Darun Na'im Applications 2027

Note: This application is for the full time in person course.

Personal Information

Which year are you applying for *

1st year 2nd year

Gender *

Male Female

First name *

Last name *

Marital Status *

Single Married

Date of birth *

ID/Passport Number *

Nationality *

Street Address *

Area *

Postal code *

Cell No. *

Tel No.

Work No.

Email address *

Previous Education

Previous Islamic Education *

Highest Academic Achievement *

Have you memorized Quran *

Yes No

Amount on Juz Memorized *

Parent/Guardian Information

Relationship to Applicant

Title

First name

Last name

Occupation

Resides with Applicant

Yes No

Street Address

Area

Postal code

Cell No.

Tel No.

Work No.

Email address

Parent/Guardian should be contacted for admin purposes

Yes No

Relationship to Applicant

Title

First name

Last name

Occupation

Resides with Applicant

Yes No

Street Address

Area

Postal code

Cell No.

Tel No.

Work No.

Email address

Parent/Guardian should be contacted for admin purposes

Yes No

Medical Details

Do you (applicant) have any medical conditions? *

Yes No

Please provide details *

Are you (applicant) allergic to any medication? *

Yes No

Please provide details *

Doctor's name

Doctor's Contact No.

Emergency Contact Details

Relationship to Applicant

Title

First name

Last name

Cell No.

Tel No.

Work No.

Email address

Relationship to Applicant

Title

First name

Last name

Cell No.

Tel No.

Work No.

Email address

Fees Structure

Registration: R726

Annual Tuition Fees: R17424

Payable over the following periods

12 months at R1452/month
11 months at R1584/month

Note: Monthly fees are due on or before the 25th of every month

Person Responsible for Payment of Fees

Who will be responsible for payment of fees *

Applicant Parent/Guardian 1 Parent/Guardian 2 Other

Relationship to Applicant *

Title *

First name *

Last name *

Occupation *

Resides with Applicant *

Yes No

Street Address *

Area *

Postal code *

Cell No. *

Tel No.

Work No.

Email address *

Sponsor a Student / Donate to our School

Choose an amount *

R17424 - Full sponsorship R8712 - Half sponsorship R5808 - Third sponsorship R4356 - Quarter sponsorship Other amount None

Please specify amount *

Motivation

Commitment Section

Will you be doing anything in conjuction with our courses at Darun-Na'im? *

Yes No

Are you currently working? *

Yes No

Will your work interfere with your class attendance at school? *

Yes No

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