NAJAM CENTER LILBURN Maktab Program Interest Form

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By Najam Institute

Assalamu Alaikum,

Thank you for your interest in the Evening Maktab Program offered by Najam Institute at Darul Arqam. This program is designed to help students build a strong foundation in Qur’an, Islamic studies, and character development.

All prospective students are required to complete a short placement process before enrollment.

This form allows you to express your interest and register your child. After submission, our admissions team will follow up with next steps and program details, inshaAllah.

Please complete the form carefully. We look forward to supporting your child’s growth in knowledge, faith, and character.

Jazakum Allahu Khairan

Student Full Name *

Student Age *

Student Gender *

Male

Female

Parent/Guardian Full Name *

Relationship to Student *

Phone Number (WhatsApp preferred) *

Email Address *

Have you attended a Najam program before? *

Yes

What is the Quran reading level of the student? *

Started Qaida

Finished Qaida

Started reading Quran (beginner)

Fluent in reading Quran

Submit

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