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THE INDIAN COMMUNITY SCHOOL, KUWAIT

REGISTRATION FORM

Branch: Amman Form No: A4058/2015

SI.No.: _ _ _ _ _ _ _ _ _ _ _ _ Civil ID: 311110102153


Photo of Student
Reg.No.: _ _ _ _ _ _ _ _ _ _ _

Pupil's Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Class:_ _ _ _ _ _ _ _ _


(Name in Capital as per the Passport)

Date of Birth: 01-11-2011 In words: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Nationality: _ _ _ _ _ _ _ _ _ Religion: _ _ _ _ _ _ _ _ _ _ Gender: Male Female

Father / Guardian:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Mother: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Residence: Area: _ _ _ Block: _ _ _ Street: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Telephone No: _ _ _ _ _ _ _ _ _ _ _ _ _ _ Mobile: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Student's mode of transport: School Transport Own Transport

Allergy / Chronic illness if any:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


(Please give a detailed report about any kind of chronic illness)

Father Mother
Educational Qualification:_ _ _ _ _ _ _ _ _ _ _ _ _ _ Educational Qualification: _ _ _ _ _ _ _ _ _ _ _ _ _

Designation:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Designation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_
Telephone / Mobile No: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Telephone / Mobile No: _ _ _ _ _ _ _ _ _ _ _ _ _ _

Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Email:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

If any of the parent is working in ICSK Yes No

If yes details: Name: _ _ _ _ _ _ _ _ _ _ _ Branch: _ _ _ _ _ _ Designation:_ _ _ _ _ _ _ _ _ _ _ _

If you have applied in any other branch of ICSK. If YES, Name of the Branch _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Why do you wish to admit your ward in ICSK?

________________________________________________________

________________________________________________________

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Terms and Conditions

1. Registration does not guarantee admission.

2. Admission on merit only. No preference will be given to siblings.

3. Fees should be paid on the specified dates. The school fee once paid is not refundable.

4. In case of space constraint your ward may be transferred to any other branch of ICSK.

5. School Transport is available on request against applicable term wise fee.

6. Application with incomplete / false information will be rejected.

7. Duly filled registration forms to be submitted in the respective branches from 15.12.2014 to 18.12.2014 between
8:00 AM to 12:30 PM where you wish to enroll your child.

8. The copy of child’s civil ID/residence & birth certificate should be submitted along with the registration form for the
verification of date of birth.

9. An amount of KD 10/- to be paid at the time of submission and the acknowledgement / receipt to be collected for
the interaction date and future reference.
10. Parents should produce the child's original valid Civil ID which they used while downloading the application form.

11. Direct enquiries/recommendations regarding admission of a child will not be entertained.

I, Father /Mother/ Guardian of the child _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ hereby agree to the above


mentioned terms and conditions.

Parent's Signature: _ _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


_________________________________________________________________________________________

FOR OFFICE USE ONLY

Approval for admission: Yes No

Date of admission:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Time: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Principal:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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