Application Pack IB - Navrachana International School

1 Navrachana International School VadodaraAPPLICATION PACKV asna-Bhayali Road, Vadodara -391410, Gujarat, India. Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : School decision is final and binding in all PROCEDUREA dmission Policy Navrachana International School , Vadodara (NISV) is a co-education, English medium IB World School affiliated to International Baccalaureate (IB) and Cambridge International Examination (CIE). Students are enrolled as boarders or day scholars. Admission is granted on the basis of the School admission Criteria1. Availability of seats2. Age of the student*3. A confidential report from the Head of the student's present school4. Acceptance of the NISV standard terms and conditions for studies at the School (see Agreement details)5. Successful completion of the schools' admission processAdmission RequirementsTo register for admission the following need to be Duly filled Application Form2.

2 Physical fitness Report duly signed by a certified medical practitioner3. Bonafide Certificate from previous school4. Original Transfer Certificate from previous school5. Photocopy of Scholastic Record/ Transcript of the results for last three years (if applicable)6. Photocopy of Immunization details7. Photocopy of Passport of the student (alternatively birth certificate along with proof of citizenship)8. Photocopy of OCI (if applicable)9. Payment of fees10. Photocopy of Aadhar card *Admission form will not be processed unless all the mentioned documents are submittedOther Requirements1. Original documents with copies attached to the Admission Form for Examples of the student's schoolwork in the form of exercise books, portfolio etc.*Age CriterionGRADE Academic year 2018-19 Nur seryst3+ on 31 May 2018 Prep Juniorst4+ on 31 May 2018 Prep Seniorst5+ on 31 May 2018 Grade 1 st6+ on 31 May 2018 2018-19 Navrachana International School VadodaraVasna-Bhayali Road, Vadodara -391410, Gujarat, India.

3 Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : PACKNIMUNG rant of AdmissionAdmission is granted to a student if he/she satisfies all the provisions of the Admission criteria and completes the admission requirements. The admission status will be considered provisional till the admission requirements are not CandidatesOverseas applicants, who are unable to be physically present at the admission office for the completion of admission procedure should courier/email all the required documents to the School office and later should fulfill the admission requirements. In addition they should also provide a confidential recommendation from their existing School along with their last transcript. Such information should come directly from the candidate's existing School in a sealed envelope. Interviews, via teleconferencing are conducted for overseas should note that the status of admission will remain provisional till the original Transfer Certificate and other relevant documents are submitted to the School office at the beginning of the academic for Foreign NationalsDocuments required (According to Immigration by-laws, Government of India) The immigration bye-laws of the Government of India states that a foreign national staying in India for a period of more than six months registers his/her name in the local immigration bureau within 14 days of their arrival in India and acquire residency School will assist the parent/local guardian by providing a bonafide certificate for day scholars.

4 For the residential boarders, the School will provide a letter signed by the Talati of Bhayali village. The local guardian/parents would require to follow the process of registration. In case of expatriates staying in the hostel, designated members from NISV staff will be the local documents required for the process are mentioned below-1. The student should hold a student visa. On getting provisional admission in the School , the School will issue a bonafide letter for visa. The same can be collected from the office or a scanned copy will be mailed on request from the Passport size photographs of the student- 15 copies (Size x )3. Passport size photographs of both the parents- 2 copies each (Size x ).4. Photo copy of passport of student and both the parents - 2 copies ID Proof/address Proof of the local guarding of the Authority letter from both the parents on stamp paper nominating the local guardian. In case of expatriates staying in the hostel, designated members from NISV staff will be the local Address LIB a) 9 Floor Kuber Bhavan, Kothi- Raopura- Vadodara.

5 B) Police Station, Taluka Police Station, Bhadra Kacheri, Panigate, Vadodara. c) DSP office Kothi Kacheri, ID Proof and Address proof of the parents/guardians from the respective If student shifts from any residential School of India to NISV, the Resident permit FRRO needs to be transferred to - Provisional admission granted to a student will not be confirmed without a residency permit. A copy of the permit is required to be submitted to the School in 15-days CountryDate of ApplicationAdmission sought in gradeADMISSION FORM International Baccalaureate, Geneva, Switzerland Navrachana International School VadodaraVasna-Bhayali Road, Vadodara -391410, Gujarat, India. Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : Educational HistoryCurrent School NameAddressName of the principalMedium of InstructionExceptional Academic achievementHas your child ever received a double promotion Yes/NoHas your child ever been identified as gifted or talented?

6 Yes/NoHas your child ever been detained? Grade Yes/No Has your child ever been suspended from School ? Yes/NoAPPLICATION PACKNIMUNA. Student DetailsStudent's Name SurnameFirst Name(Student s Name)Middle Name(Father s Name)Date of BirthPassport GroupCaste/SubcasteNationalityPlace of BirthWeightSex Aadhar Card PassportSize Photograph PYPMYP/CambridgeAdmission sought as Boarder Day ScholarDP2018-19 Category Gen / SC / ST / OBCS tudent s UID International School VadodaraVasna-Bhayali Road, Vadodara -391410, Gujarat, India. Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : PACKNIMUNF amily Group PhotoC. Family InformationFather's DetailNameSurnameFirst NameMiddle NameNationalityPassport of the companyOffice AddressDesignationCountryTel.

7 No. (Res.)(Office)(Mobile)E-mailSignCityOccu pationStateMother s DetailNameSurnameFirst NameMiddle NameNationalityPassport of the companyOffice AddressDesignationCountryTel. No. (Res.)(Office)(Mobile)E-mailSignCityOccu pationState2018-19 Navrachana International School VadodaraVasna-Bhayali Road, Vadodara -391410, Gujarat, India. Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : PACKNIMUNA ffix Photograph of the GuardianGuardian s DetailNote : Boarders should have a local guardian from VadodaraSibling DetailsNameCurrent schoolGradeNameSurnameFirst NameMiddle NameNationalityPassport of the companyOffice AddressDesignationCountryTel. No. (Res.)(Office)(Mobile)E-mailSignCityOccu pationState2018-19 Navrachana International School VadodaraVasna-Bhayali Road, Vadodara -391410, Gujarat, India. Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : PACKNIMUNF amily HistoryStudent is living with Both parents Mother Father Other (please name)If other than both parents Parents separated / Divorced Father deceased Mother deceasedFather's NameMother's NameGuardian's NameSignature SignatureSignatureAC RoomVegetarian Non-AC RoomNon-VegetarianOnly EggsAccommodation preferenceMeal preferenceDetails to be filled in by Boarders only2018-19 Navrachana International School VadodaraVasna-Bhayali Road, Vadodara -391410, Gujarat, India.

8 Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : PACKMEDICAL EXAMINATION REPORTP ersonal Information (filled on) (DD)(MM)(YYYY)Student's Name SurnameFirst NameMiddle Name Birth DateSex (Male /Female)(DD)(MM)(YYYY)Emergency ContactPerson to callRelationshipTel. Nos. to callFamily doctor's nameTel. GroupHeightWeightVisionAllergies Is your child allergic to anything?Yes / No What is the reaction ?What is the treatment ?EpilepsyDoes your child have epilepsy ?Yes / NoIf yes, please provide details AsthmaDoes your child have asthma ?Yes / NoIf yes, please enclose a complete Asthma Management PlanIs your child physically challenged ?Yes / NoIf "yes", please describe and attach any relevant informationHas your child ever had hearing difficulty?Yes / NoIf yes, please mentionHas your child ever had vision problems ?Yes / NoIf yes, please mentionHospitalizationHas your son/daughter been hospitalized in the last 5 years?

9 Yes / NoIf so, for what reason ?Does your child have a medical condition the School should know about?Please describeIf yes, what is your child allergic to?NIMUN2018-19 Navrachana International School VadodaraVasna-Bhayali Road, Vadodara -391410, Gujarat, India. Tel. : +91 - 265 - 2253851/2/3/4, FAX No. : +91 - 265 - 2253855E-Mail : PACKIs your child currently under medication / treatment? Yes / NoPlease indicate the type and purposeOther Medical ConditionsIf yes, please provide detailsFOR YOUR INFORMATIONH istory of immunizationPlease attach an immunisation report signed and attested by a Tetanus Pertussis (Whooping Cough)Polio Mumps/Measles/Rubella Hepatitis AHepatitis B InfuenzaEncephalitis Rabies TuberculosisAny other information which will be helpfulI declare that the information I have provided on this form is complete and correct and that I will notify the Medical Center in writing if any changes are required to be (DD)(MM)(YYYY)Parent's / Guardian's SignatureResponsibility in an emergency - (please read carefully)NameRelationship to studentSignatureDate(DD)(MM)(YYYY)Any medication to be administered at School requires a prescription from the medical practitioner treating your child.

10 The prescription on the doctor s letter head, bearing the child s name and the medicines prescribed with the requisite dosage should also be submitted. The School Medical Center / Infirmary, is equipped to provide non-prescription medicines. These are administered by the School nurse on the advice of the School doctor / physician / list any medications that you DO NOT want to be administered to your child, to be notified to the medical centre in writing if any changes are required to be In an emergency, I authorize the School to provide consent for medical attention for my child. I agree to my child receiving such medical or surgical treatment as deemed necessary and understand that critical health information which will impact my child's education or well being will be given to persons responsible for my child's SELECTION SHEETN avrachana International School VadodaraIB PYP Language Selection (Grades 2 to 5)Language A English Language B (French/German/Hindi) Vasna-Bhayali Road, Vadodara -391410, Gujarat, India.