FDIS Application Form
FDIS Application Form
FDIS Application Form
Please write clearly using block letters in black or blue ink. Continue on additional sheets if necessary.
Please send completed application form and required documents to Admissions Office, Jamia Al-Karam, Eaton
Hall, Retford, Nottinghamshire, DN22 0PR.
Please give details of your present/most recent institution, as well as previous institutions attended:
..
..
..
..
..
..
Qualification (e.g.
Subject Grade Year Institution
GCSE, A Level, BA)
Section C Work History
Please give details of your full employment history or voluntary work undertaken:
From To
Organisation Job/Role Paid/Voluntary
mm/yyyy mm/yyyy
Please give details of other experiences that you consider relevant to your application:
..
..
..
..
..
..
..
Please write your personal statement here, continue on additional sheet if necessary:
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
Section F Further Information
Do you have any disability, health condition or dietary requirement that we should be aware of:
..
Do you have any criminal convictions or reprimands, or have you ever been charged with an offence:
..
Are you or have you been a member, follower or supporter of any organisation or group, whether
religious, political or otherwise?
..
Please indicate if you speak any other languages aside English, and the level (written, spoken):
Please ensure your references are sent along with your application as soon as possible.
Section H Declaration
I declare that the information given on this form is correct. I also agree that if admitted to Jamia Al-
Karam, I will abide by all its terms, conditions and regulations.
I acknowledge that all fees are non-refundable and that Jamia Al-Karam reserves the right to terminate
my enrolment at Jamia Al-Karam for any reason it may see fit without notice. I understand I must meet
the standard expected of me in conduct and character as well as in academic studies and within the
residential environment and the institution community as a whole.