Admission Form

Serial#

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Section B: Student’s Information

Section B: Parents/Guardians ‘Details

Emergency contacts for emergency use or pick and drop service

Section C: Educational Background Information

Name of the centre

AWIP Centre

Day Care

Any other

Yes/No

Name

Duration

Section D: Details of Siblings’ studying at AWIP/Rupani Academy

S. No Name Age Grade RA/AWIP Any other Year
01
02
03
04
Family Nuclear Joint Extended Total Number of Family Members
(Please check the box under the appropriate term)

Section E: Language/s Spoken at Home

Please list them in ascending order, with the most common use as 1st

S. No Language Mother Tongue Local National Foreign
1st
2nd
3rd
4th

Section F: Documents required

Parents/guardians are requested to submit the following documents along with the duly filled admission form and check the boxes.

Section H: Parents’ Consent

PP-I Crash Course

I father/mother/guardian of affirm that I and my spouse/ legal guardian will attend the PP-I three months crash course, orientation, meetings periodically when scheduled. And I best know that school has the authority to cancel my registration in case of the 2 absences in a row.

Media Display of Student Photographs

I father/mother/guardian of affirm that the Academy has the copy rights of all the photographs and videos of children taken involved in various activities which, would be used by the school for officials’ displays, for the promotion of Rupani Academy in media, on the website or on any authorized third party platform. About which I/ we have no any objections and if so I/ we will inform the competent authority in advance.

Field trips

I father/mother/guardian of understand the importance of school planned field trips for educational engagement and provide my consent that my child can attend the field trips during the academic year.

Fee policy

I father/mother/guardian of affirm that I am abide by the Rupani Academy school policy. I/ we also agree to pay the monthly fee on the due date and will follow all the policy procedures and philosophy of the Rupani Academy. In case of fee default school will be inform prior of the said reason otherwise Rupani Academy has complete authority to cancel my child’s admission after three months. In case of delayed payment, I am bound to pay penalty @ 10%, 15% and 20% of the monthly fee for paying after 10th, 15th and 20th of the month.

Signature of Father :         Signature of Mother :

Signature of Guardian1: Signature of Guardian2:

Declaration

Signature (s):           Date:     

Section-F

Section G: Parental Interview

Overall Information of the child (if Yes please elaborate),
Note: Parents are requested to provide the best information that could be utilized to support the child’s well-being
( All the given details will not be disclosed without parent consent)

1. What does your child like most at home?

2. What does he/she not like at home?

3. What makes him/her happy usually?

4. Does your child need any special care/attention in and outside of the classroom?

5. Anything about your child worries you?

6. Does your child worry about anything?

7. How do you define your child’s behavior? And any concerns about your child’s behavior?

8. Any medical problems in the last six months?

9. Is your child allergic to any food or environment? If yes, kindly provide details and submit additional medical report/s.

10. Are you aware of the taught curriculum (International Baccalaureate Primary Year Programme) at Rupani Academy?

11. Why do you choose Rupani Academy?

12. Will you be able to support your child in his/her studies? If yes, how?

13. Any other information you want to bring to the notice of the academic team of Rupani Academy:

Name of the Teacher:           Signature:   

Name of the Parent/Guardian:Signature:

Time: Date: