The Atlanta Dar-Ul-Uloom - Application For Admission Page 4

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FOR OFFICE USE ONLY
Entrance examination:
Qur’an reading:
Tested by: ______________________________________________________ Passed
Yes
No
Comments _________________________________________________________________________
Financial:
Admission fee: $100/-
Agreed fees:
$450
$350
Other__$______ Explain: ______________________________________
Payment schedule:
Monthly
beginning of each term:
Annually
Amount Received____________ Date: __________ Balance to be paid: ________ Due Date: ____________
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Signed Co-Directors or Designate: _____________________________________ Date: _________________

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