Student’s Name : ______________________________________________________________________________________

(as in the Passport)

Date of Birth : / / Age as on 1st April : ________________________ Sex : Male Female

Nationality : _____________________ Religion : ________________________ State : __________________________

Passport No. : ______________________ Date of Issue : ________________________ Date of Expiry : __________________________

Class applied for : _____________________ Class last attended : ________________________ Iqama No : __________________________

School last attended : __________________________________________________________________________________________________________________

Affiliation of the school: CBSE (School based) CBSE (Board based) ICSE State Board Other Board

Stream of Admission : Science (Mathematics Stream) Science (Biology Stream) Commerce Stream

Parent’s Particulars Father Mother

Name

Occupation & Organization

Nationality

Passport No. - Date of Issue & Expiry

lqama No. & Date of Expiry

Address, P.O. Box No. & PIN Riyadh

Tel.: Office: Res.: Mobile: Email:

Particulars of the Sibling children studying in this school

Registration No. Name Class & Division Relationship

1.

2.

Emergency Contact No. & Name 1.

2.

Permanent Address (India)

Documents required at the time of Registration:

1. Original passport of the child for verification.

2. Copy of passport of the parents & student.

3. Copy of Visa stamped page of the student’s passport.

4. Copy of valid Iqama of the parents & student showing last renewal status.

5. Transfer Certificate (original) 30 Days validity from the date of issue.

6. Copy of Progress Report of Class X showing Periodic tests and Pre-Board marks

7. Copy of CBSE Board Examination result should be submitted after declaration of result.

8. Sponsor letter with C.R.No.

9. Copy of birth certificate.

10. Passport size photographs (3 no’s).

11. Arabic admission form for local transfers within the Kingdom.

Date: ……………….. Signature: ……………….

For Office use onlyVerification of Credentials Yes / No Initial : …………… Date: ………………….

Parent notified: Y / N Time slot allocated ……………….. Initial : …………… Date: ………………….

Admission test result Passed / Not eligible/ Conditionally admitted Remarks : ………………………

Principal: …………………….

Admission Fee SR. Tuition Fee SR.

Caution Deposit SR. Transportation Fee SR.

Receipt No. ... Initial & Date: ....................

The cost of this form is SR 100 ( If downloaded from website, this is to be paid at the time of submission) For admission enquires please call 011 2869960/4111610/4145978 EXT.112 Form: YR-AD-02 Manager / Admin ___________

Admission granted to class: Division: Stream: Optional: Registration No.:

AFFILIATED TO CBSE - NEW DELHI (AFFILIATION NO.5730018)

Affix recent

Form No: …………………………….

Please read the instructions carefully before filling in the form:

Filling the form does not ensure admission as the admission is on merit.

Admission to class XI will be confirmed only if the candidate passes in class X Board Exam.

Application Form should be filled in block letters as neatly as possible.

Yara International School Student Student from other schools

SENIOR SECONDARY ADMISSION CONTRACT

(for office use only )

I, Mr./Mrs. ................................................................................................... (Father / Mother) hereby declare that the information given in the application is true and complete

& I shall strictly comply with all School policies, MOE rules, Documentation requirements and Undertake to pay the school fee promptly, failing any of which I

authorize the school authorities to take appropriate action including removal of my ward from the rolls.