Application No.
(For office use): ISC____
Received Date: __________
REGISTRATION FORM FOR OVERSEAS APPLICATIONS (2019-2020)
TO BE SUBMITTED BY MONDAY, JULY 16, 2019
NAME OF THE STUDENT: SECTION (A – F):
Please give your options of applying to Countries with a Yes/ No for us to start coordinating with you
for your Application work at School:
INDIA USA SINGAPORE CANADA HONG KONG UK
AUSTRALIA/ NEW ZEALAND EUROPEON COUNTRIES, PLEASE SPECIFY
A. INTENDED PROGRAM/ MAJOR: _____________________________
B. SCHOOL ATTENDED IN GRADE IX & X: ______________________ BOARD:_______________
C. CONSOLIDATED ACADEMIC RECORD:
S.NO. SUBJECTS GRADE IX GRADE X SUBJECTS GRADE XI GRADE XI GRADE XII
FINAL FINAL
TERM I TERM II TERM I
6 TOTAL
PERCENTAGE
D. TENTATIVE UNIVERSITY LIST FOR OVERSEAS APPLICATIONS FOR FALL 2017:
A. If applying to USA, please indicate if you are planning to apply as an Early Action/ Early
Decision/ Priority Deadline Applicant. Yes / No
B. PLEASE NOTE WE WOULD ALLOW ONLY 12 APPLICATIONS TO USA WHICH INCLUDES THE
NON COMMON APP APPLICATIONS LIKE UCs
C. If applying to UK for Oxford, Cambridge, LSE and Imperial please contact AGC office ASAP
on URGENT BASIS for priority deadlines and tests- UKCAT/ LNAT/PAT/MAT/BMAT/STEP/ to
be taken.
E. STANDARDIZED TESTS RECORD (IF APPLICABLE):
• SAT Total Score (if one attempt) / Super Score (if more than one attempt): _____________
Highest Score as on date: EB Reading & Writing: _________ Maths: ________ Writing: _________
If appearing for SAT: ________________ Test Date: __________________
• SAT Subjects Tests: 1. ______________________________ Test Score: _______________
SAT Subjects Tests: 2. ______________________________ Test Score: _______________
If appearing for SAT Subject Tests: Subject 1: ______________________ Test Date: _____________
Subject 2: ______________________ Test Date: _____________
Subject 3: ______________________ Test Date: _____________
• ACT Composite Score (if one attempt)/ Super Score (if more than one attempt); _____________
Highest Score as on date: English: _____ Mathematics: ______ Reading: _______ Science: _________
If appearing for ACT Test Date: __________________
• TOEFL/ IELTS SCORE:
F. RECOMMENDATION REQUESTS:
Please mention names of Two / Three Teachers whom you will request for Recommendations:
SNO. SUBJECT NAME OF THE TEACHER SIGNATURE OF THE TEACHER
3
A. ATTACHMENTS WITH THE REGISTRATION FORM: ONE Copy each of (attestation not required):
1. Grade IX Final mark sheet – 1 page
2. Grade X Board Results: Statement of Results & Grade Result/Pass Certificate (ICSE/CBSE/IGCSE/SSC)
3. Semester I & II Report Card (Grade XI)
4. Semester I (Grade XII) Report Card (to be submitted by 01.10.2019)
Name of the Parent: DATE:
Parent Email ID:
Parent Contact No.:
Student Email ID:
Student Contact No.:
Signature of the Parent: DATE:
Signature of the Student: DATE:
TENTATIVE LIST ( Kindly discuss with your counsellor )
Name of the University Place & Program Teachers & AGC Early Application
Sno. Country Applied for Recommendations Action/ Deadline
Required (Yes/ Early (Month &
No) Decision Date)
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11
12
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16
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