Form
Najam Seminary
Najam Seminary of Atlanta Alim Course application.Classes will be held at Darul Arqam Institute.5365 Five Forks Trickum RDLilburn, GA 30047
Email
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example@example.com
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Najam Seminary - Atlanta Alim Course
Name
*
First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Gender
*
Male
Female
What languages do you know?
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Which city & country were you born in?
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What grade will you be going to?
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What year alim course are you applying for?
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1 Year Foundations Course/First Year Alim Course
2nd
4th
5th
6th
Dorming or Daily Commute
*
Dorming (based off of availability)
Daily Commute
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Najam Seminary of Atlanta Alim Course
Parent/Guardian's First Name
*
Parent/Guardian's Middle Name
*
Parent/Guardian's Last Name
*
Parent/Guardian's Date of Birth
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Month
-
Day
Year
Date
Parent/Guardian's Place of Birth
*
Parent/Guardian's US Citizenship Status
*
Please Select
US Citizen
Green Card Holder
Student Visa/Permit
Visiting Visa
Business Visa
I 20
R 1
R 2
No Status
Other
Parent/Guardian's Occupation
*
What is his/her relationship to the Applicant?
*
Parent/Guardian's Address
*
City, State
*
Zip Code/Postal Code
*
Parent/Guardian's Cell Number
*
Home Number
Work Number
Is the address the same for the Applicant?
*
Yes
No
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Electronic Signature of Applicant
*
Date
*
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Month
-
Day
Year
Date
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