Madrasah Taleemul Islam Registration

01.11.21

Assalumalaykum WWB,

Please fill in the form below to apply for a place at our Madrasah for the current academic year (2021/22).

Please note:

Two student contacts are required
Please include details of any medical, SEN or speech issues
You will receive an email to confirm that your application has been received
A second email will be sent to confirm your child's place. This process could take up to 10 days
Filling in this form does not guarantee a place

JazakAllah
Admin

* denotes required field

*Your name: (Parent/Guardian)

*Surname:

*Relation to child: Autofill: Father Mother Brother Sister

Type:

*Your email:

*Confirm email:

Telephone:

Mobile:

Address: Postcode:

Students

Child #1:

Surname:

D.O.B:

Gender:

Email:

Enroll:

Add medical info/notes

Contacts

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

Additional Contact #1

Contact Name:

Email:

Tel.:

Mobile:

Alt. Mob.:

Relation:

Type:

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

I/We declare that all the above information is accurate to my/our knowledge and that I/we will adhere to all Madrasah rules and regulations including (but not limited to) sending our child to Madrasah regularly and parking our car sensibly.

I consent that IBEUK can process this form and submit directly to Madrasah Taleemul Islam. Your data will not be stored nor used by us.