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Urdu Online Programs – Student Exit Form
Urdu Program Student must fill this form if they decided to leave their Online Program and don't wish to continue.
Your Full Name
*
Your Email Address
*
Please select your Program
*
Urdu Alimah Program
Quran Program
Enrolled year/darjah in Alimah Program
*
Khassah Awwal - Y01
Khassah Thani - Y02
Aaliyah Awwal - Y03
Aaliyah Thani - Y04
Aalimiyyah Awwal - Y05
Aalimiyyah Thani - Y06
Your Qur'an Program Registered Stream
*
QP - Regular
QP - Minimal
QP Listener/Auditor
I have decided to leave the course because
*
I have talked to
*
(name of the TA, Coordinator or Teacher)
Do you wish to receive an update for next year’s registration?
*
Yes
No
Your student account will be closed within 2 weeks after filling this form. JazakumAllah Khayr!
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