Exam

   

For the Year

1. Name of the Student

Browse a Photograph of the Student

Affix a Photograph of Parent/Guardian

2. Sex (Male/Female)

Male Female

3. Father's Name

4. Mother's Name

Form will not be accepted without photograph

5. Date of Birth

6. Present Address

District

State

Pin Code

Phone No. with STD Code(Land Line)

Mobile No.

Email

7. Class in which studying at present

8. Name of the School(Where Studying)

Address of the School

District

State

Pin Code

9. i) Payment of Registration Fee:

     

Amount of Rs. 1000/- (Rupees One Thousand only) for Registering the name of the boy / girl for the said Merit Scholarship Test is being sent with this form by A/c payee Bank Draft in favor of "INTERNATIONAL CHILDREN'S EXCELLENCE FUND" payable at New Delhi.

    ii) Name of the issuing Bank

    iii) Bank Draft No.

    Dated

    iv) Issued from (Place of the Bank's branch)

Note : Please send a self-addressed stamped (Rs. 70.00) Envelope of 9" x 15" size with this Form if parents wish to receive admit card by registered post, otherwise Admit Card will be sent by ordinary Post.

10. Choice of profession or career desired by the parents for their wards for future study :

     

Tick

for choice

Profession / Career (Please Tick for specific profession) as desired

First Choice/

Second Choice/

Third Choice/

(i) Executive and Administrative Services (for the Government Corporate, Public, Private Sector establishments etc.)

(ii) Medical Sciences

(iii) Dental / Para-Medical Sciences /Medical-Electronic / Hospital Management

(iv) Micro Biology / Genetics

(v) Engineering and Technology (Mechanical, Electrical, Civil, Chemical, Marine, Aeronautical, Automobile)

(vi) Electronics (General / Micro-Electronics)

(vii) Computronics (Software / Hardware)

(viii) Information and Communication Technology

(ix) Industrial Organization and Administration

(x) Industrial & Business Management

(xi) Financial Management

(xii) Merchant Navy

(xiii) Printing Technology

(xiv) Tourism

(xv) Teaching

(xvi) Fashion Technology

(xvii) Textiles

(xviii) Law

(xix) Chartered Accountant

(xx) Any other Profession

11. Choice of place of study for class I to XII (i.e. for School Education) Tick (3) for choice

     

Tick

for choice

(i) Dehradoon

(ii) Ranchi

(iii) Rishipattanam (Ranchi)

(iv) Ramgarh Cantt. (Distt. Ramgarh), Jharkhand


DECLARATION

I hereby declare that all information given above are true to the best of my knowledge. I have gone through the rules and regulations of the Scholarship and agree to be bound by them. I undertake to accept the decision of the INCEF as final and binding upon me on behalf of my ward. The choice of profession / career given above for my ward may be changed as per potential and attitude of the child found in course of study or as suggested and recommended by the experts.


Date


Place


Signature of the Parents / Guardian


FOR OFFICE USE
REMARKS OF THE EXPERTS / EXAMINERS


Date


Signature of the counselor