Madrasah Ta'leemul Islam Application Form

* denotes required field

*Your name: (Parent/Guardian)

*Surname:

*Relation to student: Autofill: Father Mother Brother Sister

Type:

*Your email:

*Confirm email:

Parent Portal Password:

Confirm password:

If you already have an account and a password, you can skip this and leave it blank. Otherwise you should set your password now to login to the parent portal now.

Telephone:

*Mobile:

*Address: *Postcode:

Students

Contacts

You are the primary contact. You can add more contacts below.

Additional Contact #1

Contact Name:

Email:

Tel.:

Parent Portal Password:

Confirm:

Mobile:

Alt. Mob.:

Relation:

Type:

Primary Contact? This means the contact will receive emails related to the student. The contact will also see the student on the parent portal to view progress and other information. If you select no here, this contact will not see the student on the parent portal.

Jazak'Allahu Khaira for submitting your application

A member of our Management Team will review your application and will be in touch in due course.

For any general enquiries, please email enrol@jaamemasjid.org

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Madrasah Ta'leemul Islam Jaame Masjid Registration

Madrasah Ta'leemul Islam Application Form

Students

Contacts