Admission F o

Bharati Vidyapeeth
God’s Valley International School, Panchgani
APPLICATION FORM FOR ADMISSION
Applicant information:
First name Middle name
Affix a recent
Surname passport size
Photograph here
Home address:
House No. / Street City
State/Province Country
Postal Code
Age Date of birth (Day/Month/Year)
Country of birth Country of citizenship
Home telephone (include country, city and area codes)
Current grade Applying for grade
Gender: Male Female
In case of foreign students:

Passport / Visa details
Passport No Visa No.
Place of issue Place of issue
Issue date Issue date
Expiry date Expiry date
Residences permit No Issue date
Issue date Expiry date
Bharati Vidyapeeth God’s Valley International School, Panchgani
1
Family information:
Father/Guardian
Name Occupation
Name of Company Affix a recent

passport size
Home address: City State/Province Photograph here
Country Zip/Postal Code
Phone No Mob
Fax No E- Mail Specimen signature
Mother
Name Occupation

passport size
Home address: City State/Province
Photograph here
Phone No Mob
Fax No E- Mail Specimen signature
Local Guardian, if any

Name Occupation

passport size
Home address: City State/Province
Photograph here
Phone No Mob
Fax No E- Mail Specimen Signature
Information about brothers and sisters:

Name Age Class School
Name Age Name of Co.(if working)

2
Education: Public School CBSE
Independent ICSE/ISC
Present School Private/Parochial Any other Board
School name Date of joining
Address: City State/Province
Country
Name of the Principal Telephone No.
Other school attended in past three years:

School name Class Date of joining
Applicant Questionnaire:
Complete this form carefully and legibly in your own handwriting and submit to the school office. Use
additional sheets, if necessary.
1. List and describe your level of interest and participation in school activities (School, volunteer groups,
athletics, music, etc.). List any awards or honors you received in the past five years. Include an activity
sheet if available.

3
2. List and describe your level of interest and participation in hobbies, activities and groups with or without
the associated school. List any awards or honors you received in the past five years.
3. What reading have you enjoyed most in the past years?

4
4. Why are you applying to boarding school and what do you hope to gain from attending
Bharati Vidyapeeth GVIS?
5. What else would you like us to know about you?

5
6. Please choose one of these statements and write a 200-300 words response to it. Use additional sheets, if
necessary.
a. Describe a person you admire or who has influenced you a great deal.
b. What makes you the interesting person that you are? (Be sure to include the qualities you like
best about yourself)
c. Explain the impact of an event or activity that has created a change in your life or in your way
of thinking.

6
Additional information (to be filled by the parents)
Listed below are some questions, please read the question carefully and legibly and give the answers.
1. Have you noticed any recent behavioral changes in your child at school or at home? If yes
then please mention those changes briefly. This shall not be the ground of rejection of the
candidature for his/her admission.
2. Has your child received any counseling/psychiatric support or testing for learning
disabilities? If yes, please describe briefly.
3. Has your child ever been suspended or expelled from any school? If yes, please describe
briefly.

7
4. Is your child suffering from any allergies, asthma, epilepsy, diabetes or any other major
physical/mental deformity? If yes, please specify and give details. A separate medical fitness
certificate is to be submitted at the time of admission.
Names and relationship of persons who can be allowed to meet the student
Full name Relationship Photograph Specimen signature
1. …………………………… ………………… ............…………..
2. …………………………… ………………… ............…………..
Declaration of Parents/Guardians:
I Mr./Mrs……………………………………………Parent/Guardian of…………………………hereby
declare that the information given by me in this admission form is correct and the documents submitted
are authentic. I am aware that if any of the documents submitted to the school is found to be false or
incorrect the admission of the student will be instantly cancelled and the fees paid will not be refunded.
I am also aware and agree to the condition that if my ward violates any of the rules or regulations of the
school or behaves in an undisciplined manner, I will accept any decision taken by the school authority
with regard to him.
I also understand that the Principal of the school has the authority to remove the student from the school or
hostel at any time for the poor academic performance or for any misconduct.
I understand that although the school will take all the possible care and precaution about the safety of the
student while he/she is in the campus or during outgoings or on sports ground but the individual safety is
the responsibility of the student himself/herself. The school does not accept liability in case of unforeseen
accidents or illness.
Date: Signature of the Parent/Guardian

Place:
8
Teacher’s observation:
Principal’s remark
Principal’s remarks:
A Admission approved / not approved Signature of the Principal

Admission approved/not approved Principal’s signature
FOR OFFICE USE ONLY
Principal’s remark
Details of fees paid
1. Tuition fees Rs.…………………………….. 2. Hostel and Mess Fees Rs……………………
3. Other fees Rs. ……………………………… 4. Deposit Rs. …………………………………
5. Date of payment……………………………. 6. Receipt No. ………………………………...
A Admission approved / not approved Signature of the Principal

Admitted/not admitted to class…………………. Date of admission………………………………..
Signature of the office superintendent

9
CHECKLIST OF THE DOCUMENTS SUBMITTED
SL. No. Name of the documents Received If not, probable date of

submission
1. Attested copy of birth certificate
2. Transfer certificate
3. Progress report/Mark sheet of Grade
4. Conduct certificate
5. Passport size photographs 3Nos.
6. Medical fitness certificate
7. Any other
Note: The admission will not be confirmed unless all the required documents in original along with three
Xerox copies each are submitted and the prescribed fee is paid.

10

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Bharati Vidyapeeth

God’s Valley International School, Panchgani

APPLICATION FORM FOR ADMISSION

House No. / Street City

Age Date of birth (Day/Month/Year)

Country of birth Country of citizenship

Home telephone (include country, city and area codes)

Current grade Applying for grade

Gender: Male Female

In case of foreign students:

Passport No Visa No.

Place of issue Place of issue

Issue date Issue date

Expiry date Expiry date

Residences permit No Issue date

Issue date Expiry date

Bharati Vidyapeeth God’s Valley International School, Panchgani

Name of Company Affix a recent

Country Zip/Postal Code

Fax No E- Mail Specimen signature

Name of Company Affix a recent

Fax No E- Mail Specimen signature

Local Guardian, if any

Name of Company Affix a recent

Fax No E- Mail Specimen Signature

Information about brothers and sisters:

Name Age Class School

Name Age Class School

Name Age Name of Co.(if working)

Bharati Vidyapeeth God’s Valley International School, Panchgani

Address: City State/Province

Name of the Principal Telephone No.

Other school attended in past three years:

School name Class Date of joining

School name Class Date of joining

Bharati Vidyapeeth God’s Valley International School, Panchgani

3. What reading have you enjoyed most in the past years?

Bharati Vidyapeeth God’s Valley International School, Panchgani

5. What else would you like us to know about you?

Bharati Vidyapeeth God’s Valley International School, Panchgani

Bharati Vidyapeeth God’s Valley International School, Panchgani

Bharati Vidyapeeth God’s Valley International School, Panchgani

1. …………………………… ………………… ............…………..

2. …………………………… ………………… ............…………..

Date: Signature of the Parent/Guardian

A Admission approved / not approved Signature of the Principal

FOR OFFICE USE ONLY

1. Tuition fees Rs.…………………………….. 2. Hostel and Mess Fees Rs……………………

3. Other fees Rs. ……………………………… 4. Deposit Rs. …………………………………

5. Date of payment……………………………. 6. Receipt No. ………………………………...

A Admission approved / not approved Signature of the Principal

Signature of the office superintendent

Bharati Vidyapeeth God’s Valley International School, Panchgani

SL. No. Name of the documents Received If not, probable date of

3. Progress report/Mark sheet of Grade

5. Passport size photographs 3Nos.

6. Medical fitness certificate

Bharati Vidyapeeth God’s Valley International School, Panchgani