Cost: Rs.

25/-

ATOMIC ENERGY CENTRAL SCHOOLS

Application Form for Admission to class I only
Affix latest
photograph

For the Academic Year 2015-16

For admissions in Class I under the SEEP (TNP)

(This form can be viewed (read-only) at: www.aees.gov.in)
Sr. No.

2015/

Admission No. ________________ (For Office Use)

To
The Principal

SC

ST

OBC

BPL

ATOMIC ENERGY CENTRAL SCHOOL - _____________

1
2

(Tick () in appropriate box)

___________________________________________
Sir/Madam,
I request you to admit my son/daughter/ward to class __________ of your school. The required particulars are given
below:
Name of the pupil in full
Surname
First Name
Middle Name
(in block letters and as stated in the Birth Certificate)
Date of birth
In figures
In words
D
M
Y

Place of birth

4
5

Age as on 31st March of the year of admission

a) Name of the father in full (in block letters)
a)
b) Name of the mother in full (in block letters)
b)
Official address with designation of the parent( father
and/or mother)

6
7
8
9
10
11
12

13

Complete Residential address with address proof

Aadhaar Card/Ration Card no. of the child & Blood
Group
Monthly income of the parents
Telephone No. (if any)

Village:
Dist.:

Taluka:
State:
Gender

Male / Female

Office: ________________ Residence: ___________________

Mobile: ________________ E-mail: ______________________
Creche: _______________ Emergency contact no. __________
Name of the home town of the child
Village: ________________ Taluka: ____________________
Dist. __________________ Nearest Rly. Stn. __________________
Is any other child of your family studying in AECS 1. Name of the school:
under SEEP/TNP?
2. Year of admission:
If yes, Furnish the following particulars
3. Name of the child:
4. Class/Sec:
If the child is not staying with the parents
a. Name and Address of the guardian
b. Occupation of the guardian
c. Reason for staying with the guardian

14
15

Mother tongue of the child

Identification Marks (any two)

16

Brief note about the parent himself and his work.

Why does he want to admit his ward to AECS
Any other information which the parent/guardian
wishes to furnish

17

1.
2.

DECLARATION BY PARENT/GUARDIAN
a) I hereby declare that the information given about my son/daughter/ward (name of the child)
________________________________ furnished by me is true and correct and that I will not demand any change in the date of
birth mentioned at serial 2 at a future date.
b) I am also aware that if the information furnished above is found to be false or incorrect, the admission will be cancelled and the
child withdrawn from the school.
c) I shall abide by the rules of the AEC schools (AEES).
d) My child is not suffering from any congenital /chronic disease to my knowledge.
Date: ______________

Signature of the Parent/Guardian

Name:
____________________________________________________________________________________________________________
OFFICE USE
Admit _____________________________________ to Class _______. Admitted to the Class _______ Admission no. ________ Folio
no. ________ Receipt No. ____________. The name has been entered in the class register.
Date:
Class Teacher
Principal
...
ENCLOSURES RECEIVED
1. Original Birth Certificate is to be submitted at the time of admission in class I. The original certificate for proof of age in the form of
a birth certificate issued by the competent authority may be enclosed in original. This will include certificates from Notified Area
Council/ Municipality/ Municipality Corporation/ extract about the date of birth from records of Village Panchayat.
2. A certificate that the child belongs to the Scheduled Caste/ Scheduled Tribe/ EWS/OBC (Non-Creamy Layer)/ BPL, wherever
applicable, issued by the competent authority in concerned State Government/ Union Government. If the same is not available for
the child, the certificate in respect of either of the parents may be accepted initially for the purpose of admission. However, the
certificate in respect of the child has to be submitted within a period of 03 Months from the date of admission.
3. Attested copies of Aadhaar card/Ration Card of parents alongwith the child.
4. Income Certificate in respect of parents issued by the employer concerned/ Revenue authorities
5. Proof of residence(essential) : A self-declaration in writing from the parent about distance may also be accepted to this effect
6. Any other document(s) as advised/required by the concerned Head of AEC School for the grant of admission.

Sr. No.

2015 /

RECEIPT

AECS- _____________ received an admission form from Master/Miss ______________________________ son/daughter of

_____________________________________ for admission to Class ___________.
I have personally verified copies of the required documents/enclosures which are attached herewith.
Date:

(Dealing Assistant)