Madrasah Taleemul Islam

2026/27 - Admission form

person Student Details

First name *

Surname *

Date of birth *

Gender *

Male Female

Admission for

Home address *

Ethnicity *

Languages spoken at home

Does the student have any medical conditions or allergies? *

Yes No

Does the student have any special educational needs (SEN)? *

Please share any special educational needs or additional support needs your child has so we can support them effectively.

Yes No

Has the student previously attended a Madrasah?

Yes No

Search for previous Madrasah

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School name

School year

e.g. Year 3

Does the student have siblings atMadrasah Taleemul Islam

Yes No

Are you a member of PMS Jamea Masjid? *

Yes No

people Contact Details

Do the natural parents / guardians live together?

Yes No

Who is the child's primary guardian?

Mother Father Other

info A separate address will be requested for the non-primary guardian in the contacts section.

person Father Required

First name *

Last name *

Phone *

Email *

home Address for Father

person Mother Required

First name *

Last name *

Phone *

Email *

home Address for Mother

fact_check Declaration

Do you have any questions or additional information regarding your application?

I have read and accept that the information provided is accurate and I consent to this data being stored securely by Madrasah Taleemul Islam for the purpose of this application.

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Application received

We will review your application and be in touch shortly.

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