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ASI 2024-25 Student Retreats: Winter Off-Campus: Apply

This application form is to register your interest in attending the Winter Retreat off-campus from 12/12/24 – 15/12/24.

Your place is not confirmed until you have purchased the retreat on the next page.


Your Personal Information:

Please state your full ASI student ID:

Please ensure this is correct

Date of Birth:
Gender:

Nationality/Citizenship:




Your Education History:

Are you currently enrolled and attending classes on any of our Islamic Scholarship Programmes 2023-24? Please select which course you are currently on or select ‘No’ if you are not a current ASI student:

If you are not currently enrolled and attending classes, what is the highest level of the Islamic Scholarship Programmes that you have completed at Al-Salam Institute?

Further Questions:

Do you have any health conditions and/or learning disabilities?

(If yes, please write here, otherwise leave blank)
Are you attending the Student Retreat(s) with anyone else?

If yes, please list: their name(s) and their relationship to you, otherwise leave blank.
e.g. Winter Retreat with Mrs Amina Mohammad – mother. Spring Retreat alone

How did you hear about the Student Retreats:

We want to keep you updated with exciting news and upcoming courses and events. If you do not wish to receive updates from ASI please check the box below. You can unsubscribe at any time (see our privacy policy for more information).
I don’t want to hear about what’s happening at ASI even though I know I can opt-out at any time.
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I agree with all the Terms and Conditions set out by ASI

Once you click below, your application will be submitted
and we will send you a confirmation email.
Please check your junk/spam inbox to avoid missing any updates.