num:
Course Ref #
*
Assessment Form For Enrollment for the Academic Year 2024
name4:
Family Name
name3:
Middle Name
*
name2:
Father Name
*
name1:
First Name
*
nation:
===choose===
Afghanistan
Finland
Albania
Algeria
America
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote Dlvoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
France
French Guiana
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Kuwait
Kyrgyzstan
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rwanda
Saint Helena, Ascension and Tristan Da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri lLnka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Nationality
*
bdate:
dateS:
gorg
islamic
Date of Birth
*
country:
===choose===
Afghanistan
Finland
Albania
Algeria
America
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote Dlvoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
France
French Guiana
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Kuwait
Kyrgyzstan
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rwanda
Saint Helena, Ascension and Tristan Da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri lLnka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Country
*
place:
Place of Birth
*
gendar:
choose
M
F
Gender
*
uidplace:
Place of Issue
uiddate:
dateS2:
gorg
islamic
Expiration date
uid:
ID
*
studyn:
b)Currently
*
studyb:
a)Previously
*
Parts of the Qur'an memorized
level:
===choose===
Nothing
No school
Elementary sch
Middle Sch
High sch
Diploma
College
Graduate
Education
*
mail2:
Rewrite E-mail
*
mail:
E-mail
*
address:
Residence address
*
telw:
Office number
mob:
Mobile number
*
tel:
Home phone
sickd:
Explain if the answers is yes
sick:
No
Yes
Are you suffering from a chronic disease?
join3:
Course Ref:
join2:
where?
join1:
No
Yes
Did you attend a Nuraniyah training before?
Workplace?
Duration?
Most important previous jobs?
work13:
work12:
work11:
1 -
work23:
work22:
work21:
2 -
work33:
work32:
work31:
3 -
child:
0
1
2
3
4
5
6
7
8
9
10
child
state:
===choose===
Single
Married
Widower
engaged
divorceed
state
*
cworkd:
Work Desired
cwork:
Current Work
*
Al-Furqan Quran Teaching Center
Enrollment Terms and conditions
• It is imperative to fill up the form and indicate the course number.
• Copy of the student ID have to be attached.
• Student less that 18 will not be enrolled in techer training certification.
• Payment of Tuition fees in an amount of 155 Saudi Riyals only = USD $42
• Payment of the study material pack in an amount of 45 Saudi Royals only = USD$12
The content of the pack comprises of
1. Text book on Noorania
2. Audio CD on Noorania
3. DVD – Audiovisual for Noorania
4. Ammah chapter(DVD) – Audiovisual
5. DVD – Audiovisual with a book containing the last 3 chapters( (العشر الاخير
6. The practical Method of Learning & teaching
7. The annual guide for the conduct of and follow-up student and nawaw’s forty
Award of Certification :
1. The success certificate of qaidah Noorania will be awarded to those who score )A( in their exams results i.e. 90% and above.Holder of this certificate become eligible for teaching the qaidahNooraniathe in schools for students only.
2. Those whose score is less than 90% don’t have the right to claim a certificate of success. The same applies to those who fail to apply the qaidah Nooraniaon Ammha Chapter of the Quran.
3. Failure : Failing student have the right to sit for another exam after the elapse of three months period of the previous exam date. Fees for the repeated exam is a nominal amount of 50 SR only =$14.
4. Improving the score : Those who desire to have a better score will have to wait for a year period and sit for another exam for 50 SR nominal fees = $14. The results of the reaped exam will be printed and duly stamped on the back page of the initial certificate.
5. Loss of certificate : The center does not issue a second original certificate in case of loss. A duplicate copy may be stamped for authentication purposes for an amount of 50 SR only =$14. .
6. For those interested in the test without participating in the session: It has been canceled this option.
Students Signature :
You must accept the conditions I the student (my name is shown above) that I agree to all the conditions and instructions described above, has read it very carefully.