Enrolment

Student's Details

Student's First Name(*)

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Student's Surname(*)

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Gender(*)

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Date of Birth(*)

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Age(*)

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House number/Street(*)

Town/City(*)

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Post/Zip Code(*)

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Country(*)

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Landline(*)

Mobile Number(*)

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E-mail(*)

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Parents/Gaurdians Details for students Under 18 years of age

First Name(*)

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Surname(*)

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House number/Street(*)

Town/City(*)

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Post/Zip Code(*)

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Country(*)

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Landline(*)

Mobile Number(*)

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E-mail(*)

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Course Information. The time for group courses UK time at present

Select the Course(*)

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Is applicant currently studying with some one?(*)

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Whom is applicant studying with?(*)

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Applicant's level @ the subject(*)

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Why do you want to study with Al-Itqaan(*)

Mandatory Field

PREFERRED DAYS & TIME: SHOULD BE AT LEAST TWO WEEKS FROM NOW Hrs per week For Arabic: 2 days : 1.5 hrs each Quran : 4 days 0.5 hrs each or 2 days 1 hr each. NOTE: Teachers are based in Egypt. UK time you select will have to change in Summer/Winter as teacher's time will remain the same.

Preferred Days and Time (Example: Monday - 09:00)(*)

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Preferred Start Date(*)

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Additional Information

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Course Registration Form

Asalaam alaikum

Jazakallah Khairun