Madressa Mahmoodia Registration

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Please complete the form below, The Application will be assessed within our routine timescales. While we endeavour to accommodate all applicants, submission of this form does not constitute an accepted place at the Madressa. All applications are treated with the strictest confidentiality. All fields are mandatory. Failure to complete any part of this form may result in your application not being processed. 

PLEASE INCLUDE 2 REFRENCES OF EITHER AN EXISITING PARENT OR TEACHER AT MADRESSA MAHMOODIA WITHIN THE "INFO/NOTES" SECTION BELOW. FAILURE TO INCLUDE THIS INFORMATION MAY RESULT IN YOUR APPLICATION BEING DELAYED. 

BY COMPLETING THIS FORM I CERTIFY I HAVE READ, UNDERSTOOD AND AGREE TO THE RULES & REGULATIONS OUTLINED BELOW. I ALSO UNDERSTAND THAT SUBMISSION OF THIS FORM IS A COMMITMENT TO CONFORM TO ALL RULES AND POLICIES GOVERNING STAFF AND STUDENT PROCEDURES AND CONDUCT.

* denotes required field
Autofill: Father Mother Brother Sister

Students

 Child #1:
 Surname:
D.O.B:
Gender:
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*Enroll:
Studying to learn the Reading The Holy Quraan
Add medical info/notes

Contacts

You are the primary contact. You can add more contacts below.
Additional Contact #1
 Contact Name:
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 Tel.:
 Mobile:
 Alt. Mob.:
Relation:
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