Visakhavalleyschool- Admission Form

Please read the instructions carefully before filling the form. The incomplete Application Forms in any respect and / or without online submission of the documents called for, will NOT QUALIFY for REGISTRATION / ADMISSION. Issue of Registration form doesnot ensure Admission.

The Following documents must be enclosed with this application after being selected:

Copy of birth certificate issued by competent authorities with the name of the candidate recorded therein (For details, see School Rules 3.3(b))
Passport size photographs (recently taken) of the candidate.(To be affixed in places specified.)
Transfer Certificate in original (from a recognised School)
Copy of Aadhar Card
Photocopy of pass certificate of last class studied.
Medical certificate from a registered Medical Practitioner
In case of alumni; a copy of pass certificate of X / XII
Hard copy of Employee ID of the father/mother, if in Govt. Service.

1.Name of the candidate in full (BLOCK LETTERS)
(Name entered in this form should match with Date of Birth Certificate and will be treated as Final)

2.Admission is sought in Class

3.Elective subjects
(Only for those seeking admission to Class XI )

5.Student Aadhar Card Number

6.Mother Aadhar Card Number

7.Father Aadhar Card Number

8.Bank Account Number of Mother / Father

10.Ration Card Type

White Pink Not Available

11.Fill These Fields

12.Community, Group & Caste names other than O.C.(Caste entry in the application will not be valid or documented unless the relevant certificates from the competent authority are submitted at the time of admission)

13.Sex : Male Female

14. Whether student is :

A. Specially abled Yes No

B. Belongs to Economically Weaker Section (EWS) :

Yes No

C. Belongs to School Staff : Yes No

D. Belongs to School Alumni : Yes No

15. Blood Group of the Student :

16.Candidate's mother tongue

19.Educational Qualifications

20.Service Type

Government Other

Occupation / Designation

Department & Designation

21.Mother's Complete Official Address

22.Mother's Primary Mobile Number.

23.Residential Land Line Number

25.Educational Qualifications

26.Service Type

Government Other

Occupation / Designation

Department & Designation

27.Father's Complete Official Address

28.Father's Primary Mobile Phone Number
(To Which SMS Alert will be sent)

29.Father's Email ID

30.Actual guardianship of the candidate
(Whether Father or Mother or both)

31.Name of Guardian, if not a Parent with relationship to the candidate (to be supported by an affidavit) His/Her occupation, complete official and home address

32.Guardian Mobile Phone Number (Primary)

33.Full postal Address to which communication is to be sent

34.Name and contact address of the local guardian if any, with relationship (who is authorised to visit the candidate or escort him/her during school timings)

Name of the School (s) attending / attended

Academic Year (s) From - To	Name of the School , Place and State	Class (s) From -To

a) Medium of instruction in the previous school

b) Name of the Board or the Council to which the school is affiliated

LAST EXAM ATTENDED DURING ACADEMIC SESSION 2023-2024
STATE SUBJECT WISE EITHER MARKS OR GRADE [ANNUAL / HALF-YEARLY/MID- TERM]
FILL EITHER MARKS OBTAINED OR GRADE OBTAINED

MARKS OBTAINED GRADE OBTAINED

S.No	SUBJECT	MAX MARK	MARKS OBTAINED	GRADE OBTAINED
1	ENGLISH
2	II LANGUAGE
3	MATHEMATICS
4	SCIENCE
5	SOCIAL STUDIES
6	COMPUTER SCIENCE
7	III LANGUAGE

S.No	SUBJECT	MAX MARK	MARKS OBTAINED	GRADE OBTAINED
1	ENGLISH
2	II LANGUAGE
3	MATHEMATICS
4	EVS
5
6

33.Personal Identification Marks

34.Name of brothers / sister of the candidate (not cousins) if any , studying in this school Yes No

35.Additional information if any

36.Whether School Transport required /not

Yes No

37.If required, name of stage

38.Annual Income of the parents

I certify that I have carefully read the School Rules available in the prospectus on school website giving terms and conditions for Registration and Admission before filling and signing this form and I agree to abide by the same. I also certify that all the information given is true to the best of my knowledge.

I also solemnly affirm that in case my child / ward is admitted, I shall be solely and fully responsible for the regular payment of all school fees and other dues, fixed by the management and as demanded by the School from time to time.

Admissions (2024-2025)

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PLEASE VERIFY ALL THE FILLED DETAILS CAREFULLY BEFORE CLICKING THE SUBMIT BUTTON

No donation/capitation fees are taken at Visakha Valley school. Any such demand should be reported to Higher Authorities.