ALMISBAH PROGRAM

5th Academic Year 2018 - 2019

PLEASE READ CAREFULLY EVERY POINT BEFORE FILLING UP THE APPLICATION FORM

(No need to Submit this Instructions Page along with Application Form)

SELECTION CRITERIA

1) Student should be offering 5 times daily prayers and excellent conduct is mandatory. (If possible
bring a letter from Masjid's Imaam for the same)
2) Student should be currently enrolled at any international school and remain so during Al-Misbah
course.
3) Student should be having competitive marks and be a good student among his schoolmates.
4) Student should be between 10 to 13 years of age while registering and be currently
enrolled at his fifth to seventh grade / Class.
5) Student should be willing to complete his studies for 5 years consistently.
6) Friday and Saturdays should be free for AlMisbah Program and should not participate in any other
activities on weekends, even in the school.
7) Entrance Examination date will be intimated after End of the Registration Date. Entrance Exam will
be in MCQ( Multiple Choice Questions) pattern. Exam will be in the subjects of Islamic Studies,
General Knowledge, Personal Development Skills, Basic Arabic Writting. Please download Islamic
Studies Book from the same website to prepare for Entrance Examination. Other subjects
will be general upto the class 6.
8) Based on their performance in written exam, Only top scored students will be called to face an oral
interview with their father. The final results will be purely depends upon their aggregate marks in
Written exam, Oral Interview, Academic marks and other skills.

REQUIRED DOCUMENTS FOR SUBMISSION

1)Submit completely filled Al-Misbah Application form with the requested documents.
2)Photocopy of valid Iqama and passport of both student and father.
3)Completely filled and signed consent form by the legal guardian of the enrollee.
4)2 passport size recent photographs.
5)A certified letter (Bonafied Certificate) from the school is required that the applicant is the student
of respective school and good conduct.
6) Submit copy of progress reports or marks sheets for the last two years.
7) Submit photo copies of other certificates if any.(School, Qur-aan Memorization, Competitions &
other skills etc.,)
8) If the required documents are incomplete or unauthentic, application will be rejected without any
further information. If any information is not mentioned properly then its related marks will be
deducted.
Note:
a) Application forms with documents should be submitted between 09-Mar-2018 & 05-May-
2018 (Friday from 2:00 PM to 4:00 PM and Saturday from 10:00 AM to 1:00 PM.) at
ALMISBAH Office in Jamea Masjid Abdu razzaq afifi, Hayya ALMAROOJ ( Please see the
Location map of the School Address)
b) No need to bring your Son at the time of Submission of Application.
c) For further assistance you may contact us at misbahprogram2050@gmail.com

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 ALMISBAH PROGRAM Paste your recent
colour passport
ADMISSION APPLICATION FORM size photograph
here
5th Academic Year 2018- 2019
(White Background)

Reg. # Date:

Student Name: Father Name: Family Name:

Name as mentioned in the passport:

City Country
Nationality: Place of Birth:

Date of Birth: Year Month Day Age as on Years Months Days

th
(as per Passport) 7 Sep, 2018:
(Age must be between 10 to 13 Years as on 7th Sep 2018)
Name of the International School: Grade :

Student’s Iqama : ________________

Grade and Honor: Grade (Std) Marks Aggregate Percentage of Marks

(Attained During the Last Two Years)
(Ex. VI 950/1000 95%
VII 968/1000 96.8%)

Languages
Mother Tongue:
Spoken:

Quran Memorization: How many parts (Juz) of the Quran have How many chapters (Suras’) have
Memorized memorized
From: To:

How are you Studying the Quran:

Teacher is coming Quran Halaqas
Not Studying
to house  (Masjid)  

Computer Skills: Yes  No  If yes specify:

Any other extra

Curricular Activities:
Yes  No  If yes specify:

Is your brother or
If yes Write his
relative studying at Yes  No  Name & Grade :
Al-Misbah :

Your Hobbies :

Do you attend any Dars Yes  No 

(Lecture)
If Yes write: Place: Lecturer: Language:
How do you know about
AlMisbah

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 STUDENT’S FAMILY PARTICULARS

Father’s Name: Middle Name: Family Name:

1) Age: (Years) 2) Qualification: 3) Occupation:

4) Name of Company: 5) Designation:

6) Mobile Number: 7) Phone Number: 8) Fax Number:

9) Email ID : 10) Duty Hours From: To:

11) Languages Known (Can Speak, Read & Write): a) (Best) b)

c) d) e) Mother Tongue:

Address in KSA:

Address In home Country:

Income Per Month : SR 2000-4000  SR 4000-9000  SR 10000 and Above 

MOTHER’S PARTICULARS

1) Qualification: 2) Occupation: 3) Skills:

4) Languages Known (Can Speak, Read & Write): a) (Best) b)

c) d) e) Mother Tongue:

HOW DO YOU SUPPORT YOUR CHILD FOR AL Al Misbah STUDIES

By Arranging A Teacher  Father will spare time  Mother will spare time  Others 

Please mention at least 2 important reasons for seeking admission to Al-Misbah Program:
1)
2)
3)

PARENTS’ DECLARATION

I certify that all the information provided in this form is true and correct. There is no omission of fact or
information of significance, in context of this application. I confirm having read all the rules and regulations
of Al Misbah Program and have understood the same. I agree to abide by all of them. I also agree to terms
and conditions of the Al Misbah Program that may be revised or newly incorporated as circumstances,
preventive measures, or improvements may require.

Signature of Father:

For official use only:

Selected  Rejected 
Approved by:

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 HEALTH PARTICULARS

Is your son suffering from any chronic ailment which needs special attention?

Yes  No 

If yes please specify:

RESIDENCE LOCATION

ADDRESS:
District: Street Name: House Number:

Residence Mobile Phone Number

Telephone Number: of Guardian:

Mobile Phone Number

Emergency Contacts:
of Student:

Location Map:

Draw Location Map here

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 ALMISBAH PROGRAM
5th Academic Year 2018 - 2019

CONSENT FORM from Father / Guardian

I, the undersigned, of …………………… Nationality, the legal guardian of ………………………………

give consent to my son to enroll in the Al-Misbah Program for Arabic Language and Islamic Studies
Course with my full cooperation with the facilitators of this program and my assurance that my son will
attend this program until his completion for 5 years.

Name :
Iqama Number :
Passport
:
Number
Mobile Number :
Email ID :

Signature