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					                                Atomic Energy Education Society
                                AECS/AEJC, Anushaktinagar Mumbai-400094
                                 AECS, No ………………. : Centre ………………………..
    (Application Form for Non-DAE Wards - Pre-Prep to X; Academic Session 2007-08)
1.Date of Application: ……………………………….;                        2. Class to which admission sought: ………..

3. Full name of student:……………………………………. 4. Gender (Tick as applicable): Male/Female

5. *Date of Birth: ……………; 6. Place of birth:….……………….; 7. *Category: General/ OBC/ SC/ ST

8. Full name of father:……………………………….; 9. Full name of mother: …………………………….

Give designation and office address of one of the parents (Tick as applicable: Father/ Mother)
10. Designation:………..         11. Office Address: ……………………………… …………………………
……………………….. ……………………………………………… … ………………………………………
12. *Basic Pay ( to be declared only if seeking concessions in fees): Rs…………………………………

13. Telephone Nos - Residence: ………………..; 14. Office: ………………. 15. Mobile ………………..

16. Residential Address: ……………………………………………………………………………………….

……………………………………………………………………………………………………………………
17.*Class in which studying or last studied: ………..; 18. *Aggregate % Marks obtained: ………….

19.Subjects Studied: …………………………………………… ……...;20. Medium of instruction: …..…

21.Name & address of School last studied: …………………………………………………………… ……

22.Non-DAE Category Code ( see Table-a overleaf ): ND-__ ………………………………
………
23 Number of Children (optional - required only for concessions in fees). .
Tick as applicable: A single child who is a girl / Two children who are both girls/ Not applicable
( Any change in the number of children in the family should be intimated to the school authorities within
a month )
Declaration: I ______________________________ certify that the information furnished above is true
to the best of my knowledge and belief.
                                                                          Signature of Parent of the Student

24. Details of DAE Employee recommending admission - Full name: …………………………………….

25. Designation:……………; 26. Office Address: ………………………………..27. Telephone No: ……

28. Relation with the Student: …………………………………

29. Reason for seeking admission to AECS: ………………………………………………………..
I certify that the information furnished above is true to the best of my knowledge and belief.

                                                 Signature of DAE Employee Recommending Admission
( In case of wards of an employee of any agency engaged for DAE, the recommendation should be
from Chairman, LMC or by an officer authorized by Chairman, LMC )
……………………………………………………………………………………………………………………….
                                                     Receipt
AECS No : 1/2/3/4/5/6
Received an application/Admission Form from Master/Miss…………………………………………….
Son/Daughter of…………………………………………for admission to class………………………….

Date…………..                                                                       Dealing Assistant
Order of priority for the admissions of wards of non-DAE employees:

The admission to any non-DAE ward will be subject to available vacancy within approved number of
sections for each class, desired qualification & merit of the student ( in the Admission Test ),
recommendation made by Chairman, LMc and an approval of the Central Office, AEES. The order of
priorities for the admissions of wards of non-Dae employees would be generally as given in Tavle-A
Table-A : Non-DAE Category Code ( to be entered in the item-22 of the application Form )

Non-DAE         Description
Category
Code
ND-01           Wards of DAE employees who have superannuated/expired/or invalidated while in
                service.
ND-02           Wards of Central / State government employees engaged for DAE activities
ND-03           Wards of employees of any agency working for DAE
ND-04           Grandchildren of current or retired Dae employees
ND-05           Wards of DAE employees who have taken voluntary retirement or resigned from service
                in DAE
ND-06           Wards of war widows
ND-07           Wards of employees of the Defence forces posted in non-family stations
ND-08           Wards of employees of the Defence forces
ND-09           Dependents of DAE employees
ND-10           Wards of employees of any central / state government departmen
ND-11           Wards of employees in Public sector under -takings
ND-12           Any others


List of documents to be provided at the time of submission of Application/ Admission Forms:
    1.Photocopy of birth certificate for admission to classes Pre-prep, Prep or Class-I
    2.Photocopy of Transfer certificate for admission to classes II onwards
    3.Photocopy of the last Report Card of Class for which annual exam was given
    4.Photocopy of residential allotment letter of DEM (for DAE employees)
    5.Latest pay slip if seeking fee concessions
    6.Caste certificate, if applicable
   1.    Children status affidavit, if applicable (Table-3). This may be submitted later.

				
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