Course Booking Form

QUESTION (* is mandatory)	PLEASE FILL IN AS FULLY AS POSSIBLE (* is mandatory)
Registered Name*
Islamic Name (If different)
Address*
Postcode*
Mobile Telephone*
E-mail*
Gender*	Male Female
Age Group*
Country of Origin / ethnicity*
Previous Religion *
When did you accept Islam? *
Where did you hear about this course?
On which course(s) would you like to enrol? (Please select those you would be interested in. We will contact you when they are available)	Courses currently being offered Introduction to Islam Learning to read the Qur'an Learning to pray Salah	Please select future courses that you may be interested in The Islamic Belief Basic Worship Basic Islamic history Living Life as a Muslim Islamic Jurisprudence
Explain below what studies you have undertaken, formal and informal and what you would like to achieve from this course, and any other information that you would like to add.