Usul al Din Islamic Studies Programme – 2020

Online Application Form



Thank you for your interest in studying at Madina Institute. In order to take the next step, we need some information from you so that we can process your application.


Before proceeding please ensure that you have:


At least 15 minutes to complete the form in one session


Certified Copy of ID Document, valid passport (if foreign Student)


Certified Proof of residential address that is less than 3 months old


Most recent school Report (if in Matric – Grade 11 report otherwise your most recent School finishing report)


If the applicant is under 18, the following will be required from the Parent/Spouse/Guardian


Certified Copy of ID Document, valid passport (if foreign Student) of the person responsible for payment


Should you have any queries please email us at or call +27 21 421 9027.


Should you prefer to fill in our offline form, download it MI Application Form v7


The admission rules can be found here Admission Rules



Banking details:

Account Name : Madina Institute NPC

Bank: ABSA

Account Type: Current Account

Account Number: 40 9257 0277

Branch Code: 63 20 05



Apply Online

Form 1A - Application Personal Details
If you are not a Citizen or Permanent Resident please complete below
Form 1B - Applicant Contact Details
Form 1C - Parent/Spouse/Guardian Details
Please Note: This information will be used as a reference for Next of Kin
Form 2 - Study Programme Applying For
Note: an applicant who wishes to apply to study the 2nd or 3rd year must please submit all qualifications from your previous Institute of learning  You may be required to submit subject records where applicable/requested
Note : Students may have to be interview by Madina Institute lecturers prior to acceptance
Madina Institute NPC is provisionally registered with the Department of Higher Education and Training until 31 December 2021 as a private higher education institution under the Act Registration certificate No 2018/HE08/00
Form 3A - Current Matric Student School Details
Form 3B - Post Matric or Foreign Student School Details
Foreign Students Only
Returning Students (Alumni)
Prior tertiary qualification: (please list all institutes registered at – if applicable)
Please list the following
Form 4A - Person Responsible for Paying the Fees (Mandatory)
Compulsory Payments

R250 (Two Hundred and Fifty Rands) payable with application

R1000 (One Thousand Rands) payable at Registration

Fees Payment Agreement
Bursary Application Process
Form 4B - Supporting Financial Details
Please only fill out this section if you require financial aid
Total Monthly Expenses is broken down into the following categories (Rand Value)
Contribution Towards Study Fees - In case full bursary is not approved)
Form S1 - Proficiency Requirements
Islamic Studies
Arabic Reading Proficiency
Rate your level of proficiency
select one
select one
Form S2 - Testimonials
Extracurricular Activity and Community Service
Please attach any relevant documentation to your application
This is to certify that shall I be accepted into the Madina Institute programmes, the fees and additional conditions as described in the admission rules will be adhered to
We thank you for your application and wish you all the success Please submit the application and we will get back to you shortly

Fields with (*) are compulsory.