Part Time Courses - Al Misbaah Academy Supplementary School

Course *

Student's Details

Student's First Name *

Student's Middle Name

Student's Surname *

Date of Birth *

Gender *

Address

Postcode

Email Address *

Mobile No. *

Number of people attending including yourself

Staying for food

How did you hear about this course? *

Town / City *

Allergies & Special info

Any important information e.g. medication etc.

This year, we will be holding the course at Seven Kings Masjid (645 High Road, Ilford, IG3 8RG), as well as online. You have the option to either attend online, on-site, or both on different days. Please kindly inform us of your choice below:

Any additional information you would like to provide us with?

Background in Tajwīd

Briefly describe your background in Arabic studies

What you wish to gain

What you wish to gain further eduction

Emergency Contact

First Name *

Contact Number *

Relationship to Student *

Ramadān Youth Halaqah & Iftar: Other Information

Siblings also attending

Staying for Iftar

Allergies/Any important information

Declaration

I confirm that the information provided is correct to the best of my knowledge.

Signature *

Date *

Application Form for Part Time Courses

Student's Details

Emergency Contact

Ramadān Youth Halaqah & Iftar: Other Information

Declaration