Birth Certificate4 - PDF by dnz10890

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									                       M.CT.M. CHIDAMBARAM CHETTYAR
                           INTERNATIONAL SCHOOL
                                        AN IB WORLD SCHOOL
                         (M.CT.M. CHIDAMBARAM CHETTYAR FOUNDATION)
                             179, Luz Church Road, Mylapore, Chennai - 600 004. India
                            Telephone : 24992962 E-mail: mctmccintlschool@gmail.com
                                            Website: www.mctmib.org




                                          ADMISSION FORM
                          International General Certificate of Secondary Education
                   Cambridge Lower Secondary Programme Class VI/ Class VII/ Class VIII
                                                     &
                              International Baccalaureate Diploma Programme


Date :                                                                                  Admission No :



1. Name of Candidate
   (in block letters)

2. Date of Birth

3. Age                                                                                                     Affix
                                                                                                         Passport
                                                                                                           Size
4. Sex                                                                                                    Photo

5. Nationality

6. Name of Father

7. Name of Mother

8. Name of Guardian

9. Occupation                          Official Designation                         Educational Qualification

                   Father

                   Mother

                 Guardian
10. Contact Details

a. Residential Address




b. Office Address




c. Telephone (Landline)



d. Mobile



e. Email



11. Name & Address
    of the School last
    studied




12. Board last studied
13. Marks obtained                                                                          Percentage
                                     S.No.                 Subject
    In the last                                                                              of Marks
    qualifying exam
    at the previous
    School




14. Proficiency in
    extra curricular
    activities at inter
    school level

15. Proficiency in
    Sports & Games
    (Mention only
    outstanding
    achievements)
16. Blood Group

Certificates to be submitted for confirmation of admission:
 1) Birth Certificate      3) Conduct Certificate
  2) Transfer Certificate            4) Mark Sheet

Date..............................                                   Signature of Parent / Guardian
I hereby certify that the above particulars are correct.
I have read the prospectus of the school and shall abide
by the rules and regulations

Date..............................                                   Signature of Parent / Guardian
                                   FOR OFFICE USE ONLY


Results of Admission Test




                                                         Signature of Teachers-in-charge




Results of Interview




                                                         Signature of Teachers-in-charge




Subjects and Languages selected




Recommended for Admission :       YES    NO




Date........................                              Signature of Head of School

								
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