Appendix 'A' S.No.

_________

SAINIK SCHOOL, KORUKONDA (VIZIANAGARAM DIST) & SAINIK SCHOOL, KALIKIRI (CHITTOOR DIST)
APPLICATION FOR ADMISSION TO CLASS VI / IX FOR 2014-2015 SESSION
(For General / Defence Category only)

For Office use only Centre allotted Category : Gen / Def

1. Name of the candidate in full (in BLOCK LETTERS) SUR NAME 2. Date of Birth (in figures) (according to Christian era) Date Month Year (Enclose xerox copy of Date of Birth Certificate) 3. 4. State of Domicile Preference for admission :(a) Sainik School, Korukonda, Vizianagaram District. (b) Sainik School, Kalikiri, Chittoor District (c) Both Schools 5. (a) Name of Father Yes Yes Yes No No No NAME

Affix recent passport size Photograph of the Candidate taken after 15 Oct 2013. Principal / Headmas ter of the Ins titution currently Studying / Gazetted Officer must sign partly on the photograph and partly on application

Roll. No.

/ KK

Medium

Andhra Pradesh / Other State ( ............................................... ) Name of the State

(b) Name of Mother

(c) Is the father alive ? ( If no, attach attested xerox copy of extract from the Register of Births and Deaths)

Yes / No ......................................................................................

(d) Name of the Guardian (If both parents are not alive)............................................................................... (e) In case of Adoption the date of Adoption Deed ( Xerox copy to be enclosed) ........................................................ (f) Occupation of Father / Mother / Guardian (whichever applicable) ....................................................................... 6. If father is serving / has served in the Army / Navy / Air Force, give details Service. No.............................. Rank............................. Whether serving or retired ............................................ Length of Service .............................................................. Corps / Regt. .................................................................... Address of Record Office ...................................................................................................................................... (Note : In case of Service Personnel - Service Certificate & Ex- Service Personnel a Certificate from District Sainik Welfare Officer regarding their eligibility under the Defence category to be enclosed) 7. (a) Name and address of School in which the boy is studying at present or studied at any time in the past (b) Whether the School is recognised ? (c) Class in which studying / studied last 8. 9. Language in which the boy wishes to take the entrance test i.e., Telugu / English / Hindi / Tamil etc., Monthly income of the Parent / Guardian (Basic Pay in case of Employees) Yes / No ...................................................................................... ...................................................................................... Rs ................................................................................. ...................................................................................... ......................................................................................

10. Are you prepared to send your son / ward to any other Sainik School, other than Sainik School Korukonda if allotted with full fee? If so, give names of three Schools in order of preference. After admission, no Inter School Transfer will be allowed. An undertaking to this effect is to be submitted at the time of admission.

Yes / No (a) Sainik School ............................................ (b) Sainik School ............................................ (c) Sainik School ............................................

11. Are you willing to send your son / ward to any other Sainik School in which the seats are available other than the three options mentioned above ? 12.

Yes / No

Full permanent Home Address of Father / Mother / Guardian (in Block Letters) .................................................................................. .................................................................................. .................................................................................. ...................................Pin Code.................................

13.

Address to which all correspondence is to be addressed (In Block Letters) (Same to be written in the address slips) Filling up of telephone numbers is compulsory. Post Office....................... Phone No. with Code................................................ House No .............................Street.......................... Village / Town........................................................... Pin Code.......................... Mobile No. ...............................................................

14.

Centre at which the candidate wishes to appear in the Written Test (See Note 3 below) (No change of centre will be entertained) FIRST CHOICE ....................................................... SECOND CHOICE ...................................................

15.

Demand Draft Particulars :D.D. No. _______________ dated _________ for Rs.475/- drawn in favour of

"The Principal, Sainik School, Korukonda" payable at State Bank of India, Sainik School, Korukonda Brach Code No. 02791.. 16. I solemnly declare that (a) Candidate mentioned above has not appeared in the Sainik Schools Entrance Examination so far in the Class applied and it is his first chance to take Entrance Examination for that class. (b) The particulars given above are true and no information required to be given has been concealed. In the event of any of the above information has been found incorrect at any time, I undertake to refund full amount of the scholarship immediately on demand, and without any delay and will have no objection to my above named son/ward removed from the rolls of the School. 17. I undertake that I will not dispute with the decision given by the School with regard to the evaluation and the other procedure followed for admission of candidates and that the decision given by the School will be accepted as final verdict. Place.............................. Date............................... * (Signature of the Parent )

* Application is to be signed by father of the boy. If the father is not alive, the mother should sign it. A guardian may only sign the application when both father and mother are not alive. Note :
1. Ensure appropriate application form is used for the category applied. Form should be filled in neatly and correctly. 2. Age should be written both in figures and words. 3. The Entrance Examination in Andhra Pradesh is likely to be held at the following centres. The candidates will be required to indicate their First & Second choices of the centres in their Application Form. In case the second choice of Exam Centre is not filled and the first choice Exam Centre is full or the Exam Centre opted is cancelled due to non availability of candidates / administrative reasons, the candidate will be required to appear in whichever exam centre allotted by the School. No change of exam centre will be entertained. The decision of the school authorities on allotment of centre is final. (a) Guntur (b) Hyderabad (c) Karimnagar (d) Cuddapah (e) Tirupati (f) Nellore (g) Visakhapatnam (h) Vizianagaram (i) Ananthapur (j) Kurnool 4. Application bearing School serial number only will be entertained. 5. Candidate should bring the Identity card for the entrance examination. 6. Admissions will be offered in the order of final Merit subject to medical fitness. 7. Application form may also be downloaded from the School website: www.sainikschoolkorukonda.org. The application form downloaded from the website may be duly filled and sent alongwith a DD for Rs.475/- for Gen/Def category towards Registration in favour of the Principal, Sainik School Korukonda payable at State Bank of India, Sainik School, Korukonda Branch, Code No.02791. Application Forms downloaded from the website and submitted without the Demand Draft will not be entertained.

* (Signature of the Parent )

Appendix 'B'

Appendix 'B'

SAINIK SCHOOL, KORUKONDA (VIZIANAGARAM DIST) & SAINIK SCHOOL, KALIKIRI (CHITTOOR DIST)
IDENTIFICATION CARD - CUM - ATTENDANCE RECORD (To be completed and submitted alongwith the Application form for Admission)

SAINIK SCHOOL, KORUKONDA (VIZIANAGARAM DIST) & SAINIK SCHOOL, KALIKIRI (CHITTOOR DIST)

IDENTIFICATION CARD - CUM - ATTENDANCE RECORD (To be completed and submitted alongwith the Application form for Admission)

Admission to Class VI / IX for 2014 - 2015 Session Roll No............................ / KK Name of the Candidate in full (in CAPITALS) _______________________________ _______________________________ _______________________________ Father's / Guardian's Name (In CAPITALS) _______________________________ _______________________________ _______________________________

Admission to Class VI / IX for 2014 - 2015 Session Centre ........................................... Medium ......................................

Roll No............................ / KK Name of the Candidate in full (in CAPITALS)

Centre ........................................... Medium ......................................

_______________________________

_______________________________

_______________________________

Affix here recent Passport size Photograph of the Candidate duly signed by the candidate

Affix here recent Passport size Photograph of the Candidate duly signed by the candidate

Father's / Guardian's Name (In CAPITALS)

_______________________________

_______________________________

_______________________________

Identification Marks : 1._____________________________________

Identification Marks : 1._____________________________________ 2._____________________________________

(To be written compulsorily as they will be checked at the examination centre)

2._____________________________________

(To be written compulsorily as they will be checked at the examination centre)

ATTENDANCE RECORD

ATTENDANCE RECORD Test At 0900 hrs At 1200 hrs

Signature of the Candidate Signature of the Invigilator

Test

Signature of the Candidate

Signature of the Invigilator

At 0900 hrs

At 1200 hrs

Appendix ''C''
(Refer para 51 & 56 of School Prospectus)

SAINIK SCHOOL, KORUKONDA (VIZIANAGARAM DIST) & SAINIK SCHOOL, KALIKIRI (CHITTOOR DIST)
FEE AND SCHOLARSHIPS
FOR CANDIDATES SEEKING ADMISSION FOR THE YEAR 2014-2015 Fees 1. ''School Fees'' is to be paid in advance and is charged in full for the entire academic year (1st April to 31st March). The fees include clothing fees, pocket money and incidental charges. The school fees is to be paid in lumpsum at the time of admission / in the beginning of the year. 2. 3. Tuition fee and other charges are liable for upward revision every year. At present the Tuition fees and other charges are as follows :(a) (b) Tuition fees : Rs. 60,500/- per annum.

Diet charges : Rs. 17,850/- per annum. (Rs.60.50p X 295 days)

(c) Clothing fees : Rs. 1,500/- per annum for the first year & Rs.750/- per boy per annum for the subsequent years. (d) Pocket Money: Rs.1,500/- per boy per year.

(e) At the time of admission, each candidate is required to remit a sum of Rs.3,000/(Rs.1,500/- for SC / ST candidates) towards caution deposit which will be refunded at the time of leaving the school. (f) Incidental Charges Rs.1,500/- per year.

(g) Personal Clothing : Rs. 10,500/- for personal clothing in the year of admission and as per the requirement of the boy for the subsequent years. However, actual expenditure will be charged. (h) Text Books & Note Books Rs. 1,250/- approx. However, actual expenditure will be charged Note. Tuition Fee and Diet Charges will be increased by 10% every year. The rates may, however, change as per decision of Sainik Schools Society, New Delhi. 4. The school fees is required to be paid in FULL at the time of admission and the scholarship amount if any will be adjusted only on receipt of the same from Government of Andhra Pradesh i.e., at the end of the year. 5. In case of any increase of School Fee and other charges by the Board of Governors, Sainik Schools Society, parents will be required to pay the increased amount on intimation by due date. Payment of School Fee on or after Admisson 6. All payments are to be made through the crossed demand draft only, drawn in favour of Principal, Sainik School, Korukonda, payable at SBI, Sainik School, Korukonda Branch (Code No.2791). Payment of dues to any School Staff Member for remittance to school funds will be entirely at the risk and responsibility of the individual making the payment.

Cont..... 2

-2FEES FOR NEW ADMISSIONS FOR THE YEAR 2013-2014 SNO (a) (b) (c) (d) (e) (f) (g) (h) (j) FEE PARTICULARS Tuition Fee * Clothing Fee Diet Charges * (@Rs.60.50p X 295 days) Pocket Money Incidental Charges Texts & Notes Personal Clothing Crash Programme Security Deposit Total Note : GEN/DEF Rs. 60,500/1,500/17,850/1,500/1,500/1,250/10,500/400/3,000/98,000/SC/ST Rs. 60,500/1,500/17,850/1,500/1,500/1,250/10,500/400/1,500/96,500/-

* There will be 10% increase on Tution Fee and Diet Charges every year. * The rates may change as per the decision of Sainik Schools Society, New Delhi from time time.

Scholarships 7. The Government of Andhra Pradesh grants Merit Scholarships for 50% of boys admitted every

year on the basis of order of merit in Entrance Examination, irrespective of the income of Parent / Guardian. This Scheme is only for Andhra Pradesh Domicile boys. 8. The Government of Andhra Pradesh grants Scholarships to the Andhra Pradesh Domicile boys

on the basis of monthly basic pay of the father only (mother, in case of father is not alive or guardian, incase of both father and mother are not alive). 9. The scholarship scheme of the A.P.Government is as given below :(a) Scholarship of Rs.34,000/- (of which Rs.2,000/- from MoD) plus clothing allowance is

given to the merit scholarship holders irrespective of parents income. Merit scholarship will be continued for the subsequent years subject to securing a minimum of 70% marks in aggregate in Annual Examinations. The balance amount of Fees and other charges to be paid by the parents of General, Defence categories and SC & ST categories. (b) The school is adjudged as the best available School by the Social Welfare / Tribal Welfare Department. Scholarships are awarded by the Social Welfare / Tribal Welfare Department to the SC / ST Boys whose Parent's income is less than Rs. 18,000/- per annum under the Bright Boys Scheme - Pre-Matric Scholarships. To continue availing Scholarship awarded by Social Welfare / Tribal Welfare Departments during the subsequent years boys should obtain a minimum 60% Marks in aggregate in the Annual Examinations.

Contd.....3

-3(c) For the remaining boys income-based scholarship scheme as given below is available. Monthly Income of the parent (Father) (if Father is not alive Mother's income should be taken into account) Basic pay only. 1. Rs. 0 - 8,000 Rate of Scholarship GENERAL / SC / ST

FEES
From A.P From MoD Total * Clothing

Diet

32,000 24,000 16,000 8,000 -------

2,000 1,062 125 -------------

34,000 25,062 16,125 8,000 -------

1,000 1,000 1,000 -------------

5,900 5,900 5,900 5,900 -------

2. Rs. 8,001 - 10,000 3. Rs. 10,001 - 12,000 4. Rs. 12,001 - 15,000 5. Rs. 15,001 and above

(d) In addition to the above Scholarships / Incentive from Ministry of Defence, New Delhi will be granted for the following :(i) To all the cadets of the School @ Rs.14,991/- as per previous year's rate.

(ii) All the cadets joining NDA as well as Technical Entry Scheme of Defence Service shall be reimbursed the actual tuition fee paid for classes XI and XII. Note * Scholarship towards clothing will be Rs.500/- only in subsequent years. # Diet supplement will be taken into School A/c to provide enriched diet to Cadets. (e) For continuation of income based scholarship, boys should obtain 45% in each subject and 55% marks in aggregate and 40% and 50% in case of SC / ST boys respectively. (f) Free Education on Merit cum Means for AP Domiciled Students. This Scholarship scheme is to provide free education to poor and meritorious students whose parental income is below Rs. 2000/-. Out of the available money, equal no. of students for every class will be awarded scholarship to provide free education (Tuition Fee, Dietary Charges Incidental Charges, part of Pocket Money and Text & Note Books only) subject to release of grant from Govt. of A.P. This scholarship will be granted afresh on year to year basis based on the Merit in Entrance Exam in respect of New Admissions and on the Merit in the annual examinations in respect of all other classes i.e. 7th to 12th every year. Defence Scholarship 10. Ministry of Defence awards limited number of scholarships to the children of Service Personnel including Ex-servicemen who are studying in Sainik Schools. The selection of Scholars for grant of defence scholarships will be made by the Ministry of Defence from amongst those who have qualified for admission on merit. The Scholarship once awarded to pupil will continue to be awarded to him throughout his stay in the school provided. (a) He obtains a minimum of 55% in aggregate in the Annual Examination every year with not less than 45% in each subject. (b) (c) He is not reported upon adversely regarding discipline. He is otherwise eligible for the continuance of scholarship on the basis of rank or income Contd.....4

of his parent as the case may be.

-411. The Defence Scholarship to the wards of Defence Personnel and Ex-servicemen as under :Type of Scholarship Full Half Serving Defence Personnel NCOs and ORs JCOs Officers Ex-Servicemen NCOs and ORs JCOs Officers Scholarship amount Rs. 32.000/Rs. 16,000/Nil

Note In case of AP Domiciled boys, Diet Supplement of Rs.5,900/- will be released by the Govt. of A.P., in addition to the scholarship by the Ministry of Defence. Which will be taken into School A/c to provide enriched diet to cadets. 12. In addition to the above Scholarships, Incentive from Ministry of Defence, New Delhi will allso be

granted as mentioned at para - 9 (d) (i) & (ii).

Appendix ''D''
(Refer para 61 of School Prospectus)

SAINIK SCHOOL, KORUKONDA (VIZIANAGARAM DIST) & SAINIK SCHOOL, KALIKIRI (CHITTOOR DIST)
INSTRUCTIONS FOR CANDIDATES SEEKING ADMISSION FOR THE ACADEMIC YEAR 2014-2015 Total Vacancies 1. For the academic year 2014-2015 approximate vacancies for Class - VI are 75 and for Class IX are 20 including all reservations of State / Other States / Union Territories for Sainik School, Korukonda, Vizianagaram District and approximately 100 Vacancies for Class VI only for Sainik School, Kalikiri, Chittoor District. In case of non-availability of SC / ST candidates, the vacancies will be filled in by General category candidates. Admission in Class VI 2. Only those candidates who have completed 10 years but not crossed 11 years of age as on 01st July of the year of admission are eligible. For admission to Class VI for 2014-2015 session, the candidates should have been born between 02nd July 2003 and 01st July 2004 (both days inclusive). Boys are admitted to Class VI according to the seats available at the beginning of the year. The admission will be made on the basis of an All India Sainik Schools, Entrance Examination. The Examination for the forthcoming academic session will be held on 05 January 2014 (Sunday). The applications are required to be submitted by 7th December 2013. Only prescribed proforma(serially numbered) at Appendix - A to the prospectus is to be filled in all respects as per the instructions given in the Second page of the Application Form. 3. The written examination for Class VI will be held as per the following programme :Time Table for Class VI Date 05 Jan 2014 Time Name of Papers Max Marks 100 100 100 Remarks One booklet One booklet

05 Jan 2014

0900 to 1100 hrs Mathematical Knowledge Test & Language Ability Test 1200 to 1250 hrs Intelligence Test

Medium of examination will be English or any other recognised Indian Language. Question papers for Class VI will be supplied in the medium as indicated in the application form. Admission to Class IX 4. Only those candidates who have completed 13 years but not crossed 14 years as on 01 st July of the year of admission are eligible for admission to Class IX. For 2014-2015 session the candidates should have been born between 02nd July 2000 and 01st July 2001 (both days inclusive) and should have passed class VIII from a recognised school before admission. The boys are admitted according to the seats available at the beginning of the year. Contd..... 2

5.

-2The written examination for Class IX will be held as per the following Time Table:-

Time Table for Class IX Date 05 Jan 2014 05 Jan 2014 Time 0900 to 1130 hrs 1200 to 1400hrs Name of Papers Mathematics & Science English & Social Studies Max Marks 200 75 100 75 Remarks One booklet One booklet

(For Class IX, the question papers will be set in English only. However, the candidates will have an option to answer in any recognised Regional Language as indicated by them in the Application Form except English Paper.) 6. Application Form (Appendix ''A'') alongwith the following must be completed in all respects and submitted to The Principal, Sainik School, Korukonda by Post only so as to reach before the expiry of the last date, i,e., 7th December, 2013. Filled in applications will not be accepted by hand. Note Application submitted in wrong form i.e., General / Defence candidates applying in application form meant for SC / ST candidates or Vice Versa will summarily be rejected. (a) Similar copies of recent pass port size photographs taken after 15 Oct 2013 are to be affixed on Application Form and Identification Cards. (b) The photograph affixed on the Application Form must be attested by the Principal / Headmaster of the school in which the boy is studying. In case of Private study only for admission into Class - VI, the same must be attested by a Gazetted Officer. (c) Identification Card (Appendix ''B'') with details be properly filled in. The candidates should append his signature on the photographs. Fill the address slips with your latest address clearly written and send alongwith the filled in application form. (d) Attach a Certificate of Proof of Date of Birth obtained from the school in which studying. In case of Private Study attach a xerox copy of Birth Certificate obtained from the Registrar of Births & Deaths duly attested by a Gazetted Officer. (e) Attach attested xerox copy of Caste Certificate in case of SC / ST candidate obtained from Tehsildhar concerned, failing which application will be rejected. (f) In case of ex-service personnel, a certificate from the District Sainik Welfare Officer is to be attached for their eligibility as ex-service personnel. Serving Defence personnel are required to submit a Service Certificate from their Commanding Officer and Date of Birth Proof from service records. (g) Applications without enclosing proof of Date of Birth and Caste Certificate will be rejected.

7. Only those boys who are within the age limits are eligible to apply. There is no relaxation of age limits to any category. 8. Candidates who have appeared earlier in the Entrance Examination to Class VI / IX are not eligible to appear again for the Entrance Examination for the same Class. 9. Application found in order ONLY will be registered and the Identification Card despatched.

10. Request for change of centre of examination or change in language in which the boy wishes to take the Entrance Exam will not be entertained. 11. Full Postal address to which Identification Card and other communications are to be sent, must be furnished clearly in the Application Form and on the enclosed address slips. Contd..... 3

-312. The School is not responsible for non-receipt / late receipt of communication due to postal faults / delays. 13. Parents / Guardians are requested not to contact any member of the School staff or the School employees personally / directly or indirectly regarding any information about the School Entrance Examination. If the Principal is approached through any Staff Member / Employee of the School for favour for admission, the candidate will be disqualified. 14. Guidelines for Medical Examination of Boys seeking admission into Sainik Schools. Eye Please refer para - 36 & 37 of School Prospectus. Ear He should be able to hear a forced whisper with each ear from a distance of 610 cms. Presence of wax in the ear is a temporary rejection. Tympanic Memberane should be intact & mobile. it should note have any perforation. Heart There should not be any kind of murmur in the heart. Lungs There should not be any evidence of past or present disease. General There should not be any bodily deformity. He should not have flat foot, knock knees, chest deformity, polydactaly etc. However, Height and Weight are not taken into cognisance as they are variable at this tender age. 15. Interested candidates are to remit the following amount mentioned against each Category by Crossed Demand Draft in favour of Principal, Sainik School, Korukonda drawn on State Bank of India, Sainik School, Korukonda, Branch Code No.2791, alongwith one self addressed envelope of size 26 X 20 cms Category (i) General / Defence (ii) SC / ST Both for Class VI and IX Rs.475/Rs.325/-

The above amount caters for supply of School Prospectus containing Application Form and one set of last year's question papers of Class VI or IX whichever is applicable (excluding Intelligence paper for Class VI) alongwith address slips, Registration fee, postal charges for sending Hall Ticket, Joining Instructions (for Selected Boys) etc. Money Order / IPOs will not be accepted. Few Previous Year's question papers are also available for supply on demand with an additional amount of Rs.25/- each on first come first serve basis. Kindly note that though the model / old question papers and the syllabus are being supplied, modification in the form and contents of the question papers cannot be ruled out. 16. No candidate will be admitted to the written examination unless he produces the Hall Ticket bearing his photograph and signatures. 17. The envelope containing the application form should be superscribed in bold letters as APPLICATION FOR ALL INDIA SAINIK SCHOOL ENTRANCE EXAMINATION 2014 Application S.No. .................. Class ........................ Centre ......................... Category .............. 18. Results : - The final results will be declared without taking the medical fitness into consideration. Admission will be offered only if the candidate is declared medically fit by the competent authority. However, candidate declared unfit may appeal against the decision and in case the candidate is declared fit by "Appeal Medical Board", he will be considered for admission in the School. 19. Marks statement will be supplied on request and payment of Rs.100/- (Rupees hundered only) by Demand Draft separately after declaration of final results. The detailed marks list can be supplied only to the Parent / Legal guardian of the candidate. Copy of the answer sheets shall not be provided.

The School does not patronise any coaching Institute / Agent and the admissions will be made strictly in accordance with the merit and medical fitness of candidates in the Entrance Examination.
20. ----

ADDRESS SLIPS
Application No. _____________ Exam No. ____________ To ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PIN _________________

Application No. _____________ Exam No. ____________ To ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PIN _________________

Application No. _____________ Exam No. ____________ To ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PIN _________________

Application No. _____________ Exam No. ____________ To ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PIN _________________

CHECK LIST While despatching the application please ensure to attach the following required documents :1. 2. Application Form (02 Pages) duly filled and signed by Parent. Appendix - 'B' (Identification Card-cum-Attendance Record) - 02 Pages duly filled and signed by candidate on the photographs. 3. Demand Draft drawn in favour of the Principal, Sainik School, Korukonda on SBI payable at Korukonda Branch (Code No.02791). (a) Rs.475/- for General / Defence Category & (b) Rs.325/- for SC / ST Category 4. 5. Study Certificate and Date of Birth Certificate In case of Defence / SC / ST (a) (b) In Case of Serving Personnel - Service Certificate to be attached. In Case of Ex-servicemen - attested copy of Discharge Book to be attached and a

certificate from Zilla Sainik Welfar Office of the concerned Dist. (c) 6. In case of SC / ST - attested copy of Caste Certificate to be attached.

Please affix Passport Size latest Photographs - 03 No.s (taken after 15 Oct 2013) to be pasted in the application and Appendix - 'B' i.e. Identification Card-cum-Attendance Record.