HYDERABAD INSTITUTE OF EXCELLENCE(HIE)

www.hie.net.in

Application Form

Junior College

How did you get to know about HIE?

Have you visited our website:

Any specific information you wish to share with us about the student (for example diet

restriction, known allergies, susceptible to any ailments, chronic disease, currently

suffering from any disease):

PARENT AND STUDENT DECLARATION:Ÿ We have read the complete application form and confirm that the statements

and information provided are true.

Ÿ We understand that ragging and/or bullying is strictly prohibited on campus.

Ÿ We understand that students in HIE have varied religious beliefs. My son will not engage in any action (by word or by deed) that may be termed as disrespectful to followers of any religion. This will include but not be limited to disparagement of any religion, proselytization, preaching, discrimination based on religion etc. If found to be engaged in any of the above action, HIE can take necessary penal action against me / my child.

Signature of Parents: Father: Mother:

Signature of Student:

Time and Date:

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Campus:Hyderabad Institute of Excellence,Modugula Chittampallli Village,Vikarabad Mandal, R.R. District.

City Office:“Babukhan House”, # 520,Road No.10, Banjara Hills,Hyderabad -500 034.Tel: 2335 6085/86

Name ______________________________________________________________

Class _______________________________ Group _________________________

Admission No. _______________________________________________________

Application No.: _______________

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FATHER

GUARDIAN

Name of the Guardian:

Relationship to the Student:

Address:

Telephone No. Mobile No.:

E-mail:

Guardian’s Signature:

(In acceptance of responsibility of the student)

GUARDIANS’ INFORMATION

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MOTHER

Name:

Relationship to the Student:

Home Address:

Telephone No.: Mobile No.:

E-mail:

EMERGENCY CONTACTS

1. Relationship to the Student:

2. Relationship to the Student:

Should e-mails and circulars be sent to the Guardian/Emergency contacts?

All the information furnished in this application form, is to the best of my knowledge, correct

and complete.

I understand this application is limited to the admission for the academic year 201 to 201

LIST OF THE VISITORS APPROVED BY PARENTS(Other than Local Guardian and emergency Contacts)

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InstructionsŸ Please fill the application form in CAPITAL LETTERS onlyŸ The application form is invalid without the signature of the

parent/guardian and the student.Ÿ The date of birth and the spelling of the pupil's name should be

according to the school records & birth certificate.Ÿ The certificate from school stating the date of birth and the progress

report/transcript of the final examination appeared is mandatory.Ÿ Please mention the dialing code wherever applicable.Ÿ Please attach extra sheets for any additional information that you may

wish to provide.Ÿ It is the responsibility of the parent/guardian to intimate the college in

writing if there are any changes in the details provided in the application form.

Ÿ Submission of the application form does not mean granting of admission.

Please ensure that the following documents are submitted at the stipulated time.

At the time of application:Ÿ Complete Application form (with photographs)Ÿ Previous school progress reports:

Transcriptions of the previous 2 years to be submitted. Grade 9 and Grade 10 for admission into Intermediate.

Ÿ Grade 10 Board documents (Transcript and certificate if available or Admit card)

Ÿ Birth Certificate copy

At the time of Admission:Ÿ Transfer CertificateŸ Migration Certificate (for candidates outside AP)Ÿ Marks Memo / Transcript certifying grades or marks obtained in Board

ExamŸ Bonafide Certificate (study & conduct) issued by school last attendedŸ Twenty (20) photographs of the student - coloured passportŸ Proof of Identity and Proof of residence of parent and student

(Aadhar/passport or any other document)Ÿ Guardian & Visitor form with proofs of identity. Ÿ Term I fees and the amount for Deposits is to be paid

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STUDENT INFORMATION

Name of the student:

Admission sought for academic year:

FOR OFFICE USE

Date of Receipt of Application:

Written Test & Interview date:

Total Fees:

Date of Payment of fees:

Details of the payment:

Remarks:

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HYDERABAD INSTITUTE OF EXCELLENCE(HIE)

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c MPC c BiPC c MEC

c EAMCET c NEET

c EAMCET + IIT - JEE (Mains)

c IIT - JEE (Mains & Advanced)

c NDA

Intermediate

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FATHER

Father’s Details

Name:

Home Address:

Home Tel.No.

Mobile No.

Email:

Alternate Email:

Educational Qualifications:

Organization:

Designation:

Annual Income:

Work Address:

Work Tel.No.

PARENT'S INFORMATION

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MOTHER

Mother’s Details

Name:

Mobile No.

Email:

Educational Qualifications:

Organization:

Designation:

Annual Income:

Work Address:

Work Tel.No.

OTHER HOBBIES

Name a few books that you have read recently

(Do not include Textbooks or syllabus related books)

If you read a newspaper (almost daily), mention

the name and the language it is published in

ACADEMIC RECORD

Total

Marks

Overall

Grade or

PercentageName of the School

Board

Affiliation

Medium of

Instruction

Class

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DETAILS OF LANGUAGES PREFERRED

First Language :

Second Language :

STUDENT INFORMATION

Name of the student:

Date of Birth: , Height: cm, Weight Kg.

Diet: Veg Non.Veg. Place of Birth: Mother Tongue:

Nationality:

Religion: Caste:

Address for Correspondence:

Aadhar Card No.:

PASSPORT DETAILS FOR INTERNATIONAL STUDENTS

Nationality: PP No:

Country of Residence: Name:

Place of Issue:

Date of Issue: Date of Expiry:

Type of Indian Visa held (If any):

Date of Issue: Valid upto:

Please mention student's achievements in co-curricular domains:

Sports PlayedSpecific Skills

(for example batsman in Cricket or football)Achievements

SPORTS

Arts (Drawing Painting etc.

where students’ work can be visualized)Achievements

VISUAL ARTS

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