Registration - Marhala Mutawassitah - Al-Qur'an Academy

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Marhalah Mutawassitah

Online Registration Form

First Name *

Middle Initial *

Last Name *

Gender *

Which best describes you? I am a… *

General Information (For New Student)

Please select your chosen level for the Marhala Mutawassitah program *

Age: *

Birth Date *

Ethnicity *

Current City / Province of residence *

Country *

Educational Background

Occupation *

If working, please indicate your work *

Current or Highest level of secular (non-islamic) education *

Current or Highest level of Islamic education (Write N/A if none) *

Name of Islamic Institution/Madrasah previously attended (Write N/A if none) *

AQA Student Account (For New Student)

Email address (must be @gmail.com) *This will be used for your AQA Student account and live session invite via Google Meet once you’re officially enrolled.

Confirm Email Address *

Contact Number (+63) *A valid PH mobile number is required. We can only communicate via SMS with local PH numbers.

Facebook Name *This will help us add you to the official AQA Facebook group and class chats

Facebook Profile link *

How would you like to continue this semester? *

Proceed to the next level

Which level would you like to proceed? *

Retake my previous level

If you decide to retake your previous level, you will begin this level anew and your previous grades will be disregarded *Yes, I understand

Which level would you like to retake? *

Review/Sit-in in my previous level

If you decide to review/sit-in, you will have access to live classes and LMS materials only, without examination access. Your grades and other records from the previous semester will remain as they are. *Yes, I understand

Which level would you like to review/sit-in? *

AQA Student Account (Continuing/Former Student)

Will you continue using the same email from the previous semester for your LMS account and Google Meet? *

Please provide your OLD email (use one email for both LMS and Google Meet) *If you forget your password, please send a message to the AQA Staff FB account for assistance.

Please provide your NEW email (use one email for both LMS and Google Meet) *

Contact Number (+63) *A valid PH mobile number is required. We can only communicate via SMS with local PH numbers.

Facebook Name *

Almost done!

Please review your details. If everything looks good, click Submit Registration to complete your enrollment.

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