Full Name *

This name will appear on your award

Nationality *
—Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (formerly Swaziland)EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth Macedonia (formerly Macedonia)NorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican City (Holy See)VenezuelaVietnamYemenZambiaZimbabwe

Iqama Number *

Gender *
—Please choose an option—MaleFemale

Whatsapp Number *

City of Residence *
—Please choose an option—JeddahRiyadhDammamMadinaMakkahYanbuJubailOther

Is student father or mother from memon community *
Yes

Your email *

Education *
—Please choose an option—Full HafizPart HafizKG1KG2KG3Grade/Class 1Grade/Class 2Grade/Class 3Grade/Class 4Grade/Class 5Grade/Class 6Grade/Class 7Grade/Class 8Grade/Class 9 (O Levels)Grade/Class 10 (O Levels)Grade/Class 11 (A Levels)Grade/Class 12 (A Levels)Bachelor's DegreeMaster's Degreeother

Enter Detail of Education (part hafiz chapters completed, bachelors and masters specialization or other education)

Percentage or Grade *

School/Institution Name *

Passing Year *

Upload Grade Sheet file size not exceed 2 MB (file format: .jpeg .png .jpg .pdf)

Other Documents Optional file size not exceed 2 MB (file format: .jpeg .png .jpg .pdf)

Your photo will be featured on the big screen during the award ceremony. Please upload a recent, high-quality photo for the best presentation file size not exceed 2 MB

Notes (Optional)

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