Sanatayn Application Form

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Arabic Modular Application Form

This application form is essential for a student to enrol on to the Arabic Modular Programme at Q-Iman. Once you have made your application, you will be emailed information on how to complete payment for your course. Once you have arranged your payment schedule, you will receive an enrolment email to confirm that you are enrolled on the course.

Personal Information

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of birth *

Gender *

Male Female

Phone Number *

Email *

Nationality *

Ethinicty *

Occupation *

Education

Highest Level of Education *

High School or Equivalent College or Equivalent Undergraduate Degree Master's Degree PhD

Have You Studied Arabic or Islamic Studies Before? *

Yes No

If yes, give details of where and how much you have studied *

What would you like to achieve by completing this course? *

Minimum 200 words

Choose Any *

I agree that the information that I have provided is true to the best of my knowledge.

Where did you hear about Q-Iman? *

I agree to receiving marketing and promotional materials *

Submit

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Q-Iman is a company registered in England and Wales under registration number 10930264

Home
Annual Programmes
Arabic Modular Programme
Part-Time Courses
- Summer Arabic Intensive
Trips & Tours
- Winter Retreat
About Us
Donate