Personal 1

Before proceeding, please fill the Applicant's Medical Details form here * Yes, I have filled the medical details form

Board applied *

Class applied *

Type *

Applicant's Name *

Applicant's Email id *(Please use same e-mail id for applicant's medical details form and future correspondences)

Gender *

Date of Birth *

Place of Birth *

Religion *

Nationality *

Date of Arrival to India/ BBSR *

Date of enrollment *

Expected length of stay at school (in years) *

Passport No.(if NRI/Expat)

Date of Issue

Place of Issue

Date of Expiry

Personal 2

Chronic medical or physical problems/conditions that would hinder participation in classes or activities *

Medications currently being used by applicant *

Academic difficulties experienced by the applicant *

Special interest, hobbies and talents *(e.g., Instrumental music, Vocal music, Dance, Drama..any formal training?)

Choice of food *

What are your expectations of KiiT International School with regard to your child's education? How will assist us in fulfilling these expectations?

Parent

Father's Name *

Father's Occupation

Father's Nationality *

Father's Job Title

Father's Contact no.(s)

Father's Home Address

Father's Office Address

Father's Email

Father's Educational Qualification

Father's Name of Organisation

Father's Marital Status

Mother's Name *

Mother's Occupation

Mother's Nationality

Mother's Job Title

Mother's Contact no.(s)

Mother's Home Address

Mother's Office Address

Mother's Email

Mother's Educational Qualification

Mother's Name of Organisation

Mother's Marital Status

Family

The applicant will live in Bhubaneswar with?(if Day Boarder)

Please indicate if parent is deceased: Father Mother

Name of the person with whom the applicant will stay(if Day Boarder and not living with parents)

Address

Contact no.(s)

Relationship to applicant

Name of the local guardian(if Full Boarder)

Address

Contact no.(s)

Relationship to applicant

Name of emergency contact in Bhubaneswar *(Other than parents or guardian)

Contact no. *

Relationship to applicant *

Name of Child1(other children in family)

Date of birth of Child1

Gender of Child1

Is Child1 applying to KiiT IS?

If yes, what grade level is Child1 applying for?

Child1 currently reciding at

Name of Child2(other children in family)

Date of birth of Child2

Gender of Child2

Is Child2 applying to KiiT IS?

If yes, what grade level is Child2 applying for?

Child2 currently reciding at

Name of Child3(other children in family)

Date of birth of Child3

Gender of Child3

Is Child3 applying to KiiT IS?

If yes, what grade level is Child3 applying for?

Child3 currently reciding at

Education

Name & Board of the School1 attended

City & Country of School1

Language of instruction at School1

Date from which School1 attended

Date of leaving School1

Grade Completed at School1

Name & Board of the School2 attended

City & Country of School2

Language of instruction at School2

Date from which School2 attended

Date of leaving School2

Grade Completed at School2

Name & Board of the School3 attended

City & Country of School3

Language of instruction at School3

Date from which School3 attended

Date of leaving School3

Grade Completed at School3

Reason for withdrawal from present school?

If any others,explain

Language

Applicant's first language *

Father's first language *

Mother's first language *

Primary language spoken at home *

Languages applicant can speak *

Languges applicant can read *

Languages applicant can write *

Requested foreign language placement at KIIT IS *(Note: KiiT IS foreign language classes are not designed for native speakers of the language) French Spanish Hindi

Declaration

I have filled all the medical details of the applicant. If not filled, click here to fill the medical details of the applicant.

* I Agree

PARENT(S) RESOURCES

Please indicate in the space below if you are able to contribute any of your expertise to the School. For example, as a: substitute teacher, classroom volunteer, room parent, secretary, field trip chaperone, library assistant, tutor, specialist teacher (art, music, dance, drama), sports coach, or guest speaker sharing some aspects of your work or hobbies.

INDEMNITY TO KiiT INTERNATIONAL SCHOOL(for parents)

As long as all due care and attention has been taken by the school, in the event of any injury to my child or damage to the property of my child whilst involved in any school sponsored activities or while on the school premises or being transported to or from the school, I will not hold the school or any member of the school staff responsible. In signing this indemnity, I understand that in the event of an emergency every effort will be made to contact parents or guardians. If this is not responsible I understand that my child will be taken to either his/her family doctor, or a suitable hospital for treatment.

* I Agree

AGREEMENT(for parents)

I hereby agree that my child and I will abide by all the rules, regulations and policies of KiiT International School. I also give permission for my child to go on organisec school trips, participate in regular physical education activities, and have his/her photographs used in school publications.

I certify that the information contained in this application is complete, true and correct to the best of my knowledge.

* I Agree

Documents

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KIIT International School (Primary application form)

Personal 1

Personal 2

Parent

Family

Education

Language

Declaration

Documents