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Application Form -
Please complete this form, you will be contacted for an interview once we receive complete information.
Student must be 6years+ to get accepted in program.
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Email
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Your email
Parent Name
*
Your answer
Enter Student/s name and age
*
Your answer
Parent Phone number
*
Your answer
Address
*
Your answer
Why do you want to enroll with Darularqam Islamic Academy?
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Are the students currently enrolled in any school?
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