Registration

First Name *

Last Name *

Gender *
MaleFemale
Age *
6-910-1516-2526-4041-6566 or older
Location *
AfricaAsiaAustraliaCanadaEuropeMexicoMiddle EastNorth America (USA)Pacific & CaribbeanSouth America (Latin America)Central America (Cost Rica, El Savador, Panama..)
Email *

Phone *

Mailing Address *

City *

State *

Zip Code *

Country *

Course Selection *
AlimiyatQuran Hifz Nazirah1 Year Deeni CourseSpecialization Courses
Preferred Language *
EnglishUrdu
Previous Islamic Education *
Basic DeenQur'an and Basic DeenNazirah & TajwidHifzBeginner Arabic LanguageIntermediate Arabic LanguageAdvanced Arabic LanguageFirst Year 'Alim CourseSecond Year 'Alim CourseThird Year 'Alim CourseFourth Year 'Alim CourseFifth Year 'Alim CourseIftah CourseAssorted Books
Islamic Institutes Attended *

Day Availability *
Week Day (6:00am-11:30am)Week Day (12:00pm-6:00pm)Week Day (6:00pm-11:00pm)Week Day (6:00pm-11:30pm)Week End (6:00am-11:30am)Week End (12:00pm-6:00pm)Week End (6:00pm-11:30pm)
Time Availability *

Acknowledgment & Declaration *
  I hereby declare, and confirm that I will abide by the policies of the Shah Maseehullah Academy.

Background & Security Check 1 *
1. I declare that I am not engaged in any illegal activities, espionage, sabotage, or any kind of controlled violations.

Background & Security Check 2 *
2. Shah Maseehullah Academy denounces terrorism and it does not teach any form of terrorism or violence in any of its courses, If I am found promoting any form of terrorism, I will be terminated indefinitely.

Background & Security Check 3 *
3. I do not intend to provide any kind of assistance to terrorists or support any terrorist organizations.

Background & Security Check 4 *
4. I am not a member or representative of any terrorist organization.

Background & Security Check 5 *
5. I agree to not share any course related activities, such as, live class streaming, class recordings, and anything else that I might be asked to add to this list.

Background & Security Check 6 *
6. If I am found guilty of violating any of Shah Maseehullah Academy's rules, regulations, instructions, written or verbally communicated policies, I shall be terminated of my enrollment indefinitely or for a specific period of time as deemed appropriate by the administration

Disclaimer *
Upon submitting my application, I acknowledge that I have read and understood the above terms and obligations.