Chinmaya Vidyalaya, Kollam Kuzhiyam Road, Chandanathope, Kerala 691014 e-mail : chin_kollam@chintvm.edu.in : : Phone: 04742719600 REGISTRATION FOR ADMISSION

Registration Date

Academic Year Select Academic Year 2023 - 2024 2024 - 2025 2025 - 2026

Register Number

STUDENT DETAILS:-

---

Name of the Student (In Block Letters)

Date of Birth (As per Birth Certificate)

Attach self attested photocopy of the Original Birth Certificate

Max upload size: 200 KB

Gender Please Select Boy Girl

Nationality Please Select

Religion Select Religion HINDU ISLAM CHRISTIAN NA

Student Caste Select Caste EZHAVA BHRAMIN CATHOLIC CHERAMAN CHETTY KAKKALAN LATIN CATHOLIC MARTHOMA MUSLIM NAIR PULAYA SAIVA VELLALA THANDAN VANIKA VAISYA VYSYA VISWAKARMA VELLALA PILLAI VILAKKITHALA NAIR NA

Blood Group Please Select A+ A- B+ B- O+ O- AB+ AB-

Student Category Select Category GENERAL NA OBC SC

Student Aadhar

Upload Student photo

Max upload size: 50 KB

Student Height

Student Weight

Course and Stream to which admission is sought.

Course Please Select LKG UKG I II III IV V VI VII VIII IX X XI XII

Stream Please Select MATHS - COMPUTER BIO - MATHS BIO – TECH COMMERCE HUMANITIES

Single Parent(Tick one, Only if applicable).Attach proof (copy of order of custodianship or any other relevant document) Yes
No

Attach proof (copy of order of custodianship or any other relevant document)

Max upload size: 200 KB

PREVIOUS ACADEMIC DETAILS (If any):-

---

Name of the Institution/s (If any) attended by the child earlier.

Period of study

Percentage /Grade

Reason for leaving

RESIDENTIAL ADDRESS:-

---

Present Address

(check, if same as residential address) Permanent Address

Present Pincode

Permanent Pincode

Present Phone

Permanent phone

FATHER'S DETAILS:-

---

Name

Educational Qualification

Occupation

Designation

SMS Mobile Number (with WhatsApp)

Email

Office Name

Office Address

Office Phone

Office Email

MOTHER'S DETAILS:-

---

Name

Educational Qualification

Occupation

Designation

Mobile Number

Email

Office Name

Office Address

Office Phone

GUARDIAN DETAILS (If Parents are out of station) :-

---

Name

Address

Occupation

Mobile Number

Email

Whether the child is Son/Daughter of Chinmaya Vidyalaya, Kollam Teacher/Staff:-

Yes
No

Name

Designation

SIBLING DETAILS:-

---

Sibling(Direct Brother/Sister) Studying in Chinmaya Vidyalaya, Kollam. Yes
No

Sibling details 1

Name

Class

Div

Sibling details 2

Name

Class

Div

AlUMINI DETAILS:-

---

School Alumni(Father/Mother Ex-student of Chinmaya Vidyalaya, Kollam.( Attach School Certificate) Yes
No

Name

Year Of Passing

Attach Proof

Max upload size: 200 KB

OTHER DETAILS:-

---

Any serious disease or accident to the student(if yes please provide details) Yes
No

Occurance Details

Membership Number

Upload photo copy of the Life Membership Card)

NOTE

1. Submitting the application does not entitle the right for admission in this School.

2. The Management reserves the right to reject any application for admission without giving any reason or explanation.

3. Incomplete application and application with false information will not be considered.

4. Communication indicating further procedures will be send to the registered Email id

5. If the student is leaving the school and seeking Transfer Certificate, the request for TC to be signed by both Parents. If not, valid reason with supporting legal documents to be submitted,

DECLARATION/UNDERTAKING

I/WE, the Parent(s) (Father/Mother) seeking his/her admission in the school, solemnly declare that the information furnished above is absolutely true and that if found factually wrong at any time after the admission during his/her stay in the school, I/WE shall abide by the decision of the school authorities without any plea or protest. I also agree to abide by the rules and regulations in all aspects

I/We have read the rules and regulations of the school and undertake that my/our ward will abide by them and I/we agree to pay school fees regularly.

I/We accept the process of admission undertaken by the school and I/WE will abide by all the admission rules and the decisions taken by the school Authorities.

I/We undertake that I/we will not indulge in any activities which will be anti-institutional or derogatory to the reputation of the Institution. In case of any such activitythe Management will be at liberty to terminate the study of the ward in the school and issue appropriate Transfer Certificate.

I/We further declare that the date of birth of my ward given is correct and that I will not apply in future for the correction of the date of birth. The Original/ Copy of the Birth Certificate is attached.