Student Application

PERSONAL INFORMATION:
First Name
Middle Name
Surname
Full Address
Post Code
Telephone
Email*
Date of Birth
Age
Ethnic Background
Nationality
Religion
Medical History ( is the child taking any medication )
Does the pupil have a sibling currently attending Azhar Academy? If yes, Name
Year
PREVIOUS EDUCATION:
School Attending
Address
Telephone
Year in School
Head Teacher
Form / Class Teacher
Madrasah Attending
Address
Teacher
Head Teacher
PARENT INFORMATION:
Name of Father (Guardian)
Full Address
Telephone
E-mail Address
Religion
Sect
Occupation
Work Telephone
Mobile
Name of Mother (Guardian)
Full Address (if different to above)
Telephone
E-mail Address
Religion
Sect
Occupation
Work Telephone
Mobile
EMERGENCY CONTACT:
Title: Mr/Miss/Mrs
First Name
Second Name
Full Address
Telephone
Mobile
Relationship with child
AGREEMENT
- 1. I agree not to interfere with the conducting of the School.
- 2. I agree not to approach or intimidate the class teacher.
- 3. I agree to hold myself responsible for any damages or injuries that may be caused by my
- 4. I agree to pay for the registration fee and the annual School fees of the child on the due dates.
- 5. I indemnify the Azhar Academy Girls School against any damages, injuries etc., during the child's attendance at the School.
- 6. I fully agree that my child will be subjected to, and I will fully comply with, the rules and regulations of the Azhar Academy Girls School.
- 7. I confirm that the information given above is correct.
DECLARATION BY PARENT / GUARDIAN :
Full Name:
Signature:
Relationship with Child :
Date
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Admission Date:
Year group you want to apply for your child:
Any additional Comments / Notes:

Azhar Academy Girls School

Student Application

PERSONAL INFORMATION:

PREVIOUS EDUCATION:

PARENT INFORMATION:

EMERGENCY CONTACT:

AGREEMENT

DECLARATION BY PARENT / GUARDIAN :

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Information