Admission Form: AALIM/AALIMA Programs
Student Information
Student's name:
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender:
*
Male
Female
Nationality:
*
Q ID Number
*
Applying for:
*
Please Select
4 YEARS AALIMA/AALIM COURSE
ONE YEAR AALIMA/AALIM COURSE
MINI AALIM/AALIMA COURSE
Educational Background
Last Completed Grade/Level:
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Name of Current/Last School:
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Educational System:
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Cambridge
CBSE
Ministry of Education – Qatar
Other
Result / Grade in Last Academic Year:
*
Islamic Knowledge Background:
Qur’an Study:
*
Hifz Completed
Nazirah Completed
Partial Hifz
Arabic Language Study:
*
Yes
No
Previous Islamic Education (if any):
*
Religious Environment at Home:
*
Practicing
Moderate
Weak
Health & Lifestyle Information
Any physical or mental health condition
*
No
Yes--Please explain............................................................................
Any special needs or disability?
*
No
Yes – Specify:......................................................................................
Blood Group:
*
Allergies or ongoing medication:
*
Hobbies or extracurricular interests:
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Family Details
Father’s Name:
*
First Name
Last Name
Q ID Number
*
Nationality:
*
Occupation:
*
Employer:
*
Phone Number:
*
-
Area Code
Phone Number
Mother’s Name:
*
First Name
Last Name
Q ID Number:
*
Nationality:
*
Occupation:
*
Employer::
*
Phone Number
-
Area Code
Phone Number
Course Preferences & Motivation
Preferred Class Time:
*
Morning
Evening
Are you currently enrolled in another school/college?
*
Yes
No
If yes, provide schedule/timings:
*
Why do you want to join this course?
*
STUDENT'S LATEST PICTURE
*
Browse Files
Cancel
of
Q ID
*
Browse Files
Cancel
of
SCHOOL/COLLEGE CERTIFICATE:
*
Browse Files
Cancel
of
Declaration
*
I hereby declare that all the information provided above is true and accurate to the best of my knowledge. I agree to follow the rules and values of Al-Qalam Academy and commit to participating with sincerity and discipline.
Please verify that you are human
*
Submit
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