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Course Registration Form

Asalaam alaikum

We are sorry your submission was unsuccessful. Please correct the errors and re submit

Jazakallah Khairun

Registrar

Al-Itqaan Online School

Please Note we are closed on Fridays. Please DO NOT request classes for a FRIDAY.

Select the Course(*)

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To Register for Al-Quran - Hifz [Memorisation] please enrol on Al-Itqaan Online Madrasah website with link below :

Enrolment (itqmadrasah.uk)

The New Muslim Free course is for those who have taken the Shahadah in the last 12 Months.

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(*)

House/Flat Number and Street

Town/City(*)

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Post/Zip Code(*)

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Country(*)

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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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Mobile Number(*)

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E-mail(*)

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Is applicant currently studying with some one?(*)

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Whom is applicant studying with?(*)

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Lesson Duration

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Select preferred Lesson Days(*)

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Select Preferred Lesson UK Times(*)

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We need to meet with yourself [Parent] to:

Talk through the Terms & Conditions
Explain school procedures
Train on Microsoft Teams
Please select a day/time at least two days from today.
THE TIMES IN THE CALENDER ARE UK TIMES.

Meeting Day & Time(*)

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Additional Information

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Can you afford to pay?(*)

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What is the net household income?(*)

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Do you own or rent a TV?(*)

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Do you own a house?(*)

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Reasons for Free or subsidy(*)

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(*)

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