Form No.: ...........................

ADMISSION FORM
Date: ..................................
Admission No.:DDDDDODD Affix passport
size photo of
the student

STUDENT'S PROFILE:
Name of pupil (In capital letters)
Admission sought for Class Academic Year : DODD - DD
Date of Birth
DD/DD/DODD AadharNo.:
D D M M Y Y Y Y

Place of Birth State:

Nationality
Religion:
Gender
Male D Female D Caste: BC I SC / ST / HCOC
Residential Address :

Pin Code:
Mother Tongue Blood group:
Identification Marks : (1)
(2)
Previous academic record

Name of the previous school & location Class Year of Study Percentage /Grade

Appraisal of your Child

Please mention the achievements, if any, of your child in academics/extra/co-curricular activities

General Behaviour: Mild D Normal D Hyperactive D

Please mention, in brief, if there is any history of previous illness, allergy or physical /psychological illness.

Second language in previous class: Third language in previous class:

Language preference (From Standard V):

Second language: Telugu D Hindi D Third language: Telugu D Hindi D

PARENTS'/ GUARDIAN'S PROFILE

Mother's Father's Guardian's

Photo Photo Photo

Signature .............................. Signature ........................... Signature ......................

Particulars Mother Father Guardian

Name

Qualification

Occupation

Organization

Designation

Mobile Number

Aadhar Number
Email

Annual income (Rs.)

Office Contact Number

with extn. (if any)

GRANDPARENTS' DETAILS
Particulars Grandfather Grandmother
Name
Mobile Number

SIBLINGS' PROFILE
S.No. Name of the Sibling Class Name of the School
1.

2.

3.
 Terms & Conditions
1. Admission form must be filled in with due care by the parents/guardian.Anychange in residential address, mobile numbers,
etc. should be informed to the school in writing duly signed by parents / guardian (changes would not be accepted over phone,
SMS).

2. Original transfer certificate from previous school and proof of education of the child (photocopy of mark sheet/report
card) should be submitted before the academic year begins.

Note: In case of inter-state transfer, TC must be produced duly countersigned by the Inspecting Officer /DEO with respect to
schools affiliated to state boards and by the Regional Officer in case of schools affiliated to CBSE.

3. T.I.M.E. School would provide IIT Foundation classes for students of classes VII to X which is optional and on payment of
additional fee.

4. Additional charges will be collected for belts, ID cards and entry fee during field trips.

5. Any misbehavior/misconduct by the student /parent/guardianwill lead to rustication of the student without any prior notice.

6. If you wish to avail school transport, please enquire about the routes in operation at the time of admission. Request for
diversion or modification of the existing routes may be considered but the decision will be taken by transport in-charge.

7. School management is authorised to make any of the following changes in transport with prior notice /in tim ation to the
parents.

• Change in pick-up and drop timings

• Change in pick-up and drop points

• Change in order of pick-up and drop points

8. The School may facilitate availability of books & uniform through stalls at the campus (for a day) prior to the
commencement of the classes. Such date would be informed to parents/guardians/students through mail/SMS.

The School Management is not responsible for any kind of inconvenience, such as delay in delivery, damage of goods,
etc., caused by any of the external vendors.

Note: Students who are unable to purchase books & uniform from the stall can purchase directly from the vendors; list of
books and details of vendors shall be provided on request.

DECLARATION
(To be signed by Parent/Guardian at the time of admission only)

1. We acknowledge that this application does not automatically admit our child to T.I.M.E. School
T.I.M.E. School reserves the right to make a final decision with respect to admission .

2. We acknowledge that, should this application be accepted, our child and we (her/his parents or guardians)
undertake to abide by the policies and regulations of T.I.M.E. School and we understand that in serious instances
of breach like, damage to school property, bodily harm to another student/teacher, our child may be asked to
leave the school.

3. We acknowledge that, upon acceptance of this application we agree to pay the total fee as applicable and abide by
the billing options outlined in the fee schedule as informed by the school from time to time.

4. We acknowledge that the school will take reasonable care and exercise due diligence within its premises and
during school activities, it will bear no responsibility should the applicant exercise any reckless and /or careless
behaviour that may endanger her/his safety and others around and as such cause harm or injury to herself /himself
and others.

5. We declare that all previous medical and psychological histories are correctly reported on the admission form.
 6. On leaving the school, our child shall return any school property they might have borrowed during their time
of study in the school.
7. We agree that T.I.M.E. School reserves the right of refunding/not refunding the tuition fee (or any such fee which
is paid at the time ofadmission), in case the child leaves/gets transferred during the course of the Academic Year.
Documents Submitted
□ Caste Certificate of the child seeking admission (if any)

□
□
Photocopy of Birth Certificate (Attested) D Three latest passport size photographs of student
One latest passport size photograph of mother D One latest passport size photograph of father

□ Transfer Certificate (Original)

D Photocopy of Progress Card (of previous academic year)
FEE POLICY

Academic Fee Schedule Transport Fee Schedule

Particulars Payable Particulars Payable
Admission Fee At the time of admission 1st Installment
On or before 10th April ' 16
Caution Deposit At the time of admission (April ' l 6 - Oct.' 16)
Term 1 At the time of admission
2nd Installment
Term2 On or before 10th July '16 (Nov.' 16 - Mar.' 17)
On or before 10th Nov. '16
Term3 On or before 10th Oct. ' 16
Term4 On or before 10th Jan. ' 17 Note: Pupil opting for school transportation should clear the
dues in 2 installments.

1. All monetary dues related to academic & transport should be cleared on or before the due dates failing which the school
management is authorised to impose a penalty of Rs. 50 per day per student (holidays would be included).
Note: School management reserves the right to stop the transportation without any prior notice or intimation if fee dues
are not cleared in time.
2. Payment must be made at school premise either in the form of cheque or cash

FOR OFFICE USE ONLY

Particulars Amount Receipt No. Mode of Payment Date of Payment Remarks
Admission Fee
Caution Deposit
Term I
Term2
Term3
Term4
Total Applicable Fee

I father of/ mother of/ guardian of have

applied for admission ofmy ward into class . Ihave read and accept the Terms & Conditions /
Declaration of the school.
Choose the relevant options if you wish to avail of transport facility:
Do you need transport facility: Yes D No D

Parent's Signature ------ Counsellor's Signature-------Principal's Signature-------