details (If Parents are not available locally)

Guardian's Name

Address

Landline Number

Guardian's Mobile No.

Email Id {{grdErr}}

Guardian's Aadhaar No. Kindly enter 12 digit Aadhaar Number

Details of siblings

Is there any biological sibling studying in the school applied for?

Admission No.*

Are parents alumni of any Chinmaya Vidyalaya in Chennai?

Father

Branch of the Chinmaya Vidyalaya *

Classes Studied *

Mother

Branch of the Chinmaya Vidyalaya *

Classes Studied *

Your application has been submitted successfully.

Please take printout of this form & carry the same while visiting school for further admission process.

Chinmaya Vidyalaya

School with a Difference

Affiliated to CBSE, New Delhi

Affiliation No : 1930025

Tapovanam, 9B Taylor's Road, Kilpauk, Chennai-600010.

Phone: 26460631.

E-mail:kilpauk@cvchennai.org

APPLICATION FOR ADMISSION

KINDERGARTEN

Affix
Pupil's Photo

Chinmaya Vidyalaya

School with a Difference

Affiliated to CBSE, New Delhi

Affiliation No : 1930147

Plot No. 5063A, Z-Block, Belly Area, Anna Nagar, Chennai - 600 040.

Phone: 044 - 2626 1358.

E-mail:chinmayach40@gmail.com

APPLICATION FOR ADMISSION

KINDERGARTEN

Affix
Pupil's Photo

Chinmaya Vidyalaya

School with a Difference

Affiliated to CBSE, New Delhi

Affiliation No : 1930100

Chinmaya Nagar, Stage II, Virugambakkam, Chennai – 600 092.

Phone: 24796802.

E-mail:cvvprincipal@gmail.com

APPLICATION FOR ADMISSION

KINDERGARTEN

Affix
Pupil's Photo

RTE A S

Admn.no:

Sl.no: {{aplform.AplnNum}}

(for office use only)

1.Name of the Pupil

: {{aplform.FNa}}

2.Gender

: Male Female

3.Date of birth

: {{stdDob}}

4.Aadhar No.

: {{aplform.NatID}}

5.Parent's Details

(i)Father's

(a).Name

: {{aplform.FatNa}}

(b).Educational Qualification

: {{aplform.FatQual}}

(c).Occupation/Designation

: {{aplform.FatOcc}}

(d).Office address

: {{aplform.FatAdL1}} {{aplform.FatAdL2}}

(e).Email Id

: {{aplform.FatEmail}}

(f).Mobile No.

: {{aplform.FatAdMob}}

(g).Aadhar No.

: {{aplform.ftAdhr}}

(ii).Mother's

(a).Name

: {{aplform.MotNa}}

(b).Educational Qualification

: {{aplform.MotQual}}

(c).Occupation/Designation

: {{aplform.MotOcc}}

(d).Office Address

: {{aplform.MotAdL1}} {{aplform.MotAdL2}}

(e).Email Id

: {{aplform.MotEmail}}

(f).Mobile No.

: {{aplform.MotAdMob}}

(g).Aadhar No.

: {{aplform.mtAdhr}}

6.Residential Address

: {{aplform.CnAdL1}} {{aplform.CnAdL2}}

Pincode

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Distance from school in Kms

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Mobile Number for Communication

: {{aplform.CnAdTel}}

E-mail Id

: {{aplform.CnEmail}}

7.Total monthly income of the parents

: {{aplform.FatInc}}

8.Nationality

: {{aplform.Natnl}}

9.Religion

: {{aplform.Rlig}}

10.Mother Tongue

: {{aplform.MothTng}}

11.Does he/she belong to FC or OC/BC/MBC/SC/ST. If so attach certificate attested by the competent authority.If FC/OC no certificate required.

: {{aplform.Cmnm}}

Guardian's Details (If Parents are not available locally)

Name

: {{aplform.GrdnNa}}

Residential Address

: {{aplform.GrdnAdL1}} {{aplform.GrdnAdL2}}

Landline No.

: {{aplform.GrdnAdTel}}

Mobile No.

: {{aplform.GrdnAdMob}}

Email Id

: {{aplform.GrdnEmail}}

Aadhar No.

: {{aplform.grAdhr}}

12.Name of the pre-school attended

: {{aplform.Inst}}

13.Mention vaccination administered on the child

: Yes No

14.Mention if the child is a child with special needs (CWSN).

: {{phydis}} /{{aplform.diffabldtxt}}

15. History of any allergies (or) any serious illness suffered

: {{aplform.CnHlthHist}}

16. Is there any biological sibling studying in the school applied for?

: {{hasSib}}

Name and class of sibling

: {{aplform.sibNm}} / {{aplform.CurSemNm}}

17. Are parents alumni of any Chinmaya Vidyalaya in Chennai?

Father

: {{fathrAluni}}

Branch of the Chinmaya Vidyalaya

: {{aplform.fatBrnchNm}}

Classes Studied

: {{aplform.fatClsNM}}

Mother

: {{motherAlumni}}

Branch of the Chinmaya Vidyalaya

: {{aplform.motBrnchNm}}

Classes Studied

: {{aplform.motClsNm}}

Please enclose the following

(i)Birth Certificate-Attested Photocopy(Original to be produced at the time of verification)

(ii)Proof of Residence only Ration Card

(iii)Community Certificate

I hereby certify that the above particulars are correct.

Date

Signature of Parent/Guardian

Note: This application is subject to the terms and conditions stipulated in the prospectus which will be given to you at the time of registration

FOR OFFICE USE ONLY

1)Whether Birth Certificate has been submitted

Yes/No

FOR OFFICE USE ONLY

1.Admission Granted

4.Fees Paid

2.Provisional Admission Granted

5.Bank

3.Admit to

6.Date

7.Office Manager

8.Date

9.Principal/Correspondent