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Imam Gazzali Academy – Mukkod
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Imam Gazzali Academy – Mukkod
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Imam Gazzali Academy - Mukkod
Name of the Applicant
Email
Mobile Number
WhatsApp Number
Date of Birth
Name of Father
Name of Mother
Name of Guardian
Relation with Guardian
Occupation
Annual Income
Address
Place
Taluk
District
State
Name of School Previously Attended
Class intended to be admitted (School)
- Select -
8th std
9th std
+1
Name of Madrasa Previously Attended
Completed Hifz
- Select -
Yes
No
Partially
Medium
- Select -
English
Malayalam
Relation of the Guardian with Sunni Organisation
- Select -
KMJ
SYS
SSF
SMA
SJM
Other
Health Condition
- Select -
Fit
Physically Disabled
Mentally Disabled
Taking Medicines
Skin Condition
- Select -
Good
Rashes or Itching
Application Fees
₹100.00
Submit Application
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