FOR FIRST BATCH 2024 - 2025 WILL CLOSE ON JUNE 31st 2024 Admisssion Application Form For Inquiries, Please Contact or visit FAQs page here Our Email ID’s: info@ema.ac.in, hemen1kalita@gmail.com Phone number: +91-970-702-2490 / +91-910-130-4002 Step 1 of 3 33% Your Personal InformationName of the Student as per the Birth Certificate(Required) First Last Gender(Required) Male Female Age(Required)Date of Birth as per Birth Certificate(Required) DD slash MM slash YYYY Email(Required) EKALAVYA MODERN ACADEMY you are applying for?(Required) Foundational stage ( Ages 3-8 ) Preparatory, KG-I, KG-II, CLASS –I, CLASS-2 Preparatory Stage ( Ages 8-11 ) Grades 3-5 Middle stages (Ages 11-14) Grades 6-8 Secondary Stages (Ages 14-18) Grades 9-12 Mother Tongue(Required)Other languages known to the child(Required)Previous schooling details (if applicable)Which standard did the student complete in previous institute? (If applicable)Any special interest of the Student? Gaurdian 1 / Father's Name (Initiated name, if applicable)(Required)Gaurdian 2 / Mother's Name (Initiated name, if applicable)(Required)Gaurdian 1 / Father's Contact Number(Required)Gaurdian 2 / Mother's Contact Number(Required)Gaurdian 1 / Father's Email Address(Required)Gaurdian 2 / Mother's Email Address(Required)Father's and/or Mother's Occupation(Required)Siblings (brothers/ sisters) If any? Any, Special Educational Needs (SEN) that we should be aware of? Please describeAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands How Did You Hear About Us?(Required) Through Social Media (Whatsapp/ Facebook/ Youtube, Instagram) Through an existing student at KCShiksha Through a personal recommendation Through the website What are your expectations with EKALAVYA MODERN ACADEMY for your child? Please describeI agree that the information provided is correct to the best of my knowledge and I have not withheld any information(Required) Agree I agree that I have gone through the information provided in the website about the curriculum, the modes of instruction, about certifications, the policies and systems of EKALAVYA MODERN ACADEMY(Required) Agree Δ