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? *HifzHifz & AcademicAlimIftaNazrahEvening Qur'an Classes (kids)Sisters Weekend Alimiyah ProgramTakhassus Fil AqidahPlease choose one of the aboveGrade / Year *123456789101112Enrollment Number:Leave blank if you do not have an enrollment number.Full Name of the Student *Email *Phone Number *Street Address *CityState/ProvinceZIP / Postal CodeCountryGender *MaleFemaleRelationship Status *MarriedUnmarriedCountry of Citizenship *Country of Birth *NameEmail AddressPhone NumberEmergency Phone Number *Street AddressCityState/ProvinceZIP / Postal CodeCountryProfessionWork 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.)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