UPDATE- Student Details

Please complete the form below

Section 1

Applicant details

Student Name

First Name

Last Name

D.O.B

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Select

Section 2

PARENT/GUARDIAN DETAILS

Parent/Carer 1

First Name

Last Name

Phone

(###)

###

####

Email

Parent/Carer 2

First Name

Last Name

Phone

(###)

###

####

Email

Section 3

OTHER DETAILS

Please mention below details of any medical conditions, allergies etc.

Does the applicant have SEN? If YES please provide details:

Has the applicant had any involvment with Social/Probation services? If YES please provide details:

Section 5

Rules and Regulations

Decleration

Attendance: We take attenance very seriously, attendance of all days is a must, WE DO NOT enrol students who can only attend a certain number of hours.If due to any reason, your child will have to miss a day or come late, parents will have to ring the Madrasah before class time. Fees: Fees is to be paid IN FULL regardless of any kind of absences. Payment can be made in cash or via bank transfer.

We have read, understand and agree to abide by the terms and conditions stated in the madrasah Rules and Regulations. We confirm that all information provided on this form is true and accurate. We understand that the madrasah rules and regulations may undergo reasonable changes from time to time as circumstances require. We understand that the madrasah will store information provided about us and our child.