Admission Application Form - Jamia Imam Mehdi Arabic College

Step 01 of 08

Student Information

Admission For (Session) *

Class / Course Applying For *

Student's Full Name (English) *

Father's Name *

Mother's Name *

Guardian's Name (if applicable)

Gender *

Male Female Other

Date of Birth *

Age (auto)

Blood Group

Aadhaar *

Nationality *

Religion *

Category *

Step 02 of 08

Contact Information

Mobile Number *

WhatsApp Number

Email Address

Current Address *

Permanent Address (if different) Same as Current Address

City / Town *

State *

PIN Code *

Step 03 of 08

Educational Qualification

Provide accurate qualification details. Attach mark sheets in the Documents section.

Examination	Board / Madrasa	Year of Passing	Percentage / Grade
High School / 10th
Intermediate / 12th
Previous Madrasa
Other Qualification

Step 04 of 08

Islamic Education Details

Nazra Completed? *

Yes No In Progress

Hifz-e-Quran *

Complete Partial No

Tajweed Knowledge *

Arabic Language Level *

Step 05 of 08

Course Selection *

Select at least one course you wish to enroll in *. You may select more than one.

Noorani Qaida Nazra Quran Hifz-ul-Quran Tajweed Arabic Language Dars-e-Nizami Aalim Course Fazilat Islamic Studies

Step 06 of 08

Parent / Guardian Details

Parent / Guardian Name *

Relation *

Occupation

Monthly Income (₹)

Mobile Number *

Email Address

Emergency Contact

Name *

Relation

Mobile Number *

Hostel & Transport

Hostel Required?

Transport Required?

Medical Condition (if any)

Allergies

Step 07 of 08

Documents Upload

Accepted: JPG, PNG, PDF. Max 2MB per file. All fields are mandatory marked *.

Passport Size Photo *

Click to upload Photo
(JPG/PNG)

Aadhaar Card *

Aadhaar Card
(Front & Back)

Signature *

Student Signature
(JPG/PNG/PDF)

Step 08 of 08

Declaration & Submission

"I hereby declare that all the information provided by me in this application form is true, complete and correct to the best of my knowledge and belief. I understand that any false statement or misrepresentation of facts may lead to the cancellation of my admission. I agree to abide by all the rules, regulations and discipline of Jamia Imam Mehdi Arabic College, and I shall not engage in any activity contrary to the principles of Islam or the policies of the institution."

I have read and I agree to the above declaration *

Applicant Verification

Student Name *

Date *

Place *

Your information is secure and used only for admission purposes.

Admission Application Form
Jamia Imam Mehdi Arabic College

Emergency Contact

Hostel & Transport

Applicant Verification

Application Submitted!

Admission Application FormJamia Imam Mehdi Arabic College

Emergency Contact

Hostel & Transport

Applicant Verification

Application Submitted!

Admission Application Form
Jamia Imam Mehdi Arabic College