Enrolment

Course Registration Form

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

Student's Details

Student's First Name(*)

Please type your full name.

Student's Surname(*)

Please type your full name.

Gender(*)

MaleFemale

Please specify your position in the company

Date of Birth(*)

/ / Invalid Input

Age(*)

Invalid Input

House number/Street(*)

House/Flat Number and Street

Town/City(*)

Invalid email address.

Post/Zip Code(*)

Invalid Code

Country(*)

Invalid Country

Landline(*)

Mobile Number(*)

Invalid Mobile

E-mail(*)

Invalid email address.

Parents/Gaurdians Details for students Under 18 years of age

First Name(*)

Please type your full name.

Surname(*)

Please type your full name.

Landline(*)

Mobile Number(*)

Invalid Mobile

E-mail(*)

Invalid email address.

Select the Course(*)

Invalid Input

Is applicant currently studying with some one?(*)

Invalid Input

Whom is applicant studying with?(*)

Invalid Input

Applicant's level @ the subject(*)

Invalid Input

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

Mandatory Field

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

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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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Is any one else from household a student with us(*)

Invalid Input

Can you afford to pay?(*)

Invalid Input

Reasons for Free or subsidy(*)

Invalid Input

How much can you contribute?(*)

Invalid Input

Do you have a TV(*)

Invalid Input

Cost of TV Per Month(*)

Invalid Input

Cost of Tuition Per Month(*)

Invalid Input

Cost of Clubs/ Activities(*)

Invalid Input

(*)

Invalid Input

Course Registration Form

Asalaam alaikum

Jazakallah Khairun