Spiritual Development Programme Registration of Interest Form Name of Madrasah*Please select the name of the Madrasah you representAbbassi MadressahAhlulbayt Academy of GlasgowAl Ahad MadrasahAl Asr MadressaAl- Haadi Islamic Shia Study CentreAl- Hujjat Study CentreAl- Husseini MadressaAl Mahdi MadrasahAl-Mahdi MadressahAl- Muntadhir Study CentreAl Murtaza MadressaAl- Qaaim Study CenterAl- Zahra MadrasahAz-Zahra MadressahBaab-ul-ilm MadressaDaar-ut-TarbiyahHaydari MadrasahHoussaini MadressaHusaini MadrasahHusayni MadrasahHuseini Sunday SchoolHussaini School, SaskatoonIabat Weekend SchoolIec AcademyImam Ali Centre, KentImam Hasan SchoolImamia MadressahIslamic Jaffaria Education Center (ijec)Ithna Asheri Heritage Learning InstituteJafaria School of Central JerseyJaffaria Academy LtdJaffarya CenterMadrasah Az- ZahraaMadrasah e ZainabiyaMadrasah Yusuf e Zahra (ATFS)Madressa Ahlulbayt (as)Madressa al MuhammadiyaMuhammadi MadrasahNour Al EmanNour CampPanjtan School of Victoria (PSV)R. I. S. E AcademySanie Zehra MadressahSharikatul Hussain Saturday WorkshopShia Ithna’asheri MadressaShia MadressaSIM EssexYadgare Murtazawi MadressahZainabiya MadressaZainabiya Madressa ReadingOtherIf other, please specifyAddress* City AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Number of teachers who wish to attend*Session 1 - Date* Date Format: DD slash MM slash YYYY Session 1 - Local Time (Please ensure you allow 4 hours for the workshop)* : HH MM AM PM Session 2 - Date* Date Format: DD slash MM slash YYYY Session 2 - Local Time (Please ensure you allow 4 hours for the workshop)* : HH MM AM PM Session 3 - Date* Date Format: DD slash MM slash YYYY Session 3 - Local Time (Please ensure you allow 4 hours for the workshop)* : HH MM AM PM Session 4 - Date* Date Format: DD slash MM slash YYYY Session 4 - Local Time (Please ensure you allow 4 hours for the workshop)* : HH MM AM PM Admin Contact Name* First Last Admin Contact Email Address* Admin Mobile Number*Any Comments Δ