Application form for Madrasa at Dar-Alarqam
Please fill your application form with all required details. This application to be on the waiting list for our next admission process. We will be in touch once we accept new students
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電子郵件 *
Student Full Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Address Postcode *
Gendre *
Child's guardian name: *
Relationship to child? *
Contact phone number: *
Languages child understands beside English *
必填
Can the child read Quran? *
How many Surah the child memorises? *
Please list the Quran you child memorises and/or can recite
We offer two options for registration 2 days/week, which two days you prefer? *
Do you have any other information you want us to be aware of while making the decision on the application? Please let us know here
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