ENROLMENT FORM

As-Salam Alaykum

  • Please fill in this form and we will get back to you as soon as possible.

  • The Direct Debit form on the following page must be filled in at the time of application. (Payments will only be requested after the course starts).

Name *
Name
Gender *
The best one to reach you on.
Please state more than "I want to seek knowledge". This information will help the teachers cater to your needs.
Have you taken any courses similar to the one you are enrolling to? *
Please state any conditions we must be aware of including allergies.
Please provide a contact point in case of emergency.