the New Jersey branch of AlMaghrib Institute.

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Durbah Sisters' Hifdh – 2012 Application

Please fill out the following application for Sisters' Hifdh if you are a New Jersey resident or a volunteer for Qabeelat Durbah.

* Required

Name *

E-mail Address *
Provide the one you check often.

Primary Telephone Number *
Write it in (XXX)-XXX-XXXX format.

Secondary Telephone Number *
Write it in (XXX)-XXX-XXXX format.

Address *
Include street, city, state and zip code.

Have you taken any seminars at AlMaghrib Institute in the past? *

These are classes where you have registered and paid.

If so, how many? *
Write N/A if not applicable.

What is the e-mail address you used to register for the AlMaghrib seminars? *
Write N/A if not applicable.

Are you currently a Qabeelat Durbah volunteer? *

If yes, provide your durbah.org e-mail. *
Write N/A if not applicable.

If yes, what department do you volunteer in? *
Write N/A if not applicable.

How much of the Quran have you memorized thus far? *
If you've completed a juz, write the juz number. If you haven't memorized a whole juz, write the surah names.

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