Application test – AS-SURUR OPEN ACADEMY

Who is completing this application? *LearnerParent/Guardian

Gender *MaleFemale

Learner's Full Name *

Learner's Email Address *

Learner's WhatsApp Number *

Learner's Full Name *

Parent/Guardian's Full Name *

Parent/Guardian's Email Address *This contact will receive academy updates. Please share all messages with the learner promptly.

Parent/Guardian's WhatsApp Number *This contact will receive academy updates. Please share all messages with the learner promptly.

Learner Occupation *

Learner Full Address *

Parent/Guardian Occupation *

Parent/Guardian Full Address *

Country of Origin *

Country of Residence *

Full Address *

Which course are you applying for? *Arabic & Islamic studiesQur’an Memorisation & TajwīdSpecial ʿUlūm

Select Level/Class *

Select Level *

Select Program *

Choose Your Class Mode *One-On-One ClassGroup Class

Choose Your 1-On-1 Class Time *You have to choose one hour for each of the two days or two hours for a day. E.g.: 13:00 – 14:00 & 15:00 – 16:00 or 12:00 – 14:00 This is for ONE-ON-ONE CLASS.

Have you paid your tuition fee?Yes, I have made the payment.No, I will make the payment after submitting my application.

Upload Evidence of PaymentPlease upload your payment receipt or proof of payment.

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Tuition Fee Payment

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Applications submitted without proof of payment will not be processed.

Upload Passport Photograph *Upload a recent passport photograph (JPG, JPEG, or PNG only).

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