Membership Application

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Step 1 of 2
Legal Name
mm/dd/yyyy
Must be at least 18 years old.
Address
Opt-in to receive email communications

I hereby certify that all information provided on the membership application form is correct.

I agree to abide by the rules and regulations as outlined in the General Operating By-Laws of Al-Mahdi Learning Institute (A.L.I.), including any amendments or resolutions that may have been or will be passed, accepted or adopted at any time.

I expressly agree to the use, collection and disclosure of the information provided herein by A.L.I. to generally further the aims and objectives of A.L.I. and to receive correspondence from A.L.I..

In addition to completing the membership application form, please also provide:

    • Documents required by the primary applicant.

Choose one from each group to satisfy the 4 required data elements (legal name, date of birth, signature, proof of residency)
Group A: Utility Bill, Bank Letter, Driver’s License
Group B: Driver’s License, Passport (Copy of photo page)

In case of emergency, please provide an emergency contact.

Emergency Contact Legal Name

Payment

Click or drag files to this area to upload. You can upload up to 4 files.
Please upload the required documents for your ID verification, and void cheques (if debit is chosen as a method of payment).