APPLICATION FORM FOR ADMISSION Name :. 3. Age : Years, Months. 5. Pet Name : Mother Tongue:. 6. Height : Cms, Weight: Kgs.

Similar documents
Dow College of Bio Medical Engineering Technology Dow University of Health Sciences Karachi

University of Mumbai

POST PROFESSIONAL DOCTOR OF PHYSICAL THERAPY (PPDPT) Session 2014

EARLY CHILDHOOD EDUCATION CENTER ENROLLMENT FORM

Please read instructions carefully before applying APPLICATION FORM PART-I. Name of Course: Date & Place of issue :- Valid till :-

University of Mumbai

Students Application Form Professional Diploma (Logistics & Shipping)

NATIONAL INSTITUTE OF TECHNOLOGY, TIRUCHIRAPPALLI 15

DELHI PUBLIC SCHOOL, DWARKA

How To Pass Nursing Course

CERTIFIED FAMILY CHILD CARE CONTRACT

IDSALL SCHOOL A specialist Sports College

STEPS TO ADMISSION We recommend that interested parents schedule a campus tour.

juilliard.edu/summerjazz

APPLICATION PACKET

NURSERY ADMISSION FR. AGNEL SCHOOL, A -2, SECTOR 1, VAISHALI, GHAZIABAD

COLLEGE DISCIPLINARY RULES. Every student shall maintain strict discipline in the College premises.

PROJECT EXCEL MENTORING PROGRAM Creating Vision Through Mentoring / What They See is What They Will Be

Admission form. Particulars of the child. Date of Admisssion: / / / (dd/mm/yy) Admission sought in: PlayGroup Nursery EuroJunior EuroSenior

Applicants are requested to send the application along with DD of Rs.100/- in favour of Gautham School of Nursing.

2016 Teen Volunteer Application Form

CHITIMACHA TRIBAL SCHOOL. AFTER SCHOOL CARE PROGRAM Beginning Monday, August 17, 2015 ENROLLMENT PACKET

How To Get A Law Degree At National Law School Of India University

Lake Burton Day Camp For Boys and Girls Ages 6-9

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes)

Schooner SULTANA Middle School 5-Day Trips 2016

Mission AWAK mission is: Building capacity among women accountants to enable them access opportunities.

Registration Form. Child s Details. Family Details. Emergency Contact. Passport sized photograph of child D D / M M / Y Y Y Y. Date of Enrolment:

Applicants must submit all the following to the Office of Admissions and Registration:

APPLICATION FORM FOR PERMANENT REGISTRATION

Please be advised that monthly fees for the BEST Program are based on the state required 180 school days divided into 10 even monthly payments.

MEDICAL COUNCIL OF INDIA

Prospectus INSTITUTION OF INDUSTRIAL SAFETY PROFESSIONALS OF INDIA. Adv. Diploma Course in Industrial Safety

3. RESIDENTIAL ADDRESS: OCCUPATION:... ADDRAESS:.. (PLEASE GIVE PRECISE DETAILS) D M Y MALE SINGLE DIVORCED

June 8 - July 24 7:45 a.m. 5:00 p.m. at LHES Grades K-12 Students must be age 5 by June 8, 2015

THE GANDHIGRAM INSTITUTE OF RURAL HEATLH AND FAMILY WELFARE TRUST SOUNDRAM NAGAR, AMBATHURAI R.S. GANDHIGRAM (PO), DINDIGUL DIST.

SUBMISSION OF EDUCATIONAL DOCUMENTS FOR AUTHENTICATION (Only for employment purpose)

Kiddie Tech University Learning Center

The Family Medicine Board Exam: What to Expect! The Board Exam. The Board Exam. American Board of Family Medicine:

APPLICATION FORM for MBBS/BDS PROGRAM

Hopeful Lutheran Preschool 2 & 3 Year Old Daily Routine

We appreciate your interest in the Child Development Center and look forward to your family joining our family.

Age as on 1 st January # Years: Months: Sex (male/female): Date of birth, if known: Day: Months: Year: Father s/mother s/husband s Name

YOUTH MENTORING PROGRAM. Mentee Application (To Be Completed by the Parent/Guardian)

Toronto International Student Programs STUDENT APPLICATION FORM

Application Summer Study - Pre-College New York Summer Study 2016

ADVANCED DIPLOMA INDUSTRIAL SAFETY ( ) PROSPECTUS

Financial Planning Questionnaire

NATIONAL LAW SCHOOL OF DELHI (NLSD)

Enrollment & Agreement/Policy Forms

LOCAL PARENTING PLAN AND COMPANIONSHIP SCHEDULE Court of Common Pleas, Wood County, Ohio Domestic Relations Division / Juvenile Division

SUMMER PROGRAMS FEMALES & MALES AGES: 4 18 CREATIVE WRITING MULTIMEDIA PRODUCTION ENTREPRENEURSHIP TEAM BUILDING SPORTS DANCE ACADEMICS THEATRE

Gallatin Civic Center Phone: Albert Gallatin Ave Fax: Gallatin, TN 37066

RECIPROCAL REGISTRATION FORM PROFORMA-7 MADHYA PRADESH MEDICAL COUNCIL: BHOPAL

ONE AND HALF YEAR CRAFT CERTIFICATE COURSE IN FOOD PRODUCTION & PATISSERIE Approved by Andhra Pradesh State Board of Technical Education & Training

This Order is effective beginning.

Dear Prospective Student Athletic Trainer,

HIGH COMMISSION FOR PAKISTAN 34 Lowndes Square, London SW1X 9JN Tel: VISA APPLICATION FORM

Christian Learning Center

Free Early Education Entitlement for Two, Three and Four Year Olds

Bayside State Prison Visit Procedures and Schedule

Schneps, Leila; Colmez, Coralie. Math on Trial : How Numbers Get Used and Abused in the Courtroom. New York, NY, USA: Basic Books, p i.

MANONMANIAM SUNDARANAR UNIVERSITY, TIRUNELVELI, TAMILNADU Ph.D Registration

LAW ENFORCEMENT TEACHER RECOMMENDATION FORM

2016 FLORISSANT SUMMER PLAYGROUND INFORMATION AND POLICIES

Family Name (surname) : Date of birth : Day Month Year First Name : Nationality ( citizenship ) : Telephone : Mobile Phone Number: Address :

Guideline for obtaining Digital Signature Certificate (DSC):

Glenburnie Summer Camp 2015 Registration Please read and sign where necessary.

River Canyon School RIVER CANYON SCHOOL APPLICATION FOR ENROLLMENT. To be completed by parent or guardian.

WORKCOVER TOP-UP CLAIM FORM

Surname (if any) details

STUDENTS LOAN APPLICATION FORM 2016/17

FOR OFFICE ONLY. Occupation: Company/Organisation: Work Phone Number: Home Phone Number: Fax Number:. ADDRESS:...

Financial Service Centers of Florida disadvantaged SCHOLARSHIP APPLICATION REQUIREMENTS

JOB DESCRIPTION NURSERY NURSE (BANK)

New Student Registration Forms. Registration Checklist

PRESIDENCY COLLEGE. Admission For: MBA (BU) o MBA (BhU) o MCA o MFA o MIB o MCOM o. Application No. PG: 2014:0001

Application for the 2016 High School Law Camp June 13th, 2016 July 1st, 2016

CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT PART A

CENTRE FOR INTERNATIONAL AFFAIRS

The LORD is merciful and gracious, slow to anger, and plenteous in mercy. (Psalms 103:8)

VISA APPLICATION FORM (Form can be downloaded from our website) <> <> <>

Reservations are on a first come and paid, first served basis. Make checks payable to: Bonneville School District #93

INTERNATIONAL INSTITUTE OF HEALTH MANAGEMENT RESEARCH, NEW DEHI

The Official Dog Walkers and Pet Sitters

Notification Ph.D. Admission January 2016

Online Application Forms

Work Experience Programme Application Form Long Term

University of London International Programmes Guidance Notes for Application. How To Apply

CHETANA COLLEGE OF SPECIAL EDUCATION

Mizoram Bible College

COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. SPONSOR FORM. Name of Resident Being Sponsored:

APPLICATION FOR ENROLMENT INTERNATIONAL STUDENT

Big Dance Trafalgar Square 2016 By Akram Khan. Application and Participation Information Guide

DOCUMENTS TO BE SUBMITTED AT THE TIME OF ENROLLMENT

BOARDING SCHOOL APPLICATION

New Student Application

INSS REGULATION 53/2007

One positive experience I've had in the last 24 hours: Exercise today:

INDIAN INSTITUTE OF MANAGEMENT CALCUTTA. Application for Post Graduate Diploma in Management for Executives

Transcription:

Form Fee: Rs.20/- INDIAN WOMEN SCIENTIESTS ASSOCIATION MRS. INDIRABAI PADHYE NURSERY SCHOOL Plot No. 20, Sector 10A, Vashi, Navi Mumbai 400 703 Phone No: 27661806/27662136 APPLICATION FORM FOR ADMISSION 2014-2015 Roll No: A. ABOUT THE CHILD: 1. Name :. 2. Date of Birth : 3. Age : Years, Months. 4. Sex : Male/ Female 5. Pet Name : Mother Tongue:. 6. Height : Cms, Weight: Kgs. 7. Special trait if any :. 8. Immunization Record:. 9. Any major sickness in last 2 years:. 10. Allergic to any food or medicine:. 11. Vegetarian /Non Vegetarian:. B. ABOUT THE FAMILY 1. Total Members in family: 2. Brothers: Sisters :. 3. Full Name of the Father.

Residential Address: 4. Tel No. : Cell No. 5. Name of Father:. 6. Educational background:. 7. Profession / Service:. 8. Office Address:. 9. Office Tel. No. Cell No.. 10. Name of the Mother : 11. Educational background :. 12. Profession / Service :. 13. Office Address :. 14. Tel No. : Cell No.. 15. Experience of the parents if any :. C. NAME & RELATIONSHIP OF PERSON WHO WILL BE DROPPING & PACKING UP CHILD FROM NURSERY SCHOOL. D. ANY OTHER INFORMATION: E. I have gone through the rules & regulation of your Nursery School and agree to abide by them. Date: Signature of Parents

INDIAN WOMEN SCIENTIESTS ASSOCIATION Mrs. Indirabai Padhye Nursery School RULES AND RELUGATION 1. Admission: Children between the age of minimum 2 years 6 months and maximum 4 years 6 months will be admitted. 2. The Nursery School will function from 9.30 A.M. to 11.30 A. M. on all working days. It will remain closed on Saturday, Sunday and Bank Holidays. The child will not be allowed to be taken home before the school gets over. Parents should strictly follow the timings. 3. Health and Hygiene: i) The child will not be allowed to come to school if the child is suffering from any chronic or prolonged / illness contagious. ii) In case of post-care treatment, the parent should inform the school accordingly and leave instructions for administering the specific medicines in writing. iii) All parents are requested to send at least one extra set of clothes and a polythene bag to keep the soiled ones. iv) The child should be clean and neatly dressed when brought to school. v) The child should carry his/her snack pack, water-bottle and napkin & identity card which will be given by IWSA. vi) Two identity card size photograph of the child along with application form, one pasted on the application form & other, with name written behind. Parents are requested to mention any special trait / habit in the child for the mutual on understanding between the teacher and the child. 4. GENERAL: i) During school hours, in case of emergency, the parents of the child concerned will be called to attend to the child. The parents must inform the office in writing about any change of address or contact telephone number. ii) Parents who wish to discontinue their child from the school should inform in writing at least one month before the new term begins. The committee reserves the rights of admission on sanction to discontinue and refund of fees. iii) While all due care will be taken for the children admitted to the Nursery School, the authority does not take any responsibility for any sudden illness or accident that may occur in the school premises. iv) Parents are requested not to send the child with any valuables.

v) Person who will be dropping and collecting the child from the Nursery School every day (name, relationship), should be written clearly in admission form. vi) Special trait / habit should be also told while to taking admission. vii) Please attach your Child s immunization record till date, along with admission form, birth certificate and identity card size 2 photos. viii) Parent s expertise if any: Music, Drawing, Art, Craft, Sports musical instruments etc. should be written in admission form. ix) Parent s meetings should be attended by at least one adult member of the family. Fees structure (in `) 1 st term 2 nd term Admission Fee 1,000 1,000** Tuition Fee 5,000 5,000 Term Fee 2,000 2,000 *Activity Fee 2,000 2,000** Total 10,000 10,000 Total: Rs. 10,000/- payment of FIRST TERM fee in advance and the fees for II term will be Rs. 7,000/- Total fees will be Rs. 17,000/- for the year. ** For New admissions in II term. * ( Activity fee includes Educational Visits, Picnic, Medical Checkup, Sports, Festival Celebrations, Parent s meeting, Identity card and Sport s T-Shirt ) Cheque should be drawn in favour of Nursery School Education Committee The Nursery School opens on Monday 16th June, 2014. Fee will be collected in the Nursery Class by the class teacher between 10.00 A.M. to 12.30 P.M. from Monday 2 nd June, 2014 onwards. (Dr. V. Sudha Rao) Convener, IWSA Nursery School Education Committee.

IDENTITY CARD MRS. INDIRABAI PADHYE NURSERY SCHOOL (2014-15) INDIAN WOMEN SCIENTISTS ASSOCIATION (IWSA) Phone. No. 27661806/27662136 Full Name Pet Name : : Date of Birth : Address : Tel. No. : IDENTITY CARD MRS. INDIRABAI PADHYE NURSERY SCHOOL (2014-15) INDIAN WOMEN SCIENTISTS ASSOCIATION (IWSA) Phone No. 27661806/27662136 Full Name Pet Name : : Date of Birth : Address : Tel. No. :