Brothers Registration - Jamia Ilmiya Toronto

Name and Surname*

Father's Name*

Date of Birth*

Place of Birth*

Current Physical Address*

Telephone Number*

Email Address*

Marital Status*

Single

Married

What languages do you speak, read, or write?*

Secular Education Level*

List your education level received and number of years.

Islamic Education*

Please enter any formal Islamic education that you have received

The most important channel through which I have acquired my knowledge of Islam is:*

The second most important channel through which I have acquired my knowledge of Islam is:*

The third most important channel through which I have acquired my knowledge of Islam is:*

How many books have you read in the past year?*

Of all the books you have ever read, which three did you like the most?*

List some of the authors that you like to read.*

How did you hear about the Summer Intensive Course?*

What do you hope to achieve by attending the Course?*

Is there any topic that you are interested in or would want to know more about and that is not listed as one of the course topics?*

This field should be left blank