YEMEN AL KHAIR CENTER
א א
FOR LANGUAGES & COMPUTERS
א~~א ٦٢١٤٣. ~ אא
DATE : NO : REF :
/
/
: #$ا'&ر : )*+'ا : ع-.-/'ا
Application Form This form is to be filled in by all students wishing to attend the Yemen Al-Khair Institute. Please use block capitals and include all traveling family members. Full name: (as shown on passport)
Passport number:
Nationality:
Passport expiry date:
This form is to be faxed to us along with a tazkiyah and the conditions document(s) to: 00967-5335801
Please provide us a contact email address and an approximate date of travel.
Email address:
Date of travel:
/
/
May Allaah extol and send blessings of peace upon Muhammad, his true followers and his Companions.
[email protected] [email protected]
٠٥/ ٣٣٦٣٧٣ : ه ٠٥ / ٣٣٥٨٠١ : آ