MADRASSAH APPLICATION FORM
Shan-e-Islam Registration
Shan-e-Islam Registration
"Please fill the details to add your child(ren) to our waiting list……."
* denotes required field
*Your name: (Parent/Guardian)
*Surname:
*Relation to student:
Autofill:
Father
Mother
Brother
Sister
Type:
SELECT ↵
Parent
Sibling
Emergency
Other
*Your email:
*Confirm email:
Parent Portal Password:
Confirm password:
If you already have an account and a password, you can skip this and leave it blank. Otherwise you should set your password now to login to the parent portal now.
Telephone:
*Mobile:
*Address:
*Postcode:
Students
Student #
1
:
Surname:
D.O.B:
Gender:
SELECT ↵
Male
Female
Email:
*Enroll:
Madrassah
During the week classes for children (Boys & Girls), From the age 5 years. Timings of the classes are, 1st shift (4:30pm till 5:45pm) and 2nd shift (6:0pm till 7:15pm).
Alim/Alimah
Classes for (Boys & Girls), From the age of 12 years. Timings of the classes are, (9:30am till 2:15pm). Sat-Sun
You can drag the Enrollment option choices up and down to re-order them in the order of your preference.
Add medical info/notes
Medical Conditions
General Notes
500
remaining
1. Previous
Did they attend Shan-e-Islam Madrassah – Alim/Alimah Classes?
Yes
No
2. Siblings
(required)
Any siblings attending Shan-e-Islam presently?
Yes
No
3. Their name(s)
If Yes, Please give name(s) of siblings
Add Another Student
Contacts
You are the primary contact. You can add more contacts below.
Additional Contact #
1
Contact Name:
Email:
Tel.:
Parent Portal Password:
Confirm:
Mobile:
Alt. Mob.:
Relation:
Type:
SELECT ↵
Parent
Sibling
Emergency
Other
Primary Contact?
This means the contact will receive emails related to the student. The contact will also see the student on the parent portal to view progress and other information. If you select no here, this contact will not see the student on the parent portal.
Add Another Contact
I consent that IBEUK can process this form and submit directly to Shan-e-Islam. Your data will not be stored nor used by us.
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