B A I S Registration Form

Apply for B.A.I.S & D.I.S (B.A & DIPLOMA IN ISLAMIC STUDIES)

S.Y. 2018-2019
- Full Name
  
  First NameMiddle NameLast Name
- Sex
- Nationality
- Birth Date
  
  MonthDayYear
- Place of Birth
- ID Number
- Phone Number
  
  Area CodePhone Number
- Whats app Number
  
  Area CodePhone Number
- E-mail
- Present Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Permanent Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Person to contact in case of emergency:
  Parent/Guardian
- Relationship
  ex. Father, Mother, etc.
- High School Name
- Degree Program
- REQUIRED DOCUMENTS
- Your latest picture
  
  Browse Files
  
  Cancelof
- ID Picture
  
  Upload a File
  File should be in jpg format Cancelof
- passport
  
  Browse Files
  
  Cancelof
- Intermediate Degree
  
  Browse Files
  
  Cancelof
- Mark sheet
  
  Browse Files
  
  Cancelof
- Character certificate
  
  Browse Files
  
  Cancelof
- Birth certificate
  
  Browse Files
  
  Cancelof
- Adhar card
  
  Browse Files
  
  Cancelof
- Skills/Talents
- Other Skills/talents
- Do you plan to shift to another course?
- If Yes, to what course?
- What is your plan after college?
- Guardian Details(Father)
- Name
  
  First NameLast Name
- Nationality
- ID Number
- Mobile Number
  
  Area CodePhone Number
- Whats app Number
  
  Area CodePhone Number
- Work Number
  
  Area CodePhone Number
- Occupation
- Employer
- Guardian Details(Mother)
- Name
  
  First NameLast Name
- Nationality
- ID Number
- Mobile Number
  
  Area CodePhone Number
- Whats app Number
  
  Area CodePhone Number
- Work Number
  
  Area CodePhone Number
- Occupation
- Employer
- Pledge
  
  I hereby pledge that all of the information which I will fill on the application form will be authentic, and all of my supporting documents and certificates will be free from illegal changes and forgery. I also agree that in the case that my request for admission is granted, I will abide by the rules and regulations of the Academy, I agree that in the case that these conditions are violated, the Academy has the right to take any action it deems appropriate.
- Suggestions / Comments
- Should be Empty:

Apply for B.A.I.S & D.I.S (B.A & DIPLOMA IN ISLAMIC STUDIES)