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MASLAKUL IRSHAAD ACADEMY (MIA)

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ADMISSION/APPLICATION FORM
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1.
AFFIX A PASSPORT:
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2.
Name:
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3.
Your gender:
Male
Female
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4.
Your frequently used Email address:
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5.
Phone number (Parent/Guardian):
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6.
Date of Birth:
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Nationality
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8.
Are you enrolling for a private or general class?
If private, kindly mention three days of the week preferred for classes and a specific time for all days.
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9.
What is your present grade/ class in school? If enrolling for any additional class (for example: English, Mathematics, Yoruba or Basic Science). If not enrolling for an additional class, please type NA
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10.
Level of qiroah (recitation)[Checkboxes]
Beginner
Intermediate
Fluent
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11.
In terms of memorization (hifz), are you a beginner? If not, kindly state the portion of the Qur'an you have memorized
12.
Address:
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13.
Signature
Please draw within the rectangle area below
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14.
Date:
RULES AND REGULATIONS

1. Lateness/absence from class should be with proper excuse.
2. All forms of distractions should be avoided while in class.
3. All students must have the recommended textbooks printed.
4. Students must turn on camera during the class.
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