The Qur’an Summer Camp – Application Form (JAK DN Students)

The Qur'an Summer Camp - Application Form (JAK DN Students)

Thank you for your interest in 'The Qur'an Summer Camp'. Applications are open to Male students above the age of 17 only. The application process is as follows;

1. Please fill in the below form with the required information.
2. We will confirm your acceptance on the course.
3. You must pay the fees of £250 (£200 fees includes meals and boarding. £50 additional for books and resources.)
4. We will confirm your place on the course.

*Spaces are limited.
Section A - Personal Details
Name*
Surname (Family Name) Forename(s)
Date of Birth*
DD slash MM slash YYYY
Age*
Nationality*
Address*
Street Address Address Line 2 City County Post Code Country
Mobile*
Home Telephone
Email*
Father's Details*
Surname (Family Name) Forename(s) Telephone
Section B - Further Details
Do you have any disability, health condition or dietary requirement that we should be aware of:*
- Yes
- No
Please give details;*
Please give details;
Do you have any criminal convictions or reprimands, or have you ever been charged with an offence:*
- Yes
- No
Please give details;*
Please give details;
Are you or have you been a member, follower or supporter of any organisation or group, whether religious, political or otherwise?*
- Yes
- No
Please give details;*
Please give details;
How would you describe your cultural and ethnic origin?*
Please indicate if you speak any other languages aside English, and the level (written, spoken):
Section C - Declaration
I declare that the information given on this form is correct. I also agree that if accepted onto 'The Quran Summer Camp', I will abide by all its terms, conditions and regulations set out by Jamia Al-Karam.

I acknowledge that all fees are non-refundable and that Jamia Al-Karam reserves the right to terminate my enrollment onto the course for any reason it may see fit without notice. I understand I must meet the standard expected of me in conduct and character as well as in academic studies and within the residential environment and the institution community as a whole.
- I have read and agree to the declaration

The Qur'an Summer Camp - Application Form (JAK DN Students)

Section A - Personal Details

Section B - Further Details

Section C - Declaration