Al Kawthar Classes Form [[[["field44","equal_to","Yes"]],[["show_fields","field13"]],"and"]] 1 Step 1 DETAILS OF APPLICANT Choose a classIslamic Essentials (Sisters) Forename (s) Surname GenderSelect GenderMaleFemale D.O.BDate of Birth (dd/mm/yyy) Age Address0 / City Post Code Telephone Number Mobile EmailA valid email address Occupation Emergency Contact Name Emergency Contact Number Do you suffer from any medical condition or health issues?YesNo Please give details:0 / Previous Islamic Education Please give details of any previous Islamic education including any knowledge of the Arabic language.0 / How did you come to hear of this course?Online advertisementYouTube ChannelWebsitePoster in shopStudentOther I confirm that all information provided is correct. Submit Previous Next