Alimiyyah Adult Application Form

First Name

Second Name

Surname

Address

Postal Code

Date of Birth

Age

Gender

Telephone Number

Medical History

Previous Madrasah & Books Studied

How Much Qur’an Memorized

Madrasah/Masjid Address

Post Code

Name of Islamic Referee

Profession

Telephone Number

Additional Information

Full Name

Relationship

Address

Post Code

Telephone Number

1. All students must attend the Alimiyyah Courses at its set time.
2. Students will not be allowed to leave during class unless prior arrangements have been made with the Ustad.
3. All clothing worn at the Academy must conform with accepted Islamic dress code as specified by the Madrasah.
4. Students must comply with the Madrasah rules and etiquettes.
5. All fees are payable per student regardless of the fact that the student attends the class or not. Please see fees page for fee details.
6. Students will be updated of Alimiyyah Course holidays.
7. Rules & Regulations are subjected to the interpretation of Asraarul Uloom Wal Hikm.

Name

Signature / Name

Date