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INSTITUTE OF ISLAMIC EDUCATION

Admission Application Form
[Alim, Hifz, Nazrah, Hifz and Academic and Ifta Programs, Sisters Weekend Alimiyah Program]

Select an option

Full Time

Part Time

What program you are applying for? (Mark X in one any of the following squares)

Hifz

Alim

Ifta

Hifz & Academic

Nazrah

Sisters Weekend Alimiyah Program

Takhassus Fil Aqidah

ENROLMENT NO:

PERSONAL INFORMATION

Full Name of the Student

Select an Address

Phone

Cell Phone

Date of Birth

Sex

Male

Female

Relationship Status

Married

Unmarried

Country of Citizenship

Country of Birth

PARENTS/LEGAL GUARDIAN

(Minor Students must furnish details of their parents/legal guardians in the provided sections below):

Full Name

Select an Address

Phone

Emergency Cell Phone

Profession

Work Phone No.

PREVIOUS ACADEMIC RECORD

Did you attend IIE before?

Yes

Year of first enrollment

Program in which you were enrolled

Why did you leave IIE?

Other Institutions

Course(s) you attended at other institutions and the year(s) of completion.

Are you applying for Dormitory services and accommodation at IIE?

Yes

Upload Student's Photo

max 2mb

Student's Signature

Parent/Guardian Signature (If the student is below 18 years.)

Declaration

Thanks for submitting!