Date of Birth
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Country of Birth
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Afghanistan
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Citizenship
*
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ID Number
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Contact Number
*
Email
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Home Address
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Department
DUAI – Taḥfīẓ Department
DUAI – Arabic and Islamic Studies Department
Passport Number
Student Visa Issue Date
Student Visa Expiry Date
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
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:
Is the applicant able to pay the tuition fees of R36 000 per annum in FULL?
*
ABLE to pay tuition fees of R36 000 per annum in FULL
UNABLE to pay tuition fees of R36 000 per annum in FULL
If UNABLE, is the applicant able to pay the tuition fees in PART?
ABLE to pay tuition fees of R36 000 per annum in PART
UNABLE to pay tuition fees of R36 000 per annum in PART
Not Applicable
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
*
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
*
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
*
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