Application Form for GIIS Singapore Scholarship 2013 (for students of Class X for further Studies in Std.

11 & 12)

Please attach true and attested copy (by a Gazetted Officer or the School Principal) of the following
documents.
Pre Board exam mark sheet
Standard 10 / Last Available Half Yearly Mark Sheet of class 10
Standard 9 mark sheet
All other Co- curricular Activities undertaken in Class VIII, IX and X only
Valid Indian Passport

Receipt of Passport Applied For

4 Passport Sized Photographs

STUDENT PERSONAL DETAILS:

Student's Full Name

_________________________________________________________

Date of Birth

_________________________________________________________

Sex

Male

Female

Passport No./ Birth Cert. No.

_________________________________________________________

Place of Birth

_________________________________________________________

Country of Birth

_________________________________________________________

Nationality

_________________________________________________________

Home Address

_________________________________________________________

Telephone No

_____________________ Mobile No ____________________

Valid Email ID

_________________________________________________________

Repeat Email ID

_________________________________________________________

Choice of Curriculum Opting for

CBSE

IB

National Talent Search exam (NTSE) Passed?

Yes

No

Class Studying Presently

_________________________________________________________

Present School Name & Address ________________________________________________________

__________________________________________________________________________________________________
Name of Exam Board for Standard 10

________________________________________________________

Tick Only One city in which you prefer to take the Written Test:
Mumbai
Surat

Delhi

Noida

Bengaluru

Hyderabad

Chennai

Kolkata

Pune

Indore

PARENT'S DETAILS (Details mandatory for both parents):

Father

Mother

Name
Date of Birth
Passport Number (if available)
Nationality
Highest Education Qualification
Employer Name
Current Position
Length of Employment
Total Annual Income
Residential status
Telephone Home
Telephone Office
Mobile (ISDCode - MobNo)
Valid Email

STUDENT'S CO-CURRICULAR ACTIVITY: (Please provide details for Class VIII, IX and X only)
Co-Curricular Activity

Level (International National /

Achievements (Position,

State / District Inter School

Rank, Award etc)

only)

CRITERIA OF APPLICATION:
Students securing 90% or more /or equivalent grade as per CBSE, 85% or more /or equivalent
grade as per ICSE, 85% or more /or equivalent grade as per IGCSE.
STUDENT'S MARK:
Class Name
Pre Board Exam

Subject Name

% Obtained Marks/Grade

Mathematics
Science
English
TOTAL MARKS
Aggregate Percentage

Standard 9

Mathematics
Science
English
TOTAL MARKS
Aggregate Percentage

STUDENT DECLARATION
Do you have any relative working at GIIS?

Yes

No (to the best of my knowledge)

If yes, please give Name ________________________________Location_____________________

Contact Details ____________________________________________________________________

Completed Application Forms with all necessary attachments, supporting documents and photographs to
th

reach us by 19 March, 2013.

Please send your packets by post to
The Program Manager (GIIS Scholarships),
Global Indian International School, D-5, Sector-71, Noida-201301.
Note: The decision of Global Indian International School (GIIS) is full & final regarding any issues in the
above mentioned scholarship scheme