Inside Chettinad Health City, Rajiv Gandhi Salai , Old Mamallapuram Road, Kelambakkam , Chennai - 603103 .
Phone: +91 044474299

Admission Form

Academic Year

Child's Details

Name of the child

Known As

Date of Birth

Class to which admission is sought



Desired date of Admission

Date of Application

Admission Referred By

Passport Number

Preferred email address for all school correspondence

Place of Birth

School Last attended

Reason for leaving

II Language

III Language

Mother Tongue
Language Spoken at home

Enquiry Source

Blood Group

"Does the child have any allergies or medical history that needs to be mentioned?"
Number of sibling
Admission no. of sibling(s) if any, studying here:

Note: Clicking the add button will display the sibling details.

Admission No Name Class Session Delete Student Id
No Records Found

Parent Details



Parent Guardian Name

Family Structure

Father Email

Mother Email

Father Mobile No

Mother Mobile No

Guardian Mobile No
Local Mobile No








Applicant's school history



City / Country


Profession / Designation / Others

Father's Occupation

Mother's Occupation

Name of the Organization

Name of the Organization

Position Held

Position Held

Father Office Address

Mother Office Address

Annual Family Income

Student General Informations

Aadhar number of child


Private Own School Vehicle

If school vehicle. pick-up stage

Child's language(s) spoken at home:

Child's language spoken at current school:

My child is fluent in English language:

Yes No

Extracurricular activities your child participates in

What special interests does your child exhibit?

Please use this space to provide any additional information about your child that you feel is relevant to this application:

Describe your child's greatest assets / strengths and areas which may need improvement.


Areas of improvement :

Has your child ever been recommended for, or received evaluation in or out of school for, possible learning problems? If yes, please indicate details :

Has your child ever been recommended for or received for specific learning problems in any of his /her previous schools? If yes, please indicate details :

Does your child have any special physical, emotional, psychological, or language needs? If yes, please indicate details :

Has your child ever repeated a grade? If yes, please indicate details :

Describe any physical condition(s) or learning / emotional difficulties that might affect your child's full participation in the programme.


I (we) agree to allow Chettinad – Sarvalokaa Education to use my child's photograph, sample of work which may include written work, audio and visual materials to use for the educational training, commercial, and / or promotional purposes relating to the school's activities, or those related activities of which it approves.

I wish to apply for a place at Chettinad – Sarvalokaa Education for my child.

I (we) affirm that the information provided in this application form is true and correct to the best of my (our) knowledge. Further, I (we) understand and accept that falsification or deception in any aspect of the application process may result in an immediate review and possible revocation of admission. I have understood the admission procedure and fee schedule.

Please note that school fee is non-refundable. The term fee must be paid by the date set by the school. Nonpayment of term fee by the due date would result in late fee as per school management and the term fee policy
Payment Type