Please note the following requirements —

Ensure all necessary documents are attached to this form during submission:

  1. Passport size photograph (pasted in the space provided on the left)
  2. Photocopy of the applicant’s birth certificate
  3. School leaving certificate and reports, in case of transfers
  4. Address Proof : (Birth Certificate, Aadhar Card or Passport)

APPLICANT
  
        

PARENTS/GUARDIAN
*
*
*
*
*

CONTACT

SIBLING

MISCELLANEOUS

CURRENT SCHOOL

DOCUMENTS

FAMILY INFO
Name of Sibling Gender Date of Birth Class / Grade Presently Studying School/College Studying

SCHOOL INFO
School 1 School 2 School 3
Name of School
Board / Curriculum
Grade Enrolled
II Language Studied
III Language Studied
Foreign Language Studied
Withdrawal Date
Reason for Withdrawal

ACTIVITIES
SL No Activities Achievement
1
2
3
LANGUAGE INFO
Hindi Kannada French
2nd Language
3rd Language

TRANSPORT INFO
Would you like to opt for school transport ?
(tick if yes)

1) Has your child been assessed as a particularly gifted / talented ?
2) Has your child been assessed for learning difficulties ?
3) Has your child ever had any difficulties with general coordination, balance and physical skills ?
4) Does your child has difficulty in vision / hearing / speech?
5) Does your child require special education support ?
6) Has you child ever been requested to meet with a Counselor / Psychologist ?
7) Does your child require special education or therapy services at I Can TLC ?

DECLARATION
I declare that the details filled above are true. In case any details provided are found to be erroneous or false, I understand that the decision taken by the school in response will be final and binding. I also declare that I have read and understood the fee rules of the school and promise to abide by them. I grant I Can TLC the Learning Centre School and all its representatives rights to make photographs, videos or audio recordings of my child/ward, as long as they are a student at I Can School and use the same officially or in communication, advertising, news and other media, indefinitely. I understand that the rules of and agreements with the school are subject to change without prior notice and promise to abide by them at all times.

I parent/ guardian hereby give my consent for my son /daughter to participate in the activities conducted by the school. I understand that the school considers safety of each child to be of utmost importance and takes all reasonable and appropriate steps for safety and security of each child. I hereby indemnify the school and all associated team members against any accident / incident at site or during the travel to the site and back.
  
© 2020 I CAN THE LEARNING CENTRE SCHOOL HAS ALL RIGHTS RESERVED. FIELDS MARKED * ARE COMPULSORY ARE COMPULSORY