Registration Form

Please complete the following form and email to us at info@markazalihsaan.org to complete the application and initiate the process. Details are submitted to the Administrative Office. You would be required to validate your application on the advised date of start of classes, at your respective campus.

Thank you for your interest and we look forward to having you join the Markaz al Ihsaan family.

MAI Student Registration Form

Registration Form (Adults)

Register for Program * Islamiyat ProgramAlim ProgramSpecialised / Short CoursesChildren's MaktabIslamic Youth CampOther

At which campus are you interested in attending classes? * Online ClassesHermitage VillageCumuto VillageAnna Catherina (Guyana)

Name *

Phone Number *

Email Address *

Date of Birth *

ID/DP/Passport Number

Gender MaleFemale

Marital Status SingleMarriedWidowedSeparatedDivorced

Address

Work Details

Company, Company Address, Job Position, Work Number

Name of Mosque you belong to and name of Imam (where applicable)

In which Mosque do you read Jummah & name of Imam (where applicable)

Academic Qualifications: (Please list by Level / Degree; Institution and Year Graduated)

Other Interests

Sports: Outdoor/ Xtreme

Indoor/ Board Games

Meeting People/ Dawah

Debating/ Creative Writing

Graphic Arts/ Music

Research/ Knowledge

Other

Date *

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