Application FormPlease fill in the application form below to apply for your chosen course. Course Aalimah Course FE (Further Islamic Studies) Course Sanatayn Course Applicant Details Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Current Educational Institute/Occupation Parent/Guardian Details Name of Mother / Guardian 1 * First Name Last Name Address (If different from student) Phone * (###) ### #### Email Name of Father / Guardian 2 * First Name Last Name Address (If different from student) Phone * (###) ### #### Email Islamic Education Please select your Madhab This is the school of thought by which you follow fiqh rules Hanafi Shafi'i Hanbali Maliki Kitabs Studied * Current / Previous Madrasah * Has the applicant completed the Quran Yes No Surats Memorised * Medical Details Does the applicant have any disability, illness, allergy, or any other medical condition?If yes, please give details. * Medication taken (if any): * Name of Surgery & Address * Surgery Telephone * (###) ### #### Does the applicant have a ‘Statement of Special Educational Needs’? * Yes No Documents Required Please attach all supporting documents Additional information If you have anything you would like to add to your form, please inform us below Declaration I declare that the information I have provided on the application form is true and accurate to the best of my knowledge. I accept, understand and agree to abide by the rules of the Madrasah and I am also aware of the fact that the Rules and Regulations are often under review and subject to change. Please enter your name below to confirm you accept the rules and regulations and declare all information given to be true. First Name Last Name Thank you for applying.Each applicant will receive a phone call in July-August to discuss their application. Jazakallahu Khayr for sending your application.
