The Azhari Madrasat Application Form

 
 
Request edit access
Application for The Azhari Madrasat (TAM)
*Required
Email address *
Your email address
Child's Surname *
Your answer
Child's First Name *
Your answer
Child's Date of Birth *
Your answer
Gender *
Required
Home Address *
Your answer
Post Code *
Your answer
Parents/Guardians of Pupil Relationship *
Required
Parents/Guardians Surname *
Your answer
Parents/Guardians First Name *
Your answer
Address (if different from the above)
Your answer
Occupation
Your answer
Home Telephone
Your answer
Mobile - we prefer to communicate by Telegram and/or WhatsApp where possible *
Your answer
Emergency contact name *
Your answer
Relationship to Pupil *
Your answer
Emergency telephone number *
Your answer
Secondary telephone number (next of kin) *
Your answer
Security password (if sending another adult to collect your child)
Your answer
How will the child usually travel to and from Madrasat *
Required
Previous Madrasat attended (name and area) *
Your answer
When did the pupil last attend Madrasat and to what level (please give details) *
Your answer
Please give details of any current medical conditions/allergies your child has. *
Your answer
Language(s) spoken at home
Your answer
Fees
The preferred method of payment is bank transfer as follows:
The Open School for Arabic & Islamic Studies (OSAIS), Account: 00123374 Sort Code: 40-11-56.
You may also pay by cheque payable to The Open School; or by cash.

I understand the regristration fee of £56.00 is due upon acceptance of my application and annually thereafter.

I understand the regular fee is £12.00 per child per week.

Please email azharimadrasat@gmail.com for details of discounts that apply for sibling applicants.
Please email in confidence with issues relating to financial difficulties.

Promotions/Advertisements
Declaration *
Required
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service