Students Information Title Full Name* Email* Contact Number* Post Code Date of Birth* Select Gender* -- Select -- Male Female Year Group in School* -- select-- Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Family Information If other Family Member(s) that will also be enrolling onto the Programme: Add Member Full Name Relation Where did you hear about us? Add Member Full Name: Relation: Add Close ACADEMIC INFORMATION What is your highest academic qualification? Islamic Studies Have you studied at An-Nakhlah Institute before? Yes No Have you read the entire Quran in a language you understand ? Yes No Have you previously studied Seerah? Yes No If yes, in what format Please list any Islamic books you have studied in the past: PROFICIENCY IN ARABIC & QURAN Can you read/write Arabic? Yes No Have you studied Tajweed formally? Yes No How many Surahs/Juz have you memorised if any? Briefly explain what you hope to achieve through the Alimiyyah Programme: Briefly explain what you intend to do upon graduating from the Alimiyyah Programme: Medical Information Or Any Learning Difficulty Declaration By executing this application, you irrevocably agree to be bound by the Institute’s General Terms and Conditions. As such, you are advised to carefully review and consider the same prior to reserving your place onto the Programme. For the avoidance of doubt, the General Terms and Conditions shall remain operative for the entire duration of the course (currently expected to run until September 2025). In formalising our relationship in this manner, we will ensure that the relationship between you and us remains clear and transparent at all times and provides a mutuality of fair rights and obligations between both parties. I hereby apply for admission onto the Alimiyyah Programme and agree to be bound by the terms and conditions referenced herein. Submit