Ph.

:08571-230886
230227
VASISHTA SCHOOL (ICSE)
MADANAPALLE-517325 Sl.No:
www.vasishtaschools.com email id : vasi shtaicse@gmail.com

APPLICATION FOR ADMISSION

Name of the student
With Sur name (IN BLOCK LETTERS)
Sex
Nationality
Mother tongue Date of Birth:
Class for which Admission sought
Second Language Telugu/ Hindi / Kannada
Schools attended with standards
Name of Place Date Date Standard Medium of Syllabus CBSE/ ICSE/
the school of of reached Instruction State syllabus
last studied joining leaving

Please attach a copy of last school report and mark sheet.

Wish to join as Resident /Day scholar

Aptitudes, Hobbies and Extra Cirricular
Activities etc.
Health:
1.Dates & Details of preventive inoculation
2.Physical weakness if any, which requires
special attention
Family information:
1.Name of the Father\Guardian
2.Qualifications
3. Annual income
4.Address

5.Phone No.
Resi:……………………… Office:…………………………..

Cell…………………………………………….
 6.Name of the Mother
7.Qualifications
8.Employed/Home maker
9.Annual Income
10. Name & Address of local Guardian if
any, (phone number & photos)

11. Any other details considered

important but not covered above
12.Relgion & caste
13.Aadhaar card no & Xerox copy of
student & parents
I here by state that the entries made in the application are true and correct to the best of my knowledge.

Signature of the parent/Guardian

Terms and Conditions
1. A student selected for admission after the written and oral test shall deposit an admission fee Rs.2,000/-(Rupees
Two Thousand only) immediately to confirm his/her joining the school
2. The registration fee, Admission Fee, Tution Fee and other Payments and the contributions made towards Library
funds are not refundable under any circumstances when once the admission is finalized.
3. Any parent who wishes to withdraw the child should give three months notice or pay term fee in lieu of notice.
4. A caution deposit of Rs.4,000/-in respect of Day-Scholar of class II to X and Rs.6000/- in respect of Hostellers of
class II to V and Rs.6000/- in respect of Hostellers of VI to X has to be paid at the time of Admission and shall be
replenished when it falls short on expenditure towards stationery and other purchases made by the student for
his/her requirements.
5. The tution fee and other dues shall be paid regularly without any default.
6. The Management is at liberty to send away students who in its discretion is problematic in behaviour or whose
academic progress is not satisfactory(of his\her stay is not desirable for any other reason or if the tution fee etc.,
payable by a student, are not paid in time and the decision of management is final.
7. For more information, parents are requested to refer to the prospectus, office and website.
PARENT’S DECLARATION
I agree to abide by the above rules and regulations mentioned in the school prospectus and to be framed by the
school authorities from time to time.
DATE :………………………….. Signature of the parent/Guardian
FOR OFFICE USE ONLY:
Name of the Candidate :
Interview date :
Class to which admitted :
Admission Fee Rs. 1,000/- : Receipt No. Date 20
Receipt No. Date 20
Receipt No. Date 20
Please admit to class :
PRINCIPAL