ONLINE APPLICATION FORM
(Session 2018-2019)
Reach Us: 124 - 2330098
Please mail us at : ccaschool.gurgaon@gmail.com
(Admission will be strictly against vacancy)
Student Passport Size Photo.
(png/jpg) *
Please bring a family photo along with the physical form while you come for admission to the school.
Guardian Passport Size Photo. (png/jpg)
PERSONAL DATA OF STUDENT (Yellow fields are Mandatory)
Candidate Name*
Admission Required for Class* Application category*
Date of Birth * Age (as on 31st March)
Place of birth of student (city,district,state)
Height or Weight: Blood Group*:
Caste * (In case of OBC/SC/ST cast certificate has to be furnished) Religion: Gender: Male Female
Adhaar Card/ ENROLMENT Number* Mother Tongue
Languages Spoken at home Student Nationality
Parent Account Number with IFSC code Student Account Number with IFSC code
Sibling Details
S.No. Name of Sibling Age School/ Collage Class
1
2
RECORD OF PREVIOUS CLASSES ATTENDED
S.No. Name of School Location Class Year Board CBSE/ICSE/State Medium of Instruction % of Marks in last Class Passed Reason for leaving
From To From To
1
2
Status of Health (tick if any) attach relevant medical documents
Physical Disability: Past Illness: Chronic Medical Problem:
Mental Illness: Allergy: Others:
Details
Achievements In Academic/Sports/Co-Curricular Field
S.No. Field Year Event Details Of Prizes/Award/Position
1
2
3
PARTICULARS OF FAMILY
Particular Name Adhaar & PAN Qualification Occupation Annual Income Contact No. Email ID
Father
Mother
Local Guardian (Relation with Child)
Local Address Permanent Address Local Guardian's Address
The following documents to be submitted at the time of admission, failing which the admission stands cancelled-
Photocopy Of Birth Certificate Transfer Certificate in original
Photocopy Of Address Proof (Ration card/ telephone bill/ gas connection/ electricity Bill) Photocopy Of Adhaar Card
Photocopy of Last 2 years report card (For class 2 and upwards) Medical Report (If Any)
01 6x4cm Family Photo In Case of OBC/SC/ST, relevant attested documents
Original TC and Photocopy of Mark Sheet of previous class to be submitted within 10 days of beginning of the new academic session, for which the admission of your ward has been sought for.
UNDERTAKING
We hereby certify that
a) the information furnished above is correct and complete to the best of our knowledge.
b) we understand and agree that misrepresentation or omission of facts will justify the denial of admission, the cancellation of admission or expulsion from school.
c) we have read and hereby consent to the terms and conditions given in the form.
d) we shall abide by all the rules and regulations of the school laid by Management along with changes, if any, intimated to us time to time.
Payment Details
Application Form Fee INR 0
Registration Charges INR 0
Total Fee INR 0
In case of any difficulty in submitting the form, please call on helpline 8800843341 Powered by SchoolBellQ*