Shah Jahan Madrasa Registration

Please fill the details student(s) to our waiting list. For more information, please contact us about this form.

* denotes required field

*Your name: (Parent/Guardian)

*Surname:

*Relation to student: Autofill: Father Mother Brother Sister

Type:

*Your email:

*Confirm email:

Telephone:

*Mobile:

*Address: *Postcode:

Students

Student #1:

Surname:

D.O.B:

Gender:

Email:

*Enroll:

Our Weekday Madrasa runs Mon/Wed/Fri 4.45pm to 6.45pm

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 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 consent that Shaha Jahan Madrasa can process this form and use my data for their internal processes. No data will be shared with any third party organisations.

I consent that IBEUK can process this form and submit directly to Shah Jahan Madrasa. Your data will not be stored nor used by us.