Admissions

Please Note: By filling in this form, a place is not guaranteed. You are requested to pass this form onto the above address, and we will contact you approx. 6-8 weeks before Ramadhan.

Child's First Name(s)*

Surname*

Date Of Birth*

Name of Sibling already at Madrasah

Session Applied:*

1st Session (4.25pm – 6.00pm)
2nd Session (6.10pm – 7.45pm)

Parent / Guardian’s Full Name

Address

Post Code

Area

Tel (Home) Essential*

Mobile- Father*

Mobile - Mother*

Email-Father*

Enter Email Confirm Email

Email-Mother*

Enter Email Confirm Email

Child Details (Select the appropriate option)*

This child is an absolute beginner (never been to a Madrasa).
This child is currently attending another Madrasa.
This child is at least 6 years old when filling this form in and is an absolute beginner.
This child has already started school

What year is your child in?*

Part 2

Only fill in this section if this child is currently attending a Madrasa or other similar establishment:

Name of Current Madrasah

No. of pages completed in Ahsanul Qawaid or equivalent:

No. of Siparas completed (if on the Quran):

Why is your child leaving his/her current Madrasa?

Anything else you think we may need to know:

Approx. length of stay in current establishment

Any disability or medical condition?*

Is there a disability / allergy / serious condition / learning difficulty which we need to know? You must provide this information for us to help your child progress. Please give FULL details. If NONE, then please state NONE. Please also refer to the guidelines that you will have received with this form.

Please select if appropriate

This child is involved with Social Services.

Yes
No

This child is statemented (SEN).

Yes
No

This child attends speech therapy or has attended in the past.

Yes
No

Please upload a copy of your child's birth certificate*

Accepted file types: jpg, gif, png, pdf, Max. file size: 25 MB.

The form will accept .jpg, .gif, .png or .pdf files. The maximum file size should be no more than 20MB.

Failure to attach a copy of your child's birth certificate will result in their application being rejected.

Declaration:*

I have read the pre-admission guidelines, especially in respect to additional needs etc. I grant Al-Ansaar Welfare & Education permission to store personal details submitted on the form. I consent to Al-Ansaar Welfare & Education storing these details for all administrative purposes.

Yes

Todays Date:*

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Madrasah Pre-Admission Form

Madrasah Pre Admission Form

Part 2

Part 2

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