Chelsea World School

Gokarneshwor- 8, Attarkhel, Kathmandu

Admission Form

Grade XI (Science & Management)

Personal Details:

1. Name of the Student (In Block Letters):

(First Name)

(Middle Name)

(Last Name)

2. Gender : Male Female

3. Date of Birth: (BS)

(AD)

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4. Name of Last School attended: Address:

5. SEND-UP GPA: SEE GPA (or, Equivalent):

6. Phone Number: E-mail:

7. Address: • Current Address: • Permanent Address:

Province: District: MNC/VDC: Ward No.:

8. Father's Name

Occupation: Phone Number:

9. Mother's Name

Occupation: Phone Number:

10. Local Guardian's Name: Phone Number:

School Correspondence phone number: (Parents/Guardians only)

Academic Details: 11. Subject Group in Grade 11:

Science Management

i) For Science Group: Physical Group Biological Group

12. Courses Offered In Grade 11:

Science (XI)		Management (XI)
Physical Group	Biological Group	1. Nepali
1. Nepali	1. Nepali	2. English
2. English	2. English	3. Accounting
3. Mathematics	3. Mathematics	4. Business Mathematics OR, Computer Science
4. Physics	4. Physics	5. Economics
5. Chemistry	5. Chemistry
6. Computer Science	6. Biology

13. Previous Academic Record:

Name of Previous School
SEE GPA	Subject	GPA/Grade	Subject	GPA/Grade
Passed Year	Comp. English		Comp. Science
Passed Year	Comp. Mathematics		Other(Specify):

• Eligibility GPA 1.6 in SEE (Government Rule). • Scholarship Science Program: Minimum C+ grade in Science, Mathematics, and English with Din all other subjects in SEE. Management Program- Minimum C grade in Science, Mathematics, and English with D in all other subjects in SEE. 14. Appraisal of the student: (Please mention the achievements, if any, the student has in academics/extra co-curricular activities) 15. Health History: (Is there any medical information (previous illness, allergy of physical/psychological illness, etc) related to the student that the school should be aware of?) Yes No If yes, please mention in brief. 16. Additional Information: A. How did you come to know about this institution? B. What makes you different from other candidates? C. Write about your future goals. D. What're your greatest strength and weakness in academics?

DECLARATION BY THE PARENTS I Mr/Mrs father/Mother/Guardian of confirm that the above information provided by me is correct and to the best of my knowledge and belief I, hereby, also abide all the roles and regulations of the school.