6/15/2019 Digital Campus -->Online Admission --> Admission Form Entry

For Office Use

GR.No.
Reg No. 201920130320117
Parent Id
ESIS No.

Admission Form

STUDENT ADMISSION DETAILS

Login Id 201920130320117 Admission Form No. 201920/2512
Class 3

STUDENT DETAILS
First name OM Middle name PRASHANT
Last name SAWANT Gender Male
Date of birth 13-03-2011 Place of birth MUMBAI
Nationality INDIAN Religion HINDUISM
Mother Tongue MARATHI CPR No. 784201184218580
CPR No. Valid upto Date 11-08-2020
Passport No. N8359837 Passport Expiry Date 03-04-2021
Visa 32084636 Visa Expiry Date 12-08-2020

CONTACT DETAILS
Annual Income 189000
Address VILLA 57, SECTOR 14, MBZ CITY PO Box no./Block 111902
Home phone no -

PARENT DETAILS
Father Name PRASHANT SAWANT Mothers Name SUNAYANA SAWANT
Father Email Id praver11@yahoo.com Mother Email Id praver11@gmail.com
Father Mobile No +971508118399 Mother Mobile No +971562227690
Father CPR No. 784198031715406 Mother CPR No. 784198308262579
Father CPR No. Valid upto Date 11-02-2021 Mother CPR No. Valid upto Date 11-08-2020
Father Visa 78419803175406 Mother Visa 28047624
Father Visa Valid upto Date 11-02-2021 Mother Visa Valid upto Date 11-08-2020
Father Nationality INDIAN Mother Nationality INDIAN
Father Passport No. K4073697 Mother Passport No. J6098618
Father Passport Expiry Date 23-05-2022 Mother Passport Expiry Date 04-03-2021
Father Employer Name SYNAXIS SAVETO L.L.C. Mother Employer Name -
Father Current Position PRODUCTION ENGINEER Mother Current Position -
Father Address VILLA 57, SECTOR 14, MBZ CITY Mother Address VILLA 57, SECTOR 14, MBZ CITY

PREVIOUS SCHOOLS DETAILS

Previous School Name GIIS ABU DHABI Medical Condition -
Curriculum Followed - Language Of Instruction -
Second language -
Academic Year 2019-2020

HEALTH DETAILS
Blood Group O+VE

DETAILS OF SIBLING STUDYING IN THIS SCHOOL

I____________________________________________________ declare that the information provided above is true and accurate and to
the best of my knowledge. I have read the guidelines and instructions to the parents and undertake to abide by the rules of this institution
in force from time to time and decision of Head of the School in all matters.
Admission are Subject to ADEC approval.

Date__________________Name of the Parent_____________________________Signature_______________

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6/15/2019 Digital Campus -->Online Admission --> Admission Form Entry

For Office Use Only

Admit_____________________________________________son/Daughter of____________________________________

To Class__________________Section____________Stream____________subject to the payment of full school dues

Admission Incharge_______________________ Principal_______________________

Document Check List

ELECTRICITY BILL OR TENANCY CONTRACT
EMIRATES ID COPY OF SPONSORS
Payment Details
PASSPORT COPY OF SPONSOR WITH VISA PAGE
Admission Fee(AED)______________Receipt No.__________Date_________
Tuition Fee________________________ Science Pract Fee._______________ INSURANCE AND VACCINATION CARD COPY
Exam Fee____________________Magazine Fee_______________________ ATTESTED PROMOTED TC
Books Fee_________________Games & Sports Fee____________________ LATEST MARK SHEET / PROGRESS REPORT.
Caution Money___________________Bus Fee_________________________ PASSPORT COPY OF CHILD WITH VISA PAGE
Total______________________Receipt NO_________________Date_______
PARENT COLOR PHOTOGRAPH
Accountant
EMIRATES ID COPY OF CHILD (2 NOS)
STUDENTS COLOR PHOTOGRAPH
STUDENTS ATTESTED BIRTH CERTIFICATE COPY

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6/15/2019 Digital Campus -->Online Admission --> Admission Form Entry

ABU DHABI INDIAN SCHOOL, BRANCH I, AL WATHBA

PARENTAL ENGAGEMENT FORM

 

I, _____________________________, do hereby promise to meet the following expectations with regards to my parental
responsibilities.

   I promise to treat my child with respect and compassion. I will not belittle, degrade, or insult my child regardless of
his or her actions. I will treat my child the way I would have wanted to be treated when I was his or her age.

      I promise to spend a reasonable amount of quality time with my child each day and to give him or her positive
attention when appropriate.

   I promise to set a good example for my child by being the best role-model that I can be. I will demonstrate appropriate
ways to handle difficult emotions and will behave in a socially responsible manner. I will teach my child to be caring,
patient, reliable, and respectful by being that way myself.

   I will work my hardest to teach my child how he or she SHOULD be acting instead of focusing so much on how he or
she SHOULD NOT be acting.

   I will use everyday situations as teaching opportunities for my child. Sometimes it is better for my child to learn from
the mistakes of others than from his or her own mistakes.

   I promise to avoid "giving-in" to my child's crying, tantrums, or threats. Doing so will only increase the likelihood of
these behaviours in the future.

   Most of all, I promise to keep my child safe from physical and/or emotional harm. I will provide a safe, secure, and
nurturing environment for my child–one that allows him or her to thrive. I will provide adequate food, drink, medical
care, and clothing for my child and will make sure that he or she sleeps in a warm and safe bed each night.

      I will cooperate and support my child in all the learning activities (homework’s, assignments, and projects) and we
understand that the journey of my child towards education can be accomplished only the support rendered by both
the parents and the school.

If I am able to meet the conditions stated in this form, then I can feel proud of my parenting accomplishments. I do realize
though, that these conditions alone will not make me a quality parent. I will need to work diligently each day to become
the quality parent that I strive to be.

Signature of the Parent(s) __________________________

Counsellor                                                                                       Principal

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ABU DHABI INDIAN SCHOOL, BRANCH 1 – AL WATHBA

STUDENT MEDICAL INFORMATION FORM

FULL NAME OF STUDENT : _________________________________________________

CLASS: ______________ SECTION: ________________ G.R.NO.:______________

PHOTO OF STUDENT

DATE OF BIRTH: ______________________ BLOOD GROUP: ___________________

GENDER : _________________________________________________________________

FATHER’S FULL NAME : __________________________________________________________________

FATHER’S MOBILE NO.: __________________________________________________________________

FATHER’S EMAIL ID : __________________________________________________________________

MOTHER’S FULL NAME: _________________________________________________________________

MOTHER’S MOBILE NO.: _________________________________________________________________

MOTHER’S EMAIL ID : _________________________________________________________________

RESIDENCE NO. : ________________________________________________________________________

OTHER CONTACT PERSON FOR EMERGENCY:

NAME OF CONTACT PERSON : ____________________________________________________________

RELATION: ______________________________________________________________________________

MOBILE NO.: ____________________________________________________________________________

NAME OF CONSULTING CLINIC: ___________________________________________________________

NAME OF CONSULTING DOCTOR: _________________________________________________________

CONTACT NO. OF CLINIC/DOCTOR: ________________________________________________________

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DOES YOUR CHILD HAVE ANY OF THE FOLLOWING?

IF YES, PLEASE INCLUDE DETAILS SUCH AS SPECIFIC DIAGNOSIS, SEVERITY, CURRENT

TREATMENT AND MEDICATION

CONDITION YES/NO DETAILS

ASTHAMA

DIABETES

ECZEMA

ALLERGY (SPECIFY)

HEARING DIFFICULTIES

VISUAL AIDS

SEIZURE

DISORDER/EPILEPSY

ANY SURGERY
HAS YOUR CHILD HAD
ANY OF THE FOLLOWING?
MEASLES

MUMPS

RUBELLA

CHICKEN POX

POLIO

HEPATITUS

G6 PD

THALASAEMIA

BLEEDING DISORDER
 

PLEASE STATE ANY OTHER MEDICAL INFORMATION OR CONCERNS YOU MAY HAVE

REGARDING YOUR WARD TO ENHANCE THEIR SCHOOL SAFETY: _______________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

PARENT SIGNATURE: ___________________________________

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ABU DHABI INDIAN SCHOOL, BRANCH 1 – AL WATHBA

PARENTAL CONSENT TO ADMINISTER EMERGENCY MEDICATION

‫اواﻓق ﻋﻠﻰ ان طﻔﻠﻲ‬/I consent that my child:

‫اﻻﺳم‬/Name :___________________________________________ ‫ﺗﺎرﯾﺦ اﻟﻣﯾﻼد‬/Date of Birth:_________________

‫ اﻟﻌﻧوان‬/Address: _____________________________________________________________________________

‫رﻗم اﻟﮭﺎﺗف‬/Phone No: _________________ ‫ اﻟﻔﺋﺔ‬/Class: __________________ ‫ اﻟﺷﻌﺑﺔ‬/Division: _________________

‫إﻋطﺎء اﻟدواء اﻟﻣﻧﺎﺳب ﻓﻰ اﻟﺣﺎﻻت اﻟﺗﺎﻟﯾﺔ‬

Be Given the appropriate medication in the following cases
/1 ‫اﻹدارة ﻻدرﯾﻨﺎﻟﯿﻦ ﻓﻰ رد ﻓﻌﻞ اﻟﺘﺤﺴﺴﻲ ﺣﺎد ) ﺻﺪﻣﺔ ﻋﺼﺒﯿﺔ‬

Administration of Epinephrine in an acute allergic reaction (anaphylactic shock)

/2 ‫إدارة اﺳﺘﻨﺸﺎق اﻟﺴﺎﻟﺒﻮﺗﺎﻣﻮل ﻟﻠﺘﺤﻜﻢ ﻓﻰ اﻋﺮاض اﻟﺮﺑﻮ‬

Administration of Salbutamol Inhaler to control asthmatic symptoms

/3 ‫إدارة او اﻟﺠﻠﻜﻮز ﻋﻦ طﺮﯾﻖ اﻟﻔﻢ ﻟﻨﻘﺺ اﻟﺴﻜﺮ ﻓﻰ اﻟﺪم‬

Administration or Oral Glucose for hypoglycemia

/4 ‫إدارة ﺑﺎراﺳﯿﺘﯿﻤﻮل ﻟﻠﺘﺤﻜﻢ ﻓﻰ ﺧﻔﯿﻔﺔ إﻟﻰ ﻣﻌﺘﺪﻟﺔ ﻣﻦ اﻷﻟﻢ واﻟﺤﻤﻲ‬

Administration of Paracetemol to control mild to moderate pain and fever

/5 ‫إدارة )ﻣﻮﺿﻌﻲ("ﻛﺮﯾﻢ ﻣﻀﺎدات " ﻟﻠﺤﺴﺎﺳﯿﺔ‬

Administration (topical) of Antihistamine Cream for allergic reaction

‫اى ﻣواﻧﻊ ان اﻟﻌﺎﻣﻠﯾن ﻓﻰ اﻟﻣدرﺳﺔ ﺑﺣﺎﺟﺔ اﻟﻰ اﻟﻰ ﻣﻌرﻓﺗﮭﺎ ؟‬ ‫اى اﺣﺗﯾﺎطﺎت ﻣوظﻔﻲ اﻟﻣدرﺳﺔ ﺑﺣﺎﺟﺔ ﻟﻣﻌرﻓﺗﮭﺎ ؟‬
Any precautions that school personnel Any contraindications that school personnel need to Know

‫ اﻵﺛﺎر اﻟﺟﺎﻧﺑﯾﺔ ؟‬/ ‫ﻣﺎھﻰ ردود اﻟﻔﻌل اﻟﻣﺣﺗﻣﻠﺔ‬ ‫ﻣﺎﯾﻧﺑﻐﻰ ﻓﻌﻠﺔ ﻓﻰ ﺣﺎﻟﺔ ﺣدوث ردة ﻓﻌل أو ﺗﺎﺛﯾر ﺟﺎﻧﺑﻰ ؟‬
What are the possible reactions / side effects ? What should be done in the event of reaction or side effect?

Check the box below:

o ‫ طﺒﯿﺐ وﻓﻘﺎ ﻟﮭﺬه اﻟﻤﻌﺎﯾﯿﺮ و اﻟﺴﯿﺎﺳﺎت ذات اﻟﺼﻠﺔ‬/ ‫ اﻟﺪواءاﻟﻤﺬﻛﻮر أﻋﻼه ﯾﻤﻜﻦ أن ﺗﺪار ﻣﻦ ﻗﺒﻞ ھﯿﺌﺔ اﻟﺼﺤﺔ اﻟﻤﺮﺧﺼﺔ ﻣﺪرﺳﺔ ﻣﻤﺮﺿﺔ‬- ‫ﻧﻌﻢ‬.
YES – The above medication can be administered by a HAAD Licensed School Nurse/Physician in accordance with
this standard and the relevant policies.

o ‫ اﻟﻄﺒﯿﺐ‬/ ‫ اﻟﺪواء اﻟﻤﺬﻛﻮر أﻋﻼه ﻻ ﯾﻤﻜﻦ أن ﺗﺪار ﻣﻦ ﻗﺒﻞ ھﯿﺌﺔ اﻟﺼﺤﺔ اﻟﻤﺮﺧﺼﺔ ﻣﻤﺮﺿﺔ اﻟﻤﺪرﺳﺔ‬.
NO – The above medication cannot be administered by a HAAD Licensed School Nurse/Physician.

/ ‫اﻻﺳم ﺑﺎﻟﻛﺎﻣل ﻟﻠواﻟد او اﻟوﺻﻲ‬Parent/Guardian-Full name: ……………………………………………

/ ‫ﺗوﻗﯾﻊ اﻟزاﻟد او اﻟوﺻﻲ‬Parent/Guardian signature: …………………………………………….

‫اﻟﺗﺎرﯾﺦ‬Date ……………………………….

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ABU DHABI INDIAN SCHOOL, BRANCH 1 – AL WATHBA

GENERAL CONSENT FORM

I understand and I agree on providing medical services for my
son/daughter:

Student Name: ………………………………………………………
School Name: ……………………………………………………….
Grade:……………………………………Section:………………….
G.R.No:………………………………
In the school clinic by school health team.
I also agree that these medical services will remain provided to my
son/daughter and effective until I either refuse providing these
medical services or he/she is transferred from Abu Dhabi Indian
School, Branch 1.
My consent involves a general approval of curative or/and
preventive services that may include first aid,screening for height,
weight, vision acuity, vaccination and referral to primarily health
centers or emergency room when necessary.
I understand that some of the diagnostic results may be reported to
the concerned official departments (such as HAAD, ADEC or any ‫إن ﻧﺗﯾﺟﺔ ﺑﻌض ھذة اﻟﻔﺣوﺻﺎت ﻗد ﯾﺗم ﺗﺑﻠﯾﻐﮭﺎ اﻟﻰ اﻟﺟﮭﺎت اﻟرﺳﻣﯾﺔ واﻟﻣﻌﻧﯾﺔ ﻣﺛل ) ھﯾﺋﺔ اﻟﺻﺣﺔ أﺑوظﺑﻲ‬
another official entity)
‫ إﺑﻧﺗﻰ‬/ ‫اﻧﺎ اﻟﻣوﻗﻊ ﺗدﻧﺎه أواﻓق ﻋﻠﻰ ﺗﻘدﯾم اﻟﺧدﻣﺎت اﻟﺻﺣﯾﺔ ﻹﺑﻧﻰ‬
................................................: ‫ اﻟطﺎﻟﺑﺔ‬/ ‫اﻟطﺎﻟب‬
....................................................... : ‫اﻟﻣدرﺳﺔ‬
......................... : ‫ اﻟﺷﻌﺑﺔ‬.......................: ‫اﻟﺻف‬
................................................. : ‫اﻟرﻗم اﻟﻣدرﺳﻲ‬
. ‫ﻓﻰ ﻋﯾﺎدة اﻟﻣدرﺳﺔ ﺑواﺳطﺔ ﻓرﯾق اﻟﺻﺣﺔ اﻟﻣدرﺳﯾﺔ‬
‫إن ﻣواﻓﻘﺗﻰ ﻣن ﻋﻠﻰ ھذه اﻟﺧدﻣﺎت اﻟﺻﺣﯾﺔ ﯾﺑﻘﻰ ﺳﺎرى اﻟﻣﻔﻌول ﻟﺣﯾن اﻗوم اﻧﺎ ﺑرﻓض ﺗﻘدﯾم ھذه اﻟﺧدﻣﺎت‬
. 1- ‫اﻟطﺎﻟﺑﺔ ﻣن ﻣدرﺳﺔ أﺑوظﺑﻲ اﻟﮭﻧدﯾﺔ ﻓرع‬/ ‫ إﺑﻧﺗﻰ او ﻟﺣﯾن إﻧﺗﻘﺎل اﻟطﺎﻟب‬/ ‫ﻹﺑﻧﻲ‬
‫إن ﻣواﻓﻘﺗﻰ ﻋﻠﻰ ھذه اﻟﺧدﻣﺎت اﻟﺻﺣﯾﺔ ھﻰ ﻣواﻓﻘﺔ ﻋﺎﻣﺔ ﻋﻠﻰ اى اﺟراءات وﻗﺎﺋﯾﺔ ﻋﻼﺟﯾﺔ وﺗﺷﻣل‬
‫ وﺣدة اﻟﻧظر واﻟﺗطﻌﯾﻣﺎت‬، ‫ ﻗﯾﺎس اﻟوزن واﻟطول‬، ‫اﻹﺳﻌﺎﻓﺎت اﻷوﻟﯾﺔ‬
. ‫واﻟﺗﺣوﯾﻼت إﻟﻰ ﻣرﻛز اﻟرﻋﺎﯾﺔ اﻟﺻﺣﯾﺔ اﻷوﻟﯾﺔ وﻗﺳم اﻟطوارى ﻋﻧد اﻟﺿرورة‬
. ‫– ﻣﺟﻠس أﺑوظﺑﻲ ﻟﻠﺗﻌﻠﯾم ( او اى ﺟﮭﺔ رﺳﻣﯾﺔ أُﺧرى‬

In case of refusal please, be informed that no services will be ‫ إﺑﻧﺗﻛم ﻟﮭﺎ ﻓﻰ‬/ ‫ﻓﻰ ﺣﺎﻟﺔ ﻋدم ﻣواﻓﻘﺗﻛم ﯾرﺟﻰ اﻟﻌﻠم ﺑﺄﻧﮫ ﻟن ﻧﺳﺗطﯾﻊ ﺗﻘدﯾم ھذه اﻟﺧدﻣﺎت ﻋﻧد ﺣﺎﺟﺔ إﺑﻧﻛم‬
offered unless it’s an emergency then we should intervene. . ‫اﻟﺣﺎﻻت اﻟطﺎرﺋﺔ اﻟﻘﺻوى اﻟﺗﻰ ﺗﻠزم ﺗدﺧﻠﻧﺎ اﻟﺳرﯾﻊ‬

If my son/daughter needed to be transferred to the emergency unit ‫إﺑﻧﺗﻰ ﺑﺄى ﺣﺎﻟﺔ طﺎرﺋﺔ ﺗﺳﺗدﻋﻰ اﻟﻧﻘل إﻟﻰ اﻟطوارى وﻟم اﻛن ﻣوﺟوداً اﻧﺎ أو ﻣن ﯾﻧوب‬/ ‫إذا اﺻﯾب إﺑﻧﻰ‬
in my absence and the absence of the legal guardian, then I . ‫ ﻧﻘﻠﮭﺎ إﻟﻰ اﻟطوارى ﺑواﺳطﺔ ﺳﯾﺎرة اﻹﺳﻌﺎف‬/ ‫ﻋﻧﻰ ﻓﺎﻧﻰ أﻋطﻰ اﻟﺻﻼﺣﯾﺔ ﻹدارة اﻟﻣدرﺳﺔ ﻧﻘﻠﺔ‬
authorize the school administration to transfer him/her to
emergency unit. o ‫اواﻓق‬

Agree o o ‫ﻻ اواﻓق‬

Disagree o : ‫ﻓﻰ ﺣﺎﻟﺔ ﻋدم اﻟﻣواﻓﻘﺔ ﯾرﺟﻰ ذﻛر اﻟﺳﺑب‬

In case disagree, please specify reason: .....................................................................

_________________________________________________ .....................................................................

_________________________________________________ (‫ اﻟطﺎﻟﺑﺔ )ﯾرﺟﻰ ﻋدم إﺳﺗﺧدام ﻗﻠم اﻟرﺻﺎص‬/ ‫ﺗوﻗﯾﻊ وﻟﻰ أﻣر اﻟطﺎﻟب‬

Signature of student’s parent (please don’t use pencil) ........................................................ .: ‫اﻻﺳــــــــــم‬

Name:________________________________________ ......................................................... : ‫ﺻﻠﺔ اﻟﻘراﺑﺔ‬

Relation to the student:__________________________ .......................................................... : ‫رﻗم اﻟﮭـﺎﺗف‬

Tel #: _________________________________________ ........................................................... : ‫اﻟﺗﺎرﯾـــــــﺦ‬

Date: _________________________________________ ........................................................... : ‫اﻟﺗــــوﻗﯾـــﻊ‬

Signature:_____________________________________ ‫إذا ﺗﻌذر ﺗوﻗﯾﻊ وﻟﻰ اﻷﻣر ﻋﻠﻰ ﻧﻣوزج اﻟﻣواﻓﻘﺔ ﻻى ﺳﺑب ﻓﻼﺑد ﻣن اﻟﺣﺻول ﻋﻠﻰ ﺗوﻗﯾﻊ ﻣن ﯾﻧوب ﻋﻧﮫ‬
. ‫ﻣن اﻻﻗﺎرب‬
If the parent can’t consent for son/ daughter for any reason, the
signature of the legal guardian must be obtained. ( ‫ﺗوﻗﯾﻊ اﻟﺷﺧص اﻟﻣﺧول ﻟﻠﻣواﻓﻘﺔ)ﯾرﺟﻰ ﻋﻧدم اﺳﺗﺧدام ﻗﻠم اﻟرﺻﺎص‬

Signature of legal guardian (please don’t use pencil)

........................................................ .: ‫اﻻﺳــــــــــم‬
Name:________________________________________
......................................................... : ‫ﺻﻠﺔ اﻟﻘراﺑﺔ‬
Relation to the student:__________________________
.......................................................... : ‫رﻗم اﻟﮭـﺎﺗف‬
Tel #: _________________________________________
........................................................... : ‫اﻟﺗﺎرﯾـــــــﺦ‬
Date: _________________________________________

Signature:_____________________________________

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