Withdrawal Application

Please fill in your Child's Registration # and Father C.N.I.C # for Student details auto fill on this form.
Student Registration Number can be found on the last fee bill received from school. In case of any assistance in filling up the form please contact the school office.

Student Registration #*

Parent(s) C.N.I.C #*

Student Name

Grade/Sec.

Parent(s) Name

How satisfied were you with the overall quality of your child's academic / personal experience?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

What are the reasons of the withdrawal from the school?

Dissatisfied with the quality of education	Yes No
Please Specify
Completed last grade level offered by school	Yes No
Moving student to another school. If so, which school	Yes No
Please write the name of the school
School location is inconvenient	Yes No
Relocating to another city/country	Yes No
Financial constraint	Yes No
Type of curriculum being offered	Yes No
Other reasons:

Were you satisfied with the following aspects of the school?

School administration policies and personnel	Yes No
Teaching quality / teacher's conduct	Yes No
Teacher Name
Class
Physical environment (campus, washrooms, gym....)	Yes No
Daily activities	Yes No
Special events (e.g., field trips, events, PTC...)	Yes No
Other

Do you want someone from HO to call back for a follow up / discussion for possible retention?	Yes No
Setup a Phone Call Meeting with the Management Staff