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ADMISSION FORM
Online Madrasa – International Admission Form
Student Information
Full Name
*
Date of Birth (DD/MM/YYYY)
*
Age
*
Gender
*
Male
Female
Nationality
*
Country of Residence
*
City
*
Preferred Language
*
Qur’an Memorization Progress
*
Beginner
Intermediate
Completed Hifz
Previous Islamic Studies Courses (if any)
Course Applied For
*
Hifz-ul-Qur’an (Memorization)
Qira’ah & Tajweed
Arabic Language Hub
Islamic Madrasa (Level Based)
Teenage Room (Boys & Girls Separate)
plus1
Add Siblings
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Remove Siblings
Parent / Guardian Information
Father’s Full Name
*
Contact Number (with country code)
*
WhatsApp Number
*
Father’s Email ID
*
Father’s Occupation
*
Mother’s Full Name
*
Contact Number (with country code)
*
WhatsApp Number
*
Mother’s Email ID
*
Mother’s Occupation
*
Technical Readiness
Do you have a stable internet connection?
*
Yes
No
Device you will use
*
Laptop
Tablet
Mobile
Declaration
*
I hereby declare that the information provided above is true and correct. I agree to attend classes regularly and follow the rules instructed by the authorities.
Submit
If you are human, leave this field blank.
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