ADMISSION 2013

CENTRE FOR HIGHER SECONDARY EDUCATION

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CENTRE FOR HIGHER SECONDARY EDUCATION

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Male, Maldives

APPLICATION FOR ADMISSION 2013

All applicants are required to read Important Information to Applicants 2013 before completing this form.
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Deadline for submission of this form and materials: Monday 04 March 2013, before 1400 hrs.

IMPORTANT
This application form should be accompanied with the following:

4 passport sized photographs inclusive of the photo on this page

4 stamp sized photographs
(All photos submitted should be appropriate to be used for the school ID card; i.e. it should be in line with the uniform code in terms of
appearance. Your name should be written on the back of each photo).

Attested copies of the results of GCE, IGSCE & SSC Exams

Attested copy of the School Leaving Certificate
A copy of the National Identity Card
Completed Confidential Report in a sealed envelope with the stamp of former school on the seal.

SECTION A: THE APPLICANT

1.

Full Name (in BLOCK letters):

2.

Gender:

3.

Nationality:

4.

National ID card no:

5.

Date of birth (DD/MM/YYYY):

6.

Permanent address (Address, Atoll, Island):

7.

Contact address (Address, Road, Island):

8.

Contact numbers:

9.

School from which you sat for GCE OL/IGCSE/SSC exam:

10.

If private candidate, last school attended and year:

SECTION B: APPLICANTS GUARDIAN

The applicants guardian must be a person residing in Male, Villimale, Hulhule or Hulhumale.
1.

Full Name (in BLOCK letters):

2.

Relation to applicant:

3.

Nationality:

4.

Gender:

5.

National ID card no:

6.

Permanent address (Address, Atoll, Island):

7.

Contact address (Address, Road, Island):

8.

Business address (Address, Island):

9.

Contact numbers:

APPLICATION FOR ADMISSION TO CHSE 2013

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ADMISSION 2013

CENTRE FOR HIGHER SECONDARY EDUCATION

SECTION C: APPLICANTS FATHER

Fill in this section if the guardian in Section B is not your father.
1.
2.
3.
4.
5.
6.
7.

Full Name (in BLOCK letters):

Nationality:
National ID card no:
Permanent address (Address, Atoll, Island):
Contact address (Address, Road, Island):
Business address (Address, Island):
Contact numbers:

SECTION D: APPLICANTS MOTHER

Fill in this section if the guardian in Section B is not your mother.
1.
2.
3.
4.
5.
6.
7.

Full Name (in BLOCK letters):

Nationality:
National ID card no:
Permanent address (Address, Atoll, Island):
Contact address (Address, Road, Island):
Business address (Address, Island):
Contact numbers:

SECTION E: RESULTS OF GCE OL, IGCSE AND SSC EXAMS

10

11

12

13

14

15

16

17

18

19

ISLAM

ENGLISH (GCE / IGCSE)

MATHS (CORE / EXTENDED)

BIOLOGY

CHEMISTRY

PHYSICS

ECONOMICS

ACCOUNTING

COMMERCE

BUSINESS STUDIES

HISTORY

GEOGRAPHY

ENGLISH LITERATURE

TRAVEL & TOURISM

ART & DESIGN

COMPUTER STUDIES

GEOMETRICAL DRAWING

FISHERIES SCIENCE

SUBJECTS

NO

DHIVEHI

Enter your SSC, GCE OLevel and IGCSE results in the table below.

GRADE

YEAR

SECTION F: CHOOSING ELECTIVE AND OPTIONAL SUBJECTS

ELECTIVE SUBJECTS: Elective subjects are offered as combinations of three subjects for each stream. The permitted
combinations are explained in Important Information to Applicants 2013. Students are required to read that
document and refer to that when filling in the subject combination choices.
OPTIONAL SUBJECT: In addition, students may opt to study ONE optional subject from MECH, STAT, ECON, LAW, ARABIC,
CAE and CPE. These subjects are explained in Important Information to Applicants 2013. Students are required to
read the mentioned document and refer to it when completing this section. Please note that some of the optional
subjects can be chosen only with certain elective subject combinations.

APPLICATION FOR ADMISSION TO CHSE 2013

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ADMISSION 2013

CENTRE FOR HIGHER SECONDARY EDUCATION

Circle the elective subject combination and the optional subject you wish to study at CHSE. Write the most important
combination as your first choice. If you do not wish to study an optional subject, circle Nil from the optional subject
column
ARTS STREAM
Choice

Elective Subject combination

Optional subject

First Choice

A1 , A2 , A3

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

Second Choice

A1 , A2 , A3

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

Third Choice

A1 , A2 , A3

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

COMMERCE STREAM
Choice

Elective Subject combination

Optional subject

First Choice

C1 , C2 , C3 , C4

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

Second Choice

C1 , C2 , C3 , C4

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

Third Choice

C1 , C2 , C3 , C4

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

SCIENCE STREAM
Choice

Elective Subject combination

Optional subject

First Choice

S1 , S2 , S3 , S4 , S5

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

Second Choice

S1 , S2 , S3 , S4 , S5

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

Third Choice

S1 , S2 , S3 , S4 , S5

MECH , STAT , ECON , LAW , ARABIC , CPE , CAE , Nil

SECTION G: APPLICANTS PERSONAL INFORMATION

The information given in this section will be kept strictly confidential.
Circle/Underline the correct response, where necessary.
PART 1: YOURSELF AND FAMILY
1.

Who will you be living with during your study period at CHSE? Parents , Own brother , Own sister , Guardian ,
Others (specify)

2.

Is either of your parents living in Mal / Hulhumal / Villingili separately from you? No , Yes(specify)..

3.

What is the marital status of your parents? Married , Divorced , Separated , Others(specify)

4.

If your parents are divorced or separated, who do you live with? Mother , Father , Others(specify).

5.

Who will provide you financial support during your study period at CHSE? Parents , Guardian , Yourself ,
Others(Specify the name, address and contact number).

6.

Are you employed? No , Yes (specify office name and your designation).

APPLICATION FOR ADMISSION TO CHSE 2013

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ADMISSION 2013

7.

CENTRE FOR HIGHER SECONDARY EDUCATION

What school(s) have you attended?

NAME OF SCHOOL

YEAR OF
ADMISSION

ATOLL AND ISLAND

YEAR OF
LEAVING

8.

What extra-curricular activities did you take part in at your previous school(s)?
.............................................................................................................................................................................................
.............................................................................................................................................................................................
.............................................................................................................................................................................................

9.

Specify the position(s) of responsibility (if any) that you held at your previous school(s).
.............................................................................................................................................................................................

10. Specify your major responsibilities at home.

.............................................................................................................................................................................................
11. Do you have any medical conditions of the following nature? Give details where necessary.
CONDITION

TICK

DETAIL

Asthma
Epilepsy
Eye sight
Hearing
Heart diseases
Migraine
Past accidents or injuries
Physical disability
Others (please specify)

PART 2: YOUR ENVIRONMENT

1.
2.
3.
4.

How many people live in the same house as you?

How many of them are below the age of 15 years?
Do you have your own room to study?
In the place/room where you study at home,

5.
6.

Can you see a TV set from your seat? Yes , No

Is the lighting adequate? Yes , No
Is there a fan? Yes , No
Is there an air conditioner? Yes , No

Do children come in and go out while you study? Yes , No

Do you have access to internet at home?

How much of your studying do you do at home? None , Some , Most , All

APPLICATION FOR ADMISSION TO CHSE 2013

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ADMISSION 2013

CENTRE FOR HIGHER SECONDARY EDUCATION

SECTION H: GUARDIANSHIP CONFIRMATION

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APPLICATION FOR ADMISSION TO CHSE 2013

ADMISSION 2013

CENTRE FOR HIGHER SECONDARY EDUCATION

)SECTION I: DECLARATION BY THE APPLICANT (Local students

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)SECTION J: DECLARATION BY THE PARENT/GUARDIAN (for local students

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APPLICATION FOR ADMISSION TO CHSE 2013

ADMISSION 2013

CENTRE FOR HIGHER SECONDARY EDUCATION

SECTION K: DECLARATION BY THE APPLICANT (Expatriate students)

I hereby declare that, to the best of my knowledge, the information given herein is true and that, if selected, I will abide
by all the rules and regulations stipulated by the Ministry of Education and the Centre for Higher Secondary Education. I
have read the Students Regulation of the Ministry of Education, Centre for Higher Secondary Education and Important
Information to Applicants 2013.
I fully understand that I must attain 80% attendance in all the subjects that I study at CHSE. Without a valid reason, if I do
not satisfy this requirement, I will not be allowed to sit for school examinations, which in turn will result in exclusion from
sitting in the Edexcel examination as a CHSE candidate.
Name of applicant:

Signature of applicant:

Date:

SECTION L: DECLARATION BY THE PARENT/GUARDIAN (for expatriate students)

DECLARATION BY THE PARENT/ GUARDIAN
I hereby attest that, to the best of my knowledge, the information given herein is true. I have read and am aware of the
Student Regulations stipulated by the Ministry of Education and the Important Information to Applicants 2013. I accept
the responsibility for the applicants conduct at CHSE. I request the applicant be admitted to CHSE in the year 2013.
I understand that the student must attain 80% attendance in all the subjects that s/he studies at CHSE. Without a valid
reason, if this requirement is not satisfied, the student will not be allowed to sit for school examinations, which in turn
will result in exclusion from sitting in the Edexcel examination as a CHSE candidate.
Name of parent/ guardian:
Signature:

APPLICATION FOR ADMISSION TO CHSE 2013

Date:

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ADMISSION 2013

CENTRE FOR HIGHER SECONDARY EDUCATION

g
CONFIDENTIAL REPORT
To be completed by the former school.
School (Name, Atoll, Island):

....

PERSONAL INFORMATION:
Name: .
Permanent Address: ..
National ID card no: .........

Date of Birth: .

Gender:

PRINCIPALS REPORT:
Period of Schooling:

Academic Performance at school:

Excellent

V. Good

Good

Average

Needs Improvement

Good

Average

Needs Improvement

Attendance to classes:

Excellent

V. Good

Leadership posts completed at school: .

Commendations: .
..
Sociability:

Offences committed and actions taken: .

..
General behavior:

Excellent

V. Good

Additional remarks (if any):

Good

Satisfactory

Needs Improvement

Signature of Principal

Date:

School Stamp

This form has to be completed by the former school of the applicant and submitted in a sealed envelope with the stamp of that school
on the seal.
The Confidential Report should cover the last three years of study. In case of having studied in more than one secondary school,
separate forms should be used.

APPLICATION FOR ADMISSION TO CHSE 2013

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