DUAI Ināth Application Form Please Note: • Applications for 2023 are closed.• Applications for 2024 are open until 31 October 2023. DUAI Ināth Application Form DUAI Ināth Application Form Personal Details Name * Name Name Name Father’s Name Father's Name Father's Name Father's Name Mother’s Name Mother's Name Mother's Name Mother's Name Date of Birth * Country of Birth * Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Citizenship * South African Foreign National ID Number * Contact Number * Email * Home Address * Department DUAI Ināth – Arabic and Islamic Studies Department Visa Details (For Foreign Students Only) Passport Number Student Visa Issue Date Student Visa Expiry Date Education Record Secular Education Highest Grade/Year Passed Year Obtained Further Secular Education Degree/Level Achieved Year Obtained Islamic Education Degree/Level Achieved Year Obtained Further Islamic Education Degree/Level Achieved Year Obtained Medical Record Does the applicant suffer from any pre-existing medical condition that would affect their studies or their stay at the institute? * No Yes If yes, please specify: Tuition Fees Is the applicant able to pay the tuition fees of R12 000 per annum in FULL? * ABLE to pay tuition fees of R12 000 per annum in FULL UNABLE to pay tuition fees of R12 000 per annum in FULL If UNABLE, is the applicant able to pay the tuition fees in PART? ABLE to pay tuition fees of R12 000 per annum in PART UNABLE to pay tuition fees of R12 000 per annum in PART Not Applicable If in PART, specify amount Those who have undertaken to pay the fees, either in full or part, will be furnished with periodical accounts. Declaration by applicant, parent, guardian or sponsor: I hereby undertake to pay the applicant's fees as indicated Unable to pay Name of person responsible for payment of fees * Indemnity The applicant, or their parent or guardian in the case of a minor, hereby indemnifies the institute against prosecution in the event of accidental injury or otherwise at the institute. * I hereby indemnify the institute against prosecution in the event of accidental injury or otherwise at the institute Disagree Name of person agreeing to Indemnity declaration * Tawkīl The applicant, or their parent or guardian in the case of a minor, hereby appoints the principal of the Dar al-`Ulūm to be the unfettered wakīl [agent] to receive and disburse zakāh or otherwise where there is eligibility on behalf of the applicant. * I hereby appoint the principal of the Dar al-`Ulūm to be the unfettered wakīl [agent] to receive and disburse zakāh or otherwise where there is eligibility on behalf of the applicant Disagree Name of person agreeing to Tawkīl declaration * Date of Application * If you are human, leave this field blank. 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