Shah Jahan Madrasa Registration
Please fill the details to add your child(ren) to our waiting list. For more information, please contact us about this form.
* denotes required field
*Your name: (Parent/Guardian)
*Surname:
*Relation to child:
Autofill:
Father
Mother
Brother
Sister
Type:
SELECT ↵
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Parent
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Sibling
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Emergency
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Other
*Your email:
*Confirm email:
Telephone:
Mobile:
Address:
Postcode:
Students
Child #
1
:
Surname:
D.O.B:
Gender:
SELECT ↵
Male
Female
Email:
Enroll:
--SELECT GROUP--
">
Weekday Madrasa
Weekend Madrasa
Hifdh Academy
Tuition School - Maths/ English/ Science
Sheerwater Madrasa
*New* Islamic Studies
Our Weekday Madrasa runs Mon/Wed/Fri 4.45pm to 6.45pm
Add medical info/notes
Medical Conditions
General Notes
500
remaining
Add Another Child
Contacts
You are the primary contact. You can add more contacts below.
Additional Contact #
1
Contact Name:
Email:
Tel.:
Mobile:
Alt. Mob.:
Relation:
Type:
SELECT ↵
Parent
Sibling
Emergency
Other
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.
Add Another Contact
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.
Submit Application