Your Application to Program Programme Enrolment -Alimiyyah Step 1 of 7 14% Course Preference*Alimiyyah Full Time(January 2021 Intake | Exclusive for Sisters)Alimiyyah Part Time(January 2021 Intake | Exclusive for Sisters)Alimiyyah Part Time(May 2021 Intake | Open for Brothers and Sisters)Personal InformationHave you previously applied to Albalagh Academy*YesNoHave you completed any course or studying any course with Al Balagh?If yes, then mention the details of your coursesTitle*MrMrsMissDrGenderMaleFemaleGiven Full Name*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Home Contact Details* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina 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Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Is Current Contact Details same as Home Details?YesNoCurrent Contact Details* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Mobile*Is Mobile number and Whats App number Same?*YesNoWhat App Number*Please use Country CodeEmployment StatusEmployed Full-TimeEmployed Part-TimeSelf-EmployedUnemployedOthersEmail* Previous Academic QualificationsQualification/Award name:*School / Institution:*Country/Region of Institution:AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweYears123456789Form of StudiesFull TimePart TimeHave you completed the qualification?*YesNoEnglish language proficiencyIs English your first Language?*YesNoAre you confident in reading, writing and understanding English text?YesNoIf Yes how would you rate your English?*1 (Excelent)2 (Very Good)3 (Good)4 (Fair)5 (Poor)Arabic language proficiencyIs Arabic your first Language?*YesNoCan you confidently read Qur'an?YesNoHave you pursued any Arabic courses?*YesNoPlease Entail Work Experience (If Applicable)Organisation name:Date Started DD MM YYYY years12345678Describe your relevant work experience Statement of PurposeWhy are you applying for Alimiyyah Programme?*How will taking this Programme help you achieve your goals and how this would be beneficial for society?*ReferencesKindly provide two referencesReference 1: Given Name*Organization Name*Position*Email* Mobile*Reference 2: Given Name*Organization Name*Position*Email* Mobile* Can you afford the fee?*YesNoThe annual fee for the first year is £600. You can select Pay in Full, Pay in Two Installments or Pay in 12 Installments.Can you afford the fee?*YesNoThe annual fee for the first year is £900. You can select Pay in Full or Pay in 12 Installments.Select the Payment Option**Pay in Full:£500(Including £100 discount)Pay in 12 Installments: £50It should be noted that the Al Balagh fee doesn't include the university degree fee. Note: In case if you can not afford the fees, you can apply for the scholarship.Select the Payment Option**Pay in Full:£750(Including £150 discount)Pay in 12 Installments: £75It should be noted that the Al Balagh fee doesn't include the university degree fee. Note: In case if you can not afford the fees, you can apply for the scholarship.Select the Payment Mode*Direct Bank Transfer(Recommended)PayPalDebit Card/Credit CardScholarship Required*YesNo *AlBalagh Scholarship is available for learners who cannot afford the fee. To apply for the scholarship please visit Here Privacy and student declarationSTUDENT DECLARATION Attach copies or original evidence of all academic qualifications; including transcripts and graduation certificates Attach Statement of Purpose and other necessary documentary evidence By ticking the 'I agree' box on this application form, I acknowledge and agree to the following: 1) I have read and understood the privacy statement above. 2) The information I have submitted with my application is true, correct and complete. 3) All documents submitted with this application become the property of the Academy and will not be returned. 4) Should I be found ineligible for admission to the nominated Programme/s on this application, I authorize Albalagh academy to assess my eligibility for a suitable alternative programme/s or pathway course. 5) AL Balagh may vary or reverse any decision it makes on the basis of incorrect, incomplete or fraudulent information provided in my application. 6) I will notify the Academy immediately if there is any change to the information I have given in this application. Applicant's Full Name :*Additional Comments AttachmentsEvidence of all academic qualifications*Copy of Nationality CertificateAdditional Attachment(If Any)Comments about your ApplicationIf you have any additional notes or comments about your application, please enter them here.Any comment/suggestion/feedback for us?Consent* I agree to the declaration on the application form above (Section H)