Madrasah Taleemul Islam Registration

Assalamu Alaykum,

Please fill in the form below and select the class you are applying for.

JazakAllah

* 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

Student #1:

Surname:

D.O.B:

Gender:

Email:

*Enroll:

Pray & Play Session 1
Pray & Play Session 2
Reception Class
MISC Class

You can drag the Enrollment option choices up and down to re-order them in the order of your preference.

Add medical info/notes

Ramadhan Fund Paid?

Yes

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.

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.