S.No.

_________

Appendix A

SAINIK SCHOOL KALlKIRI (CHITTOOR DIST)

APPLICATION FOR ADMISSION TO
CLASS VI FOR 20___ - 20___ SESSION
(For General I Defence Category only)

For Office use only

Centre allotted

/ KAL

Roll No

Affix recent passport

size Photograph of the
Candidate taken after 15
Oct 2015. Principal/
Headmaster of the
Institution currently
Studying / Gazetted
Officer must sign partly
on the photograph and
partly on application

Medium

Category: Gen / Def

1.

Name of the candidate in full as per T.C. / Birth Certificate

(in BLOCK LETTERS)

2.

Date of Birth (in figures)

(according to Christian era)
Date
(Enclose photocopy of Date of Birth Certificate)

Month

Year

3.

State of Domicile Andhra Pradesh I Other State (______________________________)

Name of the State

4.

(a) Name of Father

(b) Name of Mother

(c) Is father alive?

Yes / No

(If no, attach attested photocopy of extract _________________________________________________

from the Register of Births and Deaths)
(d) Name of the Guardian (If both parents are not alive) _________________________________________
(e) In case of Adoption the date of Adoption Deed ( photocopy to be enclosed)

(f) Occupation of Father I Mother I Guardian (whichever is applicable) ______________________________

5.

If father is serving I has served in the Army I Navy I Air Force, give details
Service.No_______________ Rank ______________

Whether serving or retired ________________

Length of Service_____________________________Corps I Regt_______________________________

Address of Record Office ________________________________________________________________
(Note: In case of Service Personnel - Service Certificate & Ex- Service men a Certificate from District Sainik
Welfare Officer regarding their eligibility under the Defence category to be enclosed)

6.

(a) Name and address of School in

which the boy is studying at present
or studied at any time in the past

____________________________________________________
_____________________________________________________

(b) Whether the School is recognised ?

(c) Class in which studying I studied last
7.
8.

Yes/No
________ __________________________________________

Language in which the boy wishes to take the

entrance test Telugu I English I Hindi

__________________________________________

Monthly Income of the Parent / Guardian

(Basic Pay in case of Employees)

Rs. _______________________________________

9. Are you prepared to send your son / ward to any other

Sainik School, other than Sainik School Kalikiri if
allotted with full fee? If so, give names of three Schools
in order of preference. After admission, no Inter School
Transfer will be allowed. An undertaking to this effect is
to be submitted at the time of admission.

Yes/No
(a) Sainik School ________________
(b) Sainik School ________________
(c) Sainik School ________________

10. Are you willing to send your son / ward to any other
Sainik School in which the seats are available other
than the three options mentioned above?

Yes/No

11. Full permanent Home Address of Father / Mother (in Block Letters)
House No__________________ Street._________________ Village / Town ________________________
Post Office _____________Pin Code___________

Phone No. with Code __________________________

Mobile No. ________________________________.

12. Address to which all correspondence is to be addressed (In Block Letters) (Same to be written in the
address slips) Filling up of telephone numbers is compulsory.
House No__________________ Street._________________ Village / Town ________________________
Post Office _____________Pin Code___________

Phone No. with Code __________________________

Mobile No. ________________________________.

13. Centre at which the candidate wishes to appear in the Written Test(See Note 3below)
(No change of centre will be entertained)

FIRST CHOICE_____________________________
SECOND CHOICE __________________________

14. Demand Draft Particulars:D.D.No.________________dated ______________for Rs.475/drawn in favour of The Principal, Sainik School, Kalikiri payable at State Bank of India, Kalikiri Branch
Code No.16427.
15. I solemnly declare that (a) Candidate mentioned above has not appeared in the Sainik School Entrance
Examination so far in the Class applied and it is his first chance to take Entrance Examination for that class.
(b) The particulars given above are true and no information required to be given has been concealed. In the
event of any of the above information has been found incorrect at any time, I undertake to refund full amount
of the scholarship immediately on demand, and without any delay and will have no objection to my above
named son/ward removed from the rolls of the School.
16. I undertake that I will not dispute with the decision given by the School with regard to the evaluation and the
other procedure followed for admission of candidates and that the decision given by the School will be accepted
as final verdict.
Place : _______________
Date : _______________

____________________________________
* (Signature of the Parent)

* Application is to be signed by father of the boy. If father is not alive, mother should sign it.
A legal guardian may only sign the application when both father and mother are not alive. (Proof must be
enclosed)
Note:

1.
2.
3.

4.
5.
6.
7.

Ensure appropriate application form is used for the category applied. Form should be filled in neatly and correctly.
Age should be written both in figures and words.
The Entrance Examination in Andhra Pradesh is likely to be held at the following centres. The candidates will be required to
indicate their First & Second choices of the centres in their Application Form. In case the second choice of Exam Centre is not
filled and the first choice Exam Centre is full or the Exam Centre opted is cancelled due to non availability of candidates I
administrative reasons, the candidate will be required to appear in whichever exam centre allotted by the School. No change
of exam centre will be entertained. The decision of the school authorities on allotment of centre is final.
(a) Kadapa (b) Tirupati (c) NeIlore (d) Ananthapur (e) Kurnool (f) Kalikiri.
Application bearing School serial number only will be entertained.
Candidate should bring the Identity card for the entrance examination.
Admissions will be offered in the order of final Merit subject to medical fitness.
Application from submitted without Demand draft will be not entertained.

* (Signature of the Parent) .....

At 1200 hrs

At 1200 hrs

Test
At 0900 hrs

Signature of the Invigilator

At 0900 hrs

Signature of the Candidate

Signature of the Candidate

Signature of the Invigilator

ATTENDANCE RECORD

ATTENDANCE RECORD

Test

(To be written compulsorily as they will be checked at the examination centre)

1. ___________________________________________

(To be written compulsorily as they will be checked at the examination centre)

Identification Marks:

Affix here recent

Passport size
Photograph of the
Candidate duly
signed by the
candidate

Medium ..............................................

2. ___________________________________________

1. ___________________________________________

Affix here recent

Passport size
Photograph of the
Candidate duly
signed by the
candidate

Session

Centre ................................................

- 20

___________________________________________
___________________________________________
___________________________________________
Fathers / Guardians Name
(In CAPITALS)
___________________________________________
___________________________________________
___________________________________________

Name of the Candidate in full

(in CAPITALS)

Roll No .................................. / KAL

Admission to Class VI for 20

SAINIK SCHOOL KALlKIRI (CHITTOOR DIST.)

IDENTIFICATION CARD - CUM - ATTENDANCE RECORD
(To be completed and submitted alongwith the Application form for
Admission)

Appendix B

2. ___________________________________________

Identification Marks:

___________________________________________
___________________________________________
___________________________________________
Fathers / Guardians Name
(In CAPITALS)
___________________________________________
___________________________________________
___________________________________________

Medium ..............................................

Name of the Candidate in full

(in CAPITALS)

Session

Centre ................................................

- 20

Roll No .................................. / KAL

Admission to Class VI for 20

SAINIK SCHOOL KALlKIRI (CHITTOOR DIST.)

IDENTIFICATION CARD - CUM - ATTENDANCE RECORD
(To be completed and submitted alongwith the Application form for
Admission)

Appendix B

Appendix C

SAINIK SCHOOL KALlKIRI (CHITT

OOR DIST)
(CHITTOOR
FEE AND SCHOLARSHIPS
FOR CANDIDATES SEEKING ADMISSION FOR THE YEAR 20

- 20_

__

Fees
1.

School Fees is to be paid in advance and is charged in full for the entire academic year (1st April to
31st March). The fees include clothing fees, pocket money and incidental charges. The school fees is
to be paid in lumpsum at the time of admission at the beginning of the year.

2.

Tuition fee and other charges are liable for upward revision every year.

3.

At present the Tuition fees and other charges are as follows :(a)

Tuition fees : Rs. 60,500/- per annum.

(b)

Diet charges : Rs. 17,850/- per annum. (Rs.60.50p X 295 days)

(c)

Clothing fees : Rs. 1,500/- per annum for the first year & RS.750- per boy per annum
for the subsequent years.

(d)

Pocket Money: Rs.1,500/- per boy per year.

(e)

At the time of admission, each candidate is required to remit a sum of Rs.3,000/(Rs.1 ,500/- for SC/ST candidates) towards caution deposit which will be refunded at the
time of leaving the school.

(f)

Incidental Charges RS.1 ,500/- per year.

(g)

Personal Clothing: Rs. 12,500/- for personal clothing in the year of admission and as
per the requirement of the boy for the subsequent years. However, actual expenditure will be
charged.

(h)

Text Books & Note Books Rs. 1,250/- approx. However, actual expenditure will be charged

Note: Tuition Fee and Diet Charges will be increased by 10% every year. The rates may, however, change
as per decision of Sainik Schools Society, New Delhi.
4.

The school fees is required to be paid in FULL at the time of admission and the scholarship amount if
any will be adjusted only on receipt of the same from the Government of Andhra Pradesh i.e., at the
end of the year.

5.

In case of any increase of School Fee and other charges by the Board of Governors, Sainik Schools
Society, parents will be required to pay the increased amount on intimation by due date.

Payment of School Fee on or after Admisson

6.

All payments are to be made through the crossed demand draft only, drawn in favour of Principal,
Sainik School, Kalikiri, payable at SBI Kalikiri Branch (Code No.16427 ). Payment of dues to any
School Staff Member for remittance to school fees will be entirely at the risk and responsibility of the
individual making the payment.

Cont......2

- 2 FEES FOR NEW ADMISSIONS FOR THE YEAR 2016-2017

SNO

FEE PARTICULARS

GEN/DEF
Rs.

SC/ST
Rs.

(a)

Tuition Fee *

60,500/-

60,500/-

(b)

Clothing Fee

1,500/-

1,500/-

(c)

Diet Charges *

17,850/-

17,850/-

(@Rs.60.50p X 295 days)

Note:

(d)

Pocket Money

1,500/-

1,500/-

(e)

Incidental Charges

1,500/-

1,500/-

(f)

Text Books & Note Books

1,250/-

1,250/-

(g)

Personal Clothing

12,500/-

12,500/-

(h)

Crash Programme

400/-

400/-

(i)

Security Deposit

3,000/-

1,500/-

Total

1,00,000/-

98,500/-

* There will be 10% increase on Tution Fee and Diet Charges every year.

* The rates may change as per the decision of Sainik Schools Society, New Delhi

from time to time.

* The above tuition fee & Diet charges are with 10% increase subject to receipt of

orders from Sainik School society.

Appendix D

SAINIK SCHOOL KALlKIRI (CHITT

OOR DIST)
(CHITTOOR
INSTRUCTIONS
FOR CANDIDATES SEEKING ADMISSION FOR THE ACADEMIC YEAR 2016-2017
Total Vacancies :
1.

For the academic year 2016-2017 vacancies for Class - VI are approximately 105 including
all reservations of State / Other States / Union Territories for Sainik School, Kalikiri, Chittoor
District. In case of non-availability of SC / ST candidates, the vacancies will be filled in by General
category candidates.

Admission in Class VI
2.

Only those candidates who have completed 10 years but not crossed 11 years of age as on
01 July of the year of admission are eligible. For admission to Class VI for 2016-2017 session,
the candidates should have been born between 02 July 2005 and 01 July 2006 (both days
inclusive). Boys are admitted to Class VI according to the seats available at the beginning of the
year. The admission will be made on the basis of AII India Sainik Schools Entrance Examination.
The Examination for the forthcoming academic session will be held on 03 January 2016 (Sunday).
The applications are required to be submitted by 30 November 2015. Only prescribed
proforma(serially numbered) at Appendix to the prospectus is to be filled in all respects as per
the instructions given in the Application Form.

3.

The written examination for Class VI will be held as per the following programme :-

Time Table for Class VI

Date

Time

03 Jan 2016 0900 to 1100 hrs

03 Jan 2016 1200 to 1250 hrs

Name of Papers

Max Marks Remarks

Mathematical
Knowledge Test &

100

Language Ability Test

100

Intelligence Test

100

One booklet

One booklet

Medium of examination will be English or any other recognised Indian Language. Question
papers for Class VI will be supplied in the medium as indicated in the application form.
Cont..2

-- 2 -4.

Application Form alongwith the following must be completed in all respects and submitted to The
Principal, Sainik School, Kalikiri by post only so as to reach before the expiry of the last date, i,e., 30
November, 2015. Filled in applications will not be accepted by hand.

Note: Application submitted in wrong form i.e., General/Defence candidates applying in application form
meant for SC / ST candidates or Vice Versa will summarily be rejected.
(a)

Similar copies of recent pass port size photographs taken after 12 Oct, 2015 are to be affixed
on Application Form and Identification Cards.

(b)

The photograph affixed on the Application Form must be attested by the Principal / Headmaster
of the school in which the boy is studying. In case of Private study only for admission into
Class - VI, the same must be attested by a Gazetted Officer.

(c)

Identification Card with details be properly filled in. The candidates should append his signature
on the photographs. Fill the address slips with your latest address clearly written and send
alongwith the filled in application form.

(d)

Attach a Certificate of Proof of Date of Birth obtained from the school in which studying. In case
of Private Study attach a xerox copy of Birth Certificate obtained from the Registrar of Births &
Deaths duly attested by a Gazetted Officer.

(e)

Attach attested xerox copy of Caste Certificate in case of SC/ST candidate obtained from
Tehsildhar concerned, failing which application will be rejected.

(f)

In case of ex-servicemen a certificate from the District Sainik Welfare Officer is to be attached
for their eligibility as ex-servicemen. Serving Defence personnel are required to submit a Service
Certificate from their Commanding Officer and Date of Birth Proof from service records.

(g)

Applications without enclosing proof of Date of Birth, Caste Certificate and Demand Draft will be
rejected.

5.

Only those boys who are within the age limits are eligible to apply. There is no relaxation of age limits
to any category.

6.

Candidates who have appeared earlier in the Entrance Examination to Class VI are not eligible
to appear again for the Entrance Examination for the same Class.

7.

Application found in order ONLY will be registered and the Identification Card despatched.

8.

Request for change of centre of examination or change in language in which the boy wishes to take
the Entrance Exam will not be entertained.

9.

Full Postal address to which Identification Card and other communications are to be sent, must be
furnished clearly in the Application Form and on the enclosed address slips.
Cont..3

10.

Interested candidates are to remit the following amount mentioned against each Category by
Crossed Demand Draft in favour of Principal, Sainik School, Kalikiri drawn on State Bank of
India, Kalikiri, Branch Code No.16427, alongwith one self addressed envelope of size 26 X 20
cms.
Category

Amount

(i) General/Defence

Rs.475/-

(ii) SC/ST

Rs.325/-

The above amount caters for supply of School Prospectus containing Application Form and
one set of last years question papers of Class VI (excluding Intelligence paper for Class VI)
alongwith address slips, Registration fee, postal charges for sending Hall Ticket, Joining
Instructions (for Selected Boys) etc. Money Order/POs will not be accepted. Few Previous
Years question papers are also available for supply on demand with an additional amount of
Rs.25/- each on first come first serve basis.
Kindly note that though the model/old question papers and the syllabus are being
supplied, modification in the form and contents of the question papers cannot be ruled
out.
11.

No candidate will be admitted to the written examination unless he produces the Hall Ticket
bearing his photograph and signatures.

12.

The envelope containing the application form should be superscribed in bold letters as

APPLICATION FOR ALL INDIA SAINIK SCHOOL ENTRANCE EXAMINATION 2016

Application S.No__________ Class __________ Centre _____________ Category___________
13.

Results: - The results for written examinations will be declared without taking the medical fitness
into consideration. Admission will be offered only if the candidate is declared medically fit by the
competent authority. However, candidate declared unfit may appeal against the decision and in
case the candidate is declared fit by Appeal Medical Board, he will be considered for admission
in the School.

14.

Marks statement will be supplied on request and payment of RS.100/- (Rupees hundered only)
by Demand Draft separately after declaration of final results. The detailed marks list can be
supplied only to the Parent/Legal guardian of the candidate, Copy of the answer sheets shall not
be provided.

15.

The School does not patronise any coaching Institute / Agent and the admissions will be
made strictly in accordance with the merit and medical fitness of candidates in the Entrance
Examination.
Contd...4

CHECK LIST
While despatching the application please ensure to attach the following required documents :1.

Application Form (02 Pages) duly filled and signed by Parent.

2.

Identification Card-cum-Attendance Record - 02 Pages duly filled and signed by candidate on

the photographs.

3.

Demand Draft drawn in favour of the Principal, Sainik School, Kalikiri on SBI payable at SBI
Kalikiri Branch (Code No.16427)
(a) Rs.475/- for General/Defence Category &
(b) Rs .325/- for SC / ST Category

4.

Study Certificate and Date of Birth Certificate

5.

In case of Defence / SC / ST
(a) In Case of Serving Personnel - Service Certificate to be attached.
(b) In Case of Ex-servicemen - attested copy of Discharge Book to be attached and a certificate
from Zilla Sainik Welfare Office of the concerned Dist.
(c) In case of SC / ST attested copy of Caste Certificate to be attached.

6.

Please affix Passport Size latest Photographs - 03 No.s (taken after 12 Oct 2015) to be pasted in
the application and i.e., Identification Card-cum-Attendance Record.