Last Name

First Name

Gender Gender Male Female

Street Address

Street Address Line 2

City

Region

Postal / Zip Code

Pakistan

Email Address

Phone Number

Which program would you like to enroll in? Which program would you like to enroll in?Which program would you like to enroll in?Full-time (Mon-Fri) Quran Memorization WITH academicsFull-time (Mon-Fri) Quran Memorization WITHOUT academicsPart-time (M-Thur) Quran MemorizationAfter School Quran Memorization for KidsPart-Time (Mon-Thur) Qa'idaPart-Time (Mon-Thur) NazaraFiqh and Tajweed (ladies only)Weekend Islamic Clasess (Saturday Track)Weekend Islamic Classes (Sunday Track)

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