The Hyderabad School of Symphonic Music
At International School of Hyderabad, Road No. 1, Banjara Hills, Hyderabad- 500 034

| Name: | |||
| Parent/Guardian's Name: | |||
| Residential Address: | |||
| Telephone Numbers: | Residence | Office: | Mobile: |
| Date of Birth: | Age: | ||
| Which Languages do you: | |||
| Speak: | Read: | Write: |
| Do you play any western musical intruments? If yes, please name them |
| 1. | 2. | 3. |
| For how long have you learnt? | |
| Mention the course or book you have learnt from: | |
| Has there been a break in learning? | If yes, Mention the period of the break: |
| Mention the level or any examination you have done: | |
| Where did you learn? | |
| Please mention the teachers name: | |
| Are you still continuing with the same teacher? | |
| Mention below the instruments you would like to enroll for: |
| 1. | 2. | 3. |
| Signature of Student | *Signature of Student's parent/guardian |
| Name: | Name: |
| Date: | (*not aplicable for adults) |