Admission Form

Child Name

Surname

Post Code

Home Tel No

Your D.O.B

Language Spoken at home

Address

Any Special Needs

If you already have children praying in this Madrasah please write their names

Father’s Full Name

Mobile No

Email

Mother’s Full Name

Mobile No

Email

Contact Name

Relation to Child, if any?

Tel No

Address

Name of Previous Madrasah Attended

Duration at the above Madrasah

Reason for Leaving the above Madrasah

Number of Quran paras completed

Or Qaida Page no

Names of Arabic/English Books Studied

Address

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