Hifz Application Form
Please apply below to be considered for interview for the boys Hifz class.
Student Information
Please fill out all details accurately
Student's Full Name
*
First Name
Last Name
Student's Gender
*
Male
Female
Date of Birth
*
dd/mm/yyyy
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent or Guardian Details
Please fill out all details accurately
Full Name
*
First Name
Last Name
Relationship to Child
*
Mobile Number
*
Email
*
example@example.com
Submit Application
Should be Empty: