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Application Form

Please fill the Application Form and enroll for our Online Courses. Benefit for yourselves and your Children for whole life and hereafter In sha Allah.

Name*

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Email*

Phone*

Address*

Street Address City State / Province / Region Postal / Zip Code Country

Select Courses*

Gender*

Male

Female

Age*

Parent/Guardian Name*

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Last

Your (Parent/Guardian’s) Mobile *

Books studied/ Courses completed *

Data Protection: You consent to the Nasiha Academy to hold your information. We will NOT pass it to any third party*

Yes

Communication: You consent to the Nasiha Academy keeping you updated about the classes and informing you about events taking place via email, SMS and Whatsapp. *

Yes

By signing this form, I confirm that the above information is correct. I accept all the terms and conditions and agree to abide by all the rules and regulations of Nasiha Academy.*

Yes

When you are clicking on submit button, you will be directed to the payment page, to pay your selected respective course fee and you will be charged for every month. JazakAllahu Khaira