Al Murtaza Islamic Academy Delhi

Personal Information

1. Full Name (نام)

2. Father's / Guardian’s Name (والد / سرپرست کا نام)

3. Date of Birth (تاریخ پیدائش)

4. Gender (جنس)

Contact Details

7. Residential Address (رہائشی پتہ)

11. Mobile Number (موبائل نمبر) / WhatsApp Number

13. Email ID

Educational Background

14. Highest Qualification (اعلیٰ تعلیم)

15. Institution/University Name

16. Year of Passing

17. Religious/Madarsa Education (if any)

Occupation (پیشہ)

18. Current Occupation/Designation

19. Organization/Company Name

Reason for Joining the Course

Documents to Upload:

Passport-size Photo

ID Proof (Aadhaar/Passport)

Last Marksheet/Certificate

Islamic Qualification (if available)

I hereby declare that all the information provided is true to the best of my knowledge. I shall follow the discipline and academic rules of the Institute.
I Agree To Al Murtaza Academy Admission Terms & Conditions.

Signature of Applicant

Date