Registration for Individual Learning Course Selection Course Name Course Day Course Time Room Number Course Reference Google Classroom Link Student Details AIMS No * Student First Name * Student Last Name * Age Group Atfal (11-12) Atfal (13-14) Atfal (15-16) Atfal (7-8) Atfal (9-10) Email * Confirm Email * Phone Jama'at Aldershot Baitul Ehsan Baitul Futuh Baitul Futuh East Baitul Futuh South Balham Barking & Dagengham Battersea Bexley & Greenwich Birmingham Central Birmingham East Birmingham North Birmingham South Birmingham West Blackburn Bolton Bournemouth & Southampton Bradford North Bradford South Bristol Bromley & Lewisham Burntwood Burton-upon-Trent Cambridge Cardiff Carshalton Cheam Cheam South Clapham Clapham Junction Colliers Wood Coventry Crawley Croydon Central Deer Park Devon & Cornwall Doncaster Dundee Earlsfield Edinburgh Epsom Ewell Farnham Fazal Mosque Gillingham Glasgow Greenford Guildford Hartlepool Havering Hayes High Wycombe Hounslow North Hounslow South Huddersfield North Huddersfield South Inner Park Islamabad Jamia UK Keighley Kingston Leamington Spa Leeds Leicester Liverpool Lower Morden Luton Malden Manor Manchester East Manchester North Manchester South Manchester West Merton Park Milton Keynes Mitcham Mitcham Park Morden Morden Park Morden South Mosque East Mosque South Mosque West New Malden Newcastle Newham Newport Norbury North London North Wales Northampton Northern Ireland Nottingham Oxford Peckham Peterborough Preston Purley Putney Putney Heath Raynes Park Reading Redbridge North Redbridge South Richmond Park Roehampton Roehampton Vale Scunthorpe Selsdon Sheffield Shirley Slough Southall Southfields Southmead Spen Valley Stevenage North Stevenage South Stockport Surbiton Sutton Swansea Thornton Heath Thornton Heath South Tolworth Tooting Tooting Bec Tooting Broadway Upper Mitcham Wallington Walsall Waltham Forest Walton on Thames Wandsworth Wandsworth Town Watford West Croydon Wimbledon Wimbledon Park Wimbledon South Woking Wolverhampton Worcester Park Country * United Kingdom Parent/Guardian's Name Parent/Guardian's Email Confirm Parent/Guardian's Email Parental Consent * I confirm that I am the parent/guardian of the child and give my consent Consent * By clicking here I am giving my consent to AMA UK to contact me by Email or Telephone. I confirm that I have read and agree to comply with the terms and conditions of its privacy policy. Verify Email of Verifier Decision Not Verified Verified Remarks Your Name Your Email Your Jamaat Date Verified If you are human, leave this field blank. Submit Δ