Admission Application FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Are you a returning or new student? *New StudentReturning StudentAre you enrolling as a full-time or part-time student? *Full TimePart TimeWhich program are you applying for? *Hifz al-Qur'an (only)Hifz al-Qur'an & Academics (5th-12th)Alim (al-Ulum al-Shari'ah)Ifta (Takhassus fi al-fiqh wa al-Ifta)Nazrah (Textual reading of the Qur'an)Evening Qur'an MaktabSisters Weekend Alimiyah ProgramPlease choose one of the aboveGrade/Year, you are applying for *123456789101112Enrollment Number:Leave blank if you do not have an enrollment number.Full Name of the Student *Date of Birth *Email *Phone Number *Student's Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeGender *MaleFemaleRelationship Status *MarriedUnmarriedCountry of Citizenship *Country of Birth *Parents/Legal Guardian's NameParents/Legal Guardian's EmailParents/Legal Guardian's Phone NumberEmergency Phone Number *Parents/Legal Guardian's AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProfessionWork Phone NumberDid you attend IIE before? *YesNoYear of first enrollmentProgram in which you were enrolledWhy did you leave IIE?Other Institutions *Course(s) you attended at other institutions and the year(s) of completion. *Are you applying for Dormitory services and accommodation at IIE? *YesNoStudent's Signature *Parent/Guardian Signature (If the student is below 18 years.)Student Photograph (Take your student's photo in the format that is used in the official documents, such as Passport, Driving License, etc. ) * Click or drag a file to this area to upload. Do not upload the photo of a photo or a photo on any other document or ID.Additional Documents Click or drag files to this area to upload. You can upload up to 5 files. You may upload your current or previous academic transcripts, report cards, etc. Declaration *Yes, I agree with the conditions listed below.I, the undersigned hereby declare that all statements made in this application form are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue/false/incorrect I/my ward shall be terminated from the school without any prior notice and fee paid against the registration is nonrefundable, however, other fees are subject to refund as per the fee policy stated in the Admission Acceptance Form (AAF), which students get after their admission is approved. I confirm that I shall pay all tuition and boarding payment by the due dates. I agree that should I fall behind payments for more than 3 months, all records, report cards, and registration renewal will be withheld until the balance is cleared. Should I decide to withdraw myself or my ward from IIE, I agree to provide the school with written notice before doing so.Apply
