SAMSKAR INTERNATIONAL SCHOOL

APPLICATION FOR ADMISSION

For the Academic Year:	Admission to Class:	Photo Affix recent Colour Passport Size Photo (Only jpg or jpeg)
Board:	I-Language:
II-Language:	Type of Admission:

Personal Information

Parent Information

Additional Information

Identification marks (as per memo T.C.)

Contact Information

Details of Siblings studying in Educational Institutions

Name of the student	Class	Name of the Institution	Place

Details of Previous Schooling

Name & Locations of Schools	Period of Study	Grade(s)	Board	Medium	Reasons for changing

Health Information

Any Food Allergy (if known)
Any Drug Allergy
Any other medical history that needs to be informed to the School: Asthma Migraine Sinusitis Bleeding Disorders
Past Medical History:

Native Place

Does your child require School Transport?

Yes No

Admission