Student Application

PERSONAL INFORMATION:
First Name*
Middle Name
Surname*
Full Address*
Post Code*
Telephone*
Students Email*
Date of Birth*
MM slash DD slash YYYY
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
Which Year are they in
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 (Father)
Religion
Sect
Occupation
Work Telephone
Mobile
Name of Mother (Guardian)
Full Address (if different to above)
Telephone
E-mail Address (Mother)
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 all needs of my child, including health and learning needs have been provided as part of the application.
- 8. I confirm that the information given above is correct.
DECLARATION BY PARENT / GUARDIAN :
Full Name:
Signature:
Relationship with Child :
Date
DD slash MM slash YYYY
Year group you want to apply for your child:*
Any additional Comments / Notes:
Application Form Admin Fee*
Application Form Admin Fee - £50*

A £50 non-refundable application/entrance exam fee must be paid online upon submission of the application. Only one application per student should be submitted. No refunds will be issued for duplicate applications. Upon successful submission, each application will receive a unique ID number.

Azhar Academy Girls School

Student Application

PERSONAL INFORMATION:

PREVIOUS EDUCATION:

PARENT INFORMATION:

EMERGENCY CONTACT:

AGREEMENT

DECLARATION BY PARENT / GUARDIAN :

Information