Student 1 Full Name
Date of Birth
Age
Main language spoken by your child
Medical Health/ Allergies
Course - Select Course -QaaidahJuz AmmaQuraan
Class - Select Class at -Madrasah at Baitul MukarramMadrasah at Blochouse BayPre Madrasah ClassTeen boys ClassTeen girls Class
Student 2 Full Name
Student 3 Full Name
Father's Name
Father's Occupation
Father's Contact number
Mother's Contact number
Home Address
Email-id
Whatsapp Number: The Madarsah uses Whatsapp to send messages to parents, please provide Whatsapp numbers:
Father's Whatsapp number
Mother's Whatsapp number
I have read the Madarsah Information booklet. I agree with all its content. And I will to my best ability abide to the rules and regulations of the Madarsah.
I agree
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