As-salam Alaykum,

Please note the following details:

1. To enroll in the program, fill out this short application form.

2. You will be asked to choose a date for an assessment to determine your level.

3. Only Students who completed the assessment are fully enrolled in the program.

Personal Information

First Name

Last Name

Gender

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أنثى

Email *

Phone *

Occupation

Address

City

State

Country

Country

Primary Language Spoken

Other Language(s) spoken

Educational Information

Have you been previously enrolled in a Madrasah?

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Level attained in the Madrasah

Beginner

Intermediates

Advanced

Choose a date for your assessment

Choose a date between October 1 - October 31, 2024

How did you hear about the program

Facebook

Telegram

Whatsapp

YouTube

Referral

Other

If student is under 18 years of age, enter guardian information below.

Guardian Name

Guardian Phone