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ASI Student Retreat Spring 2023: Apply (Off-campus)

Your Personal Information:

Please state your full ASI student ID:

Date of Birth:


Your Education History:

Are you currently enrolled and attending classes on any of our Islamic Scholarship Programmes 2022-23? Please select which course you are currently on or select ‘No’ if you are not a current ASI student:

What is the highest level of our Islamic Scholarship Programme that you have attended?

What is the most recent ASI residential that you have attended?
SSJ stands for Sacred Sciences Journey and KR stands for Knowledge Retreat

Further Questions:

Are you attending this retreat with anyone else?

Are you attending this retreat with any dependents?

If yes, please list:
Their names, their relationship to you
e.g. Mrs Mohammad – mother

Any children between the ages 3-11, please ensure you purchase their ticket separately


Health Conditions and/or Learning Disabilities:

(If Yes write here)

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