Personal Details

HIFZUL QURAN PLUS

Application Form For Admission 2021-22

Name of the Applicant

Name of the Father/Guardian

Age Date of Birth

Applicant’s permanent Address

Corporation/Municipality/ Panchayat Mohella

City Taluqa

State District

Pin Code Contact Number

E-mail Address/ID (If any)

Parents Details

Father’s/Guardian’s full name

Applicant’s relationship with the guardian

Occupation Educational quali�ication

Annual income Mobile No.

Mother’s full Name

2022 2021

Occupation Phone No.

Name of the Madrasa (last studied)

Year of last attended (Date)

Name & Details of course studied in Madrasa

Ifstudiedinschoolofmoderneducationpleasemention

School Name

Medium Class

Name and Signature of the Parents/Guardian Name and Signature of the Applicant

For Ofce Use Only

Admission No. Date of Interview

Remarks

Signature Seal

Head Of�ice : Shaheen Nagar, Bidar - 585403. | Website : shaheengroup.org | Toll Free : 1800 121 6235

Original Certi�icates Submitted Alimiyat Fazilat Iftaa Ha�iz

Inwhichofthesecentredoyouwanttotakeadmission

Head Of�ice - Shaheen Nagar, Bidar - 585403.

Zakat Foundation of India, Zakat House,Near Jama Masjid, Qazipura, Bahraich.

Balanagar, Mahboob Nagar Dist. Near Hyderabad,NH 44, Bangalore Highway, Telangana.

Madrasa Tajweedul Quran : Azad MarketRoad, Fyaz Ganj, Sadar Bazaar, New Delhi.

Andhe ki chowki, Hardoi Road, Lucknow.