Elearning Houston Registration Form – Qism al-Tahfiz Houston

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First Name *

Middle Name

Last Name *

ITS Number *

E-mail *

Username (For Mahad Profile) *

Password (For Mahad Profile) *

Password

Confirm Password

Date of Birth *

Age *

Which city do you live in ? *

Which time zone are you in? *

Preferred Slot(s) in CST Only *

The Date from which you will be available to commence classes. *

Which page have you completed in hifz for Jadeed? For eg. pg 162 half *

Which Marhala is cleared on Elearning? *

Marhala 1 -( juz 30)
Marhala 2 - (juz 28-30)
Marhala 3 - (juz 26-30)
Marhala 4 - ( juz 1-5,26-30)
Marhala 5 - (juz 1-10, 26-30)
Marhala 6 - ( juz 1-15, 26-30)
Marhala 7 - ( juz 1-20, 26-30)

Whatsapp Number *

from to zone

Google Meet ID

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