Men

Name*

Email address*

Contact number

New Muslim

Yes
No

Age Range

18-24
24-35
35+

Area

Are you enrolling on the reverts mentoring programme?

Yes
No

Are you a born muslim interested in being enrolled with a mentor? (please complete the next question aswell)

Yes
No

What support are seeking?*

Islamic knowledge
Gaining a spiritual connection
Keeping on-track
Other (Please specify)

If you selected other please type here. What do you hope to gain from enrolling onto the Reverts Mentoring Programme ?

Do you already attend classes at Jamia Almaarif ? Please state which class and teacher (if applicable)

Please select which classes you would like to enrol on

Please select which Urdu Courses you would like to enrol on (if applicable)

Comprehensive Qur’an Tafseer: قرآن کی جامع تفیر
Islamic Essentials Package: اسلامی لازمی علوم کا کورس
Quran Tafseer: : قرآن تفسیر
Quranic Arabic: قرآنی عربی
Fiqh workshops: فقہ ورکشاب
Seerah : سیرت النبی ﷺ رسول الله ﷺ کی حیات مبارکہ
Dawrah e Quran

Which course would you like to enrol on?

Please give a brief background of yourself and any prior learning

Previous courses and studies

Quran Tafseer
Fiqh
Hadiths
Arabic Language
Other (please state)
No previous studies

Other

Favourite books

E Signature*

Date*

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I give consent to Jamia Almaarif for processing information to use the information given in this form only in respect of my Islamic education*

Consent*

I ensure that anyone not registered for Jamia Almaarif courses & classes, will not take part on the on-line sessions without prior disclosure of their identity to the Tutor.*

Phone

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Mens Enrollment Form