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Hawza Study Application Form
Title:
Mr
Mrs
Ms
Dr
Prof
Other
First Name & Surname:
Nationality:
Date of birth:
Calendar
Place of Birth:
Gender:
Male
Female
Marital Status:
Single
Married
Current Occupation:
Status of Residence:
Passport Number:
Date of Issue:
Calendar
Date of Expiry:
Calendar
Contact Detail
Address
House Number:
Address Line2:
City:
County / State / Region:
ZIP / Postal Code:
Country:
Mobile Number:
Emergency Telephone:
Email:
Academic Qualifications
Do you have academic background:
Yes
No
If yes then...
University
University Full name and address :
Name of Qualification:
Date of Award:
Calendar
Qualification Status:
Degree Programme:
College
College Full name and address :
Name of Qualification:
Date of Award:
Calendar
Qualification Status:
Degree Programme:
Why would you like to study at Hawza?:
Type of Study:
Full Time
Part Time
Language skill
English fluency:
Fluent
Average
None
Arabic fluency:
Fluent
Average
None
Farsi fluency:
Fluent
Average
None
Urdu fluency:
Fluent
Average
None
Other:
Level of fluency:
Fluent
Average
None
References
Reference 1 (Shi'a Organisation)
Title:
Mr
Mrs
Ms
Dr
Prof
Other
Name & Surname:
Name of Organisation:
Address:
Phone:
Email:
Reference 2 (Academic Organisation)
Title:
Mr
Mrs
Ms
Dr
Prof
Other
First Name & Surname:
Name of Organisation:
Address:
Phone:
Email:
Professional and community Experiences:
Disability
Do you have any Disabilities?:
Yes
No
Additional Information:
Upload your CV ﴾optional﴿:
I confirm that all information presented in this application is true to the best of my knowledge:
Under the terms of the Data Protection Legislation (Data Protection Act 2018 and the General Data Protection Regulation 2016), I consent to the Islamic College using my personal data for the purpose of processing: By providing details to the Islamic College, I’m giving my consent to record and store data, such as, e.g. personal details, e-mail address, home address, contact numbers/s, company address and phone number/s. This may be used for various purposes such as, sending newsletters, promoting courses, updates on data protection policy and projects.: