Madrasah Zeenatul Quran UK

Details of Child

Gender:

Male Female

Child Name:*

Surname:*

Address:

Post Code:*

Home Tel No.:

Child's D.O.B:*

Child's Age:*

Years

Language Spoken at home:

Any Special Needs:*

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

Parents' Details

Father’s Full Name:

Mobile No:

Email:

Mother’s Full Name:*

Mobile No:*

Email:*

Emergency Contact Name & No

Contact Name:*

Relation to Child, if any?:*

Tel No:*

Address:

Previous Educational History

Name of Previous Madrasah Attended:*

Address:

Duration at the above Madrasah:

years

Reason for Leaving the above Madrasah:*

Number of Quran paras completed:

Or Qaida Page no:

Names of Arabic/English Books Studied:

Declaration

We respect your personal data and we want you to know exactly how our service works and why we need your personal details. Please state that you have read and agreed to these terms before you continue.

I grant my consent to Madrasah zeenatul quran to store personal details of me and my children attending Madrasah Zeenatulquran quran.*

I have provided my Address, phone numbers, email address and my children's birth certificate/passport copy as a proof of his/her age and as a proof of me being his/her parent.*

I consent to Madrasah zeenatul quran storing my and my children's personal details for the purpose of his/her Islamic education and all administrative activities related to the madrasah zeenatul quran .*

Email & Messages List*

I grant my consent to Madrasah zeenatul quran to store my personal details for sending me emails and or messages. I have provided my personal data for the purpose of receiving emails and messages from the Madrasah.

I agree with the Terms & Conditions of Child Admission Application*

Application for Child Admission