Sign-up – Asfar Institute

First and Last Name

Mobile

Marital Status

Gender

Father's Name

Mother's Name

Religion & Sect

Place of Birth

Date of Birth

Current Physical Address

Languages you speak, read and/or write

Participant’s Picture (with proper Islamic attire)

Participant’s ID (Official ID or Driving License)

I am interested in the following areas of Islamic studies...

Secular Education (Secondary Education): Please enter any formal high school education that you have received. Provide the name of the academic institution, start date, end date, and final grade.

Secular Education (Post-Secondary Education): Please enter any formal post-secondary undergraduate education that you have received. Provide the name of the academic institution, major/field of study, start date, end date, and final grade. If not applicable please write N/A. If you have more than one degree/diploma. Please outline the following for each one.

Islamic Education: Please enter any formal Islamic education that you have received. Provide information regarding the three most recent qualifications obtained (or in the process of obtaining), provide the full name of the institute you studied at, the city in which the institute is located, start date, end date, and final grade.

Employment & Work Experience: Provide information regarding the three most recent jobs you have held. Unpaid or volunteer work experience should be included. Provide the full name of the company or institute you worked at, the city in which it is located, start date and end date.

Social, Religious, and Political Activities: Provide information regarding any social, religious, and political activities you were/are involved in. Please include your role, start date and end date.

Skills & Talents: Use this section to list three of your key skills. Skills and talents need not be related to academia and may represent your interest in other fields too.

The most important channel through which I have acquired my knowledge of Islam is:

The second most important channel through which I have acquired my knowledge of Islam is:

The third most important channel through which I have acquired my knowledge of Islam is:

How many books have you read in the past year?

Of all the books you have ever read, which three did you like the most?

List some of the authors that you like to read.

How did you hear about the Course?

References: You MUST provide TWO references. The reference should:
- Be somebody that has known you personally (in any capacity) for at least two years
- Not be related to you

Please ensure the contact details of your references are up-to-date as the Asfar Institute may contact them for further information regarding your application.

Other Information: Please tell us something more about yourself and your intentions, in particular your reason for why you would like to study at the Asfar Institute. You may also add any other relevant information here:

Please outline if you may have any other concurrent obligations during the course of the program (e.g. work, other classes, marriage, family obligations, etc). Please outline what they may be, time commitment and dates to the best of your ability.

Would you like to pursue further studies after this course?

Have you been vaccinated?

Vaccination date

Do you have food allergies?

Provide details of any food allergies:

Are you currently taking medication?

Provide details of medication you are taking:

Are you registered disabled?

Provide details of disabilities:

Do you smoke or vape?

Provide details of illnesses:

Do you have any preexisting medical condition which we should know about?