Chelsea World School

Cambridge International A Level

Gokarneshwor- 8, Attarkhel, Kathmandu

Admission Application Form

Personal Details:

1. Name (In Block Letters):

(First Name)

(Middle Name)

(Last Name)

2. Gender : Male Female

3. Phone Number: E-mail:

4. Date of Birth: (BS) (AD)

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5. Residential Address in Kathmandu	6. Permanent Address

7. Parents' Details

	Name	Occupation/Office	Mobile No.
Father
Mother
Guardian
Contact in case of emergency other than Parents/Guardian

8. Parents' Contact Details

Whats App/Viber No. SMS Alert No. (Parents)

9. Academic Details

S.N.	Name of the School Recently Attended	Any case of suspension or expulsion before (If any please mention)	Any special honor/Awards (Academic/Non-Academic)
I
II

10. Course Details 1. English General Paper (AS) - Compulsary for all students

2. Science Stream

3. Non-Science Stream

Physics(A)

Chemistry(A)

Biology(A)

Mathematics(A)

Computer Science(A)

Further Mathematics(A)

Economics(A)

Business(A)

Accounting(A)

Sociology(A)

Psychology(A)

Mathematics(A)

Information Technology(A)

Art and Design(A)

Further Mathematics(A)

Please Select at least 3 subjects from above. You can choose subject combination from both Science and Non-Science streams. Write the subject combination you are interested studying in A level

English General Paper (AS)

11. Other Details: I. Please mention your interest and hobbies.

II. Mention about your family and family life in short.

III. Why do you want to study Cambridge A Level ?

IV. How do you come to know about Chelsea World School ?

V. In what ways do you expect Chelsea World School to influence you ?

VI. Where do you see yourself after 10 years from now, socially as well as professionally ?

VII. Any health problems which need special attention (If any please mention) ?

Declaration Sir/Madam, I hereby request for my admission to Chelsea World School. I promise to abide by the school policies, rules and regulations regarding the payment fees, student conduct and other school related matters. Signature :

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For official purpose

Recieved By : ................................................

Forwarded To : .............................................

Date : ..........................................................