Study Form

Step 1 of 6 - APPLICANT’S PROFILE

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APPLICANT’S PROFILE
Full Name
Name
First Last
Gender
- Male
- Female
Contact Email*

Please provide the primary email address for communicating regarding this application
Recent passport size colour photograph of the applicant
Accepted file types: jpg, gif, png, pdf.
Residential Address:
Zip Code:
Languages known by the applicant (speaking):
Languages known by the applicant (reading and writing):
Date of Birth:
Birth Certificate
Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg.
Upload a copy of the applicant's birth certificate.
Passport Copy
Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg.
Upload a copy of the front and back pages of the latest passport of the applicant.
Applying to Syllabus, Grade & Location
Syllabus
Choose Location
Choose Location
Classes for IGCSE
Chennai
- PreKG
- LKG
- UKG
- Grade 1
- Grade 2
- Grade 3
- Grade 4
- Grade 5
- Grade 6
- Grade 7
- Grade 8
- Grade 9
- Grade 11
Classes for IGCSE
Kodai
- Grade 8
- Grade 9
- Grade 11
Classes for NIOS
- Grades 9
- Grades 11
Academic Performance Information
Academic Performance Details
Please enter the percentage (not MARKS) obtained in each subject in academic years 2014-15, 2015-16, and 2016-17 (up to the data available). You may add rows by clicking the "+" button at the end of each row. Please enter the SUBJECT in UPPERCASE.
SUBJECT 2014-15 2015-16 2016-17
School & class last attended:
Transfer Certificate
Accepted file types: jpg, png, gif, pdf, doc, docx.
Upload a copy of the T.C from last learning centre attended.
Performance Report
Accepted file types: jpg, png, gif, pdf, doc, docx.
Upload a copy of the last available academic performance report.
Relations with HLC
Have you applied to HLC before?
- Yes
- No
Year
How did you hear about HLC:
Are you related to anyone at HLC:
This application is being processed on your confirmation that there are no known or observable special needs for the applicant. Please click "Yes" to continue with the application form for children without special needs
- Yes I Agree

PARENT/GUARDIAN INFORMATION
In whose primary care is the applicant:
- Both Parents
- Mother
- Father
- Other Guardian
Father’s/Guardian’s Name:
Educational Qualifications:
Languages known:
Occupation:
Occupation details (designation, department, and organization/company name):
Work Address:
Mobile:
Email
Nationality:
Mother’s Name:
Educational Qualifications:
Languages known:
Occupation:
Occupation details (designation, department, and organization/company name):
Work Address:
Mobile:
Email
Nationality:
Guardian Name
Nationality
Permanent Address
Occupation
Phone
Email
Address proof of the parent/guardian (copy of passport/ration card/driver’s license/voter’s ID card)
Accepted file types: jpg, png, gif, pdf, doc, docx.
In case of parents/guardians holding international passport, please provide copy of passport AND local address proof

MEDICAL INFORMATION
Applicant’s blood group:
Does the applicant have a medical condition which requires regular intervention/care:
- Yes
- No
Attach Medical Report
Accepted file types: jpg, png, gif, pdf, doc, docx.
Provide details (attach recent medical report certified by a licensed medical practitioner).
Please mention allergies and reactions to edibles, chemicals and other items (if any)
Has the applicant been prescribed any medication
- Yes
- No
Upload a copy of the latest prescription
Accepted file types: jpg, png, gif, pdf, doc, docx.
Applicant’s/Family doctor’s name and address:
Doctor’s contact number:

FOR APPLICANTS WITH SPECIAL NEEDS
Does the applicant have special behavioural/ability needs which the school must know of:
- Yes
- No
Attach Recent Assessment Report
Accepted file types: jpg, png, gif, pdf, doc, docx.
Provide details (attach recent assessment report certified by a licensed institute/practitioner)
In your own words, please describe the applicant’s needs, challenges and care required:
Is the applicant undergoing therapy/care for special needs. If yes, provide details:
Any other information you'd like to share about the applicant's special needs:
** Admission to ELINA is CLOSED. This application will be processed on the assumption that there are no known or observable special needs for the applicant. Please click "Next" to continue with the application form for children without special needs

IN CASE OF EMERGENCY
Name of local friend or relative (not staying at the same address as applicant):
Relationship to the applicant:
Complete residential address:
Complete office address:
Phone No. (Home):
Phone No. (Work):
Mobile No:
Email address:

ADDITIONAL INFORMATION
Please provide some more information about the applicant that has not been mentioned: Include description of the applicant's personality, hobbies, interests, and skills:
Please mention the reasons for leaving the current school (this information will be kept confidential. We encourage you to be forthcoming so that we may process the application with as much information as possible):
Please mention the reasons for considering HLC. We would like to know a little bit about the expectations you have from us regarding the applicant's education:
As a parent, how would you like to participate in the Social Incubation Centre's efforts and endeavours:*
What we have at HLC is a "thick we" community, where children, teachers, office staff, parents, grand parents, and community members all work together as a community pursuing the same values and wanting to pass along a healthier, saner and more sustainable planet to our children and grandchildren. Your response to this question will play a pivotal role in our decision making..
Name
This field is for validation purposes and should be left unchanged.

Step 1 of 6 - APPLICANT’S PROFILE

APPLICANT’S PROFILE

Applying to Syllabus, Grade & Location

Academic Performance Information

Relations with HLC

PARENT/GUARDIAN INFORMATION

MEDICAL INFORMATION

FOR APPLICANTS WITH SPECIAL NEEDS

IN CASE OF EMERGENCY

ADDITIONAL INFORMATION