Application

for Enrolment
Mission statement
The AICS facilitates high quality, accessible, community-based international learning for
students of all nationalities living in The Netherlands.
Vision statement
To be a community where learning is
at the heart of everything we do.
Admissions
The Amsterdam International Community School
Prinses Irenestraat 59
1077 WV Amsterdam

Email: applications@aics.espritscholen.nl
Tel: 0031 (0) 20 577 12 40

Please complete and return this form as soon as possible in order to reserve a place

Note: If you have answered yes to any of the questions regarding special needs on page 5 then
accompanying documentation will also be required (medical reports/letter of explanation etc.).
OTHER REQUIRED DOCUMENTS

Please note that we will only process your application form if ALL the documentation is included.
(The only exception is the historische gezinsuittreksel.)
• A portrait photo of your child. (Please submit as an • An ‘Historische Gezinsuittreksel’ (Official document
image file - jpg, or png but NOT pdf.) obtained from the local Gemeentehuis (Town Hall)
• Photocopy of child’s passport. confirming that your child is registered as resident
• Photocopies of parent’s/guardian’s passports. of The Netherlands). Families that are not yet resi-
• The last two years’ school reports (with translation dent in The Netherlands can submit this document
into English if necessary. Please ensure that you after they have relocated.
send the originals together with the translations). • If you are coming from a Dutch School then please
• For children with only Dutch nationality: proof of provide your CITO ‘entree’ test or CITO test results.
temporary residence in The Netherlands via an em- • Please ensure that this application form has been
ployer’s declaration or contract (for a maximum of signed by both parent’s / guardian’s before you
two years, extensions need to be approved by the submit it.
Management).

Please be advised that the date on which the registration fee is paid
determines the students position on the class list/waiting list.
APPLICATION REQUIREMENTS
Please indicate in which of the following categories your child is eligible for International Educatation:
A. The student has a non-Dutch nationality/is a foreign passport holder and one of the parents/legal
guardians is temporarily employed in the Netherlands.
B. The student has a Dutch nationality and has lived and attended school abroad for at least two years
because one of the parents/legal guardians was stationed abroad.
C. The student has a Dutch nationality and has a parent/legal guardian (with whom the student will be
living) who will be stationed abroad within two years and for at least two years. This is to be proved by
a written statement of intent by parent or employer.

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The procedure
First Steps: You receive:
1. An application with documentation is submitted a letter confirming our receipt of the application,
together with a registration invoice.

2. The Registration Fee is paid a letter confirming our receipt of the payment.

3. The application is reviewed for an Intake Interview an invitation to make an appointment

and Assessment for an Intake Interview and Assessment.

4. The Intake Interview is completed a letter informing you of the status of the application.

In the event that: You receive:

Your application is Accepted an acceptance letter with response slip to confirm that you still want
the available place, and an invoice for school fees.

Your application is Wait listed a letter of explanation and a response slip with the options to remain
on the waitlist or cancel the application.

Your application is Denied a letter of explanation.

Please be advised that if you are applying for an immediate start (mid-term), and a place is available, this process from
step 3 onward may take a few weeks. However, if you are applying for a delayed start date, i.e: the beginning of the following
school year, the process from step 3 onward will take place in the spring and you will be informed of the of the status of your
application by the end of May.

Additionally, please note that an Intake Interview is standard procedure for all Primary School applicants. At this intake, a lower
than average result may require further investigation and assessment.This may involve additional costs for the applicant.
For Secondary School applicants acceptance can usually be granted on the basis of a student’s previous school reports. If the
school reorts are inconclusive it could be that further investigation is necessary and this may involve additional costs for the
applicant.

Please do not withdraw your child from their current school until you have received an official
acceptance letter!

Checklist
All Contact Details are CLEARLY Printed
The application process may be delayed if the information is unclear!

Length of stay in The Netherlands is completed (bottom of page 3)

Proposed start date is filled in (bottom of page 3)
Student Support page is completed (top of page 5)
With additional information included if required.

Copies of child’s and parent’s passports are included

The application form is signed by both parents (bottom of page 8)
Students’ school reports are included
With translation into English. Please include original and translation.

Brother and Sisters section is completed (bottom of page 6)

CITO test results are included (if applicable)

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Student’s Details

PLEASE PRINT CLEARLY

Please attach
First Name(s): RIDHIMA photograph here

Given Name: RIDHIMA Tussenvoegsel:

Family Name: BHATTACHARJEE

Gender Male Female

Date of Birth Day: 21 Month: November Year: 2011

Place of Birth City: KOLKATA Country: INDIA
Nationality First Nationality: INDIAN Second:

Date of Entry into Netherlands (as confirmed by certificate from Gemeente): 01/04/2017 BSN Nr. (tax nr.): 595492992
Emergency contact name: CHANDRA BHATTACHARJEE Telephone: +31649287732

Student’s address during the period at The Amsterdam International Community School:
NOTE: If you don’t have an address in Holland now please inform us of your address as soon as you enter The Netherlands

Address: SPORTLAAN 460, AMSTELVEEN

Postal code: 1185 TR City: AMSTELVEEN Country: NETHERLANDS

Telephone/s: +31647563922 Home e-mail: rupkbh@gmail.com

Contact/correspondence address to which all information is to be sent

(if different from Student’s address)
Address:

Postal code: City:

Country: Telephone/s: Home e-mail:

Proposed date of entry into AICS: 2018-2019

Which location(s) are you applying for: Main AICS AICS Satellite South East

Expected length of stay in The Netherlands: Less than 1 year 1 year 2 years

Please tick only one box: 3 years 4 years 5 years

For Admissions use only

Admissions Officer Leader for Learning Headmaster

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Language Skills
Native English Speaker

Or: Non Native No English Beginner Intermediate Advanced

Languages spoken 1st Language: ENGLISH 2nd Language: DUTCH

Educational Particulars
Name of last school: GIFTED MINDS INTERNATIONAL SCHOOL

Address & Postcode:

OPAALLAAN 1190,2132 LN , HOOFDDORP

Please be advised that the AICS will contact the former/current school for additional information if required.

Current Grade Level: K2 for the school year:

2017-2018

In Which Country and Educational System: NETHERLANDS

Language of instruction: ENGLISH

Contact Person: MR. RAMESH MAHALINGAM

Telephone Number: +31648555067 E-mail address: enquiry@giftedmindsinternationalschool.com

Programmes offered:

Grade Placement
The age of the student on 30th September in the school year that the student is joining the school generally determines the
group that they will join. Exceptions are made based on the students previous education (The decision of the Leader for
Learning is final).

Group Zero is for students that become 4 on or after 01 October and before 1 May in a particular school year. The school year
runs from August to July. Group Zero begins in January.

No student can begin at the AICS before their fourth birthday,

Primary School Age 30 Sept Secondary School Age 30 Sept

Group 1 4 MYP 1 11
Group 2 5 MYP 2 12
Group 3 6 MYP 3 13
Group 4 7 MYP 4 14
Group 5 8 MYP 5 15
Group 6 9 IBDP 1 16
Group 7 10 IBDP 2 17

Subject Choices (For Secondary School Students Only)

Please note that ALL secondary school students are required to submit a subject choice form along with their applica-
tion.

MYP Student must complete the MYP Subject Choice Form and DP Students must complete the DP Subject Choice Form. Both
forms can be downloaded from the application forms page of the school website.

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Student Support
Has your child received help in the following areas?
Please include copies of all reports giving the full information.

Experienced health problems: Does the student need to be excused from sport/games lessons? Yes No

English as an additional language (written and/or reading) ..................................................................... Yes No

Speech and language therapy................. Yes No ADD/ADHD ................................ Yes No

Dyslexia .................................................. Yes No Dyspraxia ................................... Yes No

Dyscalculia ............................................. Yes No Emotional/Behavioural ............... Yes No

Other – please specify

If you have answered Yes to any of the above, please provide detailed explanations on a separate page
failure to give accurate information on known Special Needs may lead to the withdrawal of an offer of a
place at the AICS. Please also attach any reports/tests/information along with this application form.
Please be aware that the AICS might require further reports/assessments.

Medical Information
Do you have a GP (huisarts/doctor)? Yes No
Name, address and telephone number: Expat Medical Center,1181 NC Amstelveen, 0202404044

Any physical disabilities or medical conditions Yes No (Please explain):

Allergies/Medical Conditions
Does your child have any allergies? Yes No
If yes then please explain the nature of the allergy, what the symptoms are and what to do when the allergy manifests itself?

If your child has any Medical Conditions or Serious Allergies then please provide the school with a written protocol from your

doctor explaining what to do in an emergency.

Does your child have an epi pen? Yes No

Does you child have an inhaler? Yes No

Dietary Requirements
Are there any foods your child cannot eat due to cultural/religious reasons?

BEEF , PORK

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Family Contact Details
Student Support
Primary Caregiver (see note 1):

First Name(s): RUPAK Tussenvoegsel:

Father
Mother / Father / Guardian

Last Name:
BHATTACHARJEE Marital Status
MARRIED

First nationality: INDIAN Second nationality:

Date of birth:
26/11/1977 Place of birth (City):
KOLKATA

Address if different from student:

Telephone:
+31647563922 Mobile Phone:
+31647563922

Home (private) e-mail address:

rupkbh@gmail.com

Occupation/Employed by (important: please give name and address of company)

Name of Company: Tata Consultancy Services Ltd Position/Function: ASSOCIATE CONSULTANT

Address: GUSTAV MAHLERPLEIN 85-91
Postal code: 1082 MS AMSTERDAM City,Country: AMSTERDAM
Telephone: 0207155400 E-mail (work): rupkbh@gmail.com

Secondary Caregiver (see note 1):

First Name(s): CHANDRA Tussenvoegsel:

Mother
Mother / Father / Guardian

Last Name:
BHATTACHARJEE Marital Status
MARRIED

First nationality: INDIAN Second nationality:

Date of birth: 29/10/1982 Place of birth (City): DURGAPUR

Address if different from student:

Telephone: +31649287732 Mobile Phone: +31649287732

Home (private) e-mail address: rupkbh@gmail.com

Occupation/Employed by (important: please give name and address of company)

Name of Company: Position/Function:

Address:

Postal code: City,Country:

Telephone: E-mail (work):

Brothers and Sisters

Does the student have brothers/sisters in or applying at AICS?

Name: Age: Class:

Name: Age: Class:

Note 1: The primary caregiver is the parent/guardian that is legally responsible for the child. The secondary caregiver
is the parent/guardian who shares the responsibility for the child’s upbringing.

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Financial Matters
The AICS is officially recognised by the Dutch Ministry of Education, which contributes funds to the school. School fees are set
annually, in accordance with Dutch International Primary and Secondary School Guidelines. Tuition fees are needed to fulfil
the educational duties of the AICS. They are used for keeping the class sizes small; hiring staff internationally; the provision of
a modern, caring and supportive learning environment; membership of international organisations and accreditation services.

Application Costs
Upon receipt of a fully completed and signed Application Form (and accompanying documentation), parents will receive an
invoice for the non-refundable registration fee of € 200, per student. Students will be considered for admission after this fee has
been received into the AICS bank account.

School Fees
School Lunch
Fees Deposit Excursion Exams Photo Year Book Total
Group Supervision
Primary
4,650.00 500.00 120.00 280.00 15.00 20.00 5,585.00
Gr. 1-7
Secondary
MYP1- 5,550.00 500.00 550.00 15.00 20.00 6,635.00
MYP5
Secondary
6,550.00 500.00 750.00 15.00 20.00 7,835.00
DP1
Secondary
6,550.00 500.00 550.00 850.00 15.00 20.00 8,485.00
DP2

*IB examination costs subject to change.

*All prices are subject to change in a new academic school year.
*The deposit is only applicable to new students. The above fees include the use of text books.
The tuition fees for Group 0 are available on request via our Admissions or Finance Departments. As this age group is not fully
subsidised by the government, the tuition fees are slightly higher than groups 1-7.

Excursion Fees and Additional Costs

Many study trips are organised for AICS students. These are intended to support study, give students a wider understanding of
their subjects and generally enrich their educational and social experience. Study trips are an integral, compulsory and enjoy-
able part of the IPC/IBMYP/IBDP curriculum, encouraging children to learn through guided first-hand experiences
The first Locker card is for free for all Secondary students. Should a student lose their Locker card then they will be required to
pay a fee of € 5, for a replacement card.

Invoicing & Payment

New students:
The annual tuition fees plus other costs is invoiced to all parents in full (i.e. one invoice only) and may be paid in full or in two
instalments, please refer to the “Payment Structure” for more details:

Signatures of Parents/Guardians (please sign in the space provided to the bottom)

Name of father/guardian: Signature: Date:

Name of mother/guardian: Signature: Date:

Please note that if you are unable to sign the digital version of the form then you can print this page, sign it by hand
scan it and return the scanned copy. Please ensure that you send the digital version of the form as well because
submitting the digital version will make the application process faster.

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Payment Structure
Payment Structure for New Students starting in August:-
• Full payment of the invoice within 14 days from the date of invoice OR:
• In two instalments:-
– 50% of the tuition fees plus all costs and deposit within 14 days from date of invoice
– Remaining 50% of the tuition fees by 31 October

Payment Structure for New Students starting in October or later:

• Full payment within 14 days of invoice date.

Payment Structure for Existing Students returning for start of School Year:-
• Full payment by no later than 1st of July OR:
• In two instalments:-
– 50% of the tuition fees plus all costs by 1 July
– Remaining 50% of the tuition fees by 31 October

Pro-rated table showing Tuition Fees, Deposit and Costs:-

Starting in % Primary Secondary DP 1 DP 2
August 100% 5,585.00 6,635.00 7,835.00 8,485.00
September 100% 5,585.00 6,635.00 7,835.00 8,485.00
October 90% 5,080.00 5,780.00 6,680.00 7,330.00
November 80% 4,575.00 5,200.00 6,000.00 6,670.00
December 70% 4,070.00 4,620.00 5,320.00 6,010.00
January 60% 3,565.00 4,040.00 4,640.00 5,350.00
February 50% 3,060.00 3,460.00 3,960.00 4,690.00
March 40% 2,540.00 2,865.00 3,265.00 4,015.00
April 30% 2,035.00 2,285.00 2,585.00 3,355,00
May 20% 1,530.00 1,705.00 1,905.00 1,845.00
June 10% 1,025.00 1,125.00 1,225.00 1,185.00
July 10% 1,025.00 1,125.00 1,225.00 1,185.00

Please be advised that late payment of fees may result in the delay of the student’s start date or forfeiting their
place at the AICS. A student will be excluded from school if fees remain unpaid. Transcripts and reports will be with-
held if fees remain unpaid. Non-payment of fees and costs will be handed over to an official debt collector. All costs
incurred by the debt collector and legal proceedings, will be for the full account of the parent/guardian.

The identity of the AICS is greatly determined as an institution of education according to the Dutch laws which
dictate the rules for funding and management for non-profit organisations of International Education. Admission to
the primary and/or secondary levels of the AICS is, by law, dependent upon the payment of fees according to the
agreement between the parents/students and the school. (Please see the rules governing funding and manage-
ment for non-profit organisations of Internationally Oriented Education [IGVO], article 6a).

By signing the agreement (the AICS Enrolment Application), the responsible party (parent/student) demonstrates a
specific choice for the schooling at the AICS and thereby acknowledges and explicitly accepts the duty of payment
until the enrolment is terminated. It is for this reason that if/when the responsible party does not satisfy the duty of
payment according to the terms stated, the educational duties of the AICS cannot be fulfilled. Under these circums-
tances, the student will either be refused admission or continuation at the AICS.

In cases of non-payment, the AICS reserves the right to transfer its duties as an education provider to an appropri-
ate institution, thereby satisfying its responsibilities according to the terms of the agreement. In such a case, the pa-
rent/student (in advance coordination with the Berlage Lyceum and the Europaschool) will need to apply to the Dual
Language educational stream (Twee-Talig Onderwijs stroom, TTO) provided at the Berlage Lyceum for Secondary
students, or within the Foreign Language educational stream (Vreemde Talen Onderwijs stroom, VTO) provided by
the Europaschool for Primary students. AICS cannot guarantee a place available in these schools.
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Company
Invoicing Payment Option
Tuition Fee Payment by Parent’s Company

This section should only be filled in if your employer has agreed to pay the tuition fees for your child. Note that only
companies with an address in The Netherlands can be accepted.

Name of Company:

Department responsible for payment:

Address:

Postal code: City:

Telephone: E-mail:

Please invoice my company in two instalments (Invoices will be sent to parents).

Please invoice my company for the whole school year’s tuition in one instalment.

Please note that if your child begins school after 1st November then you will receive the invoice for the whole year’s fees in one
instalment.