Madrasah Taleemul Islam Registration

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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
Autofill: Father Mother Brother Sister

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:

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.