Madinatul Uloom
Madrasa & Orphanage
Student Admission Form
Name of the Applicant:
Date of Birth:
Gender:
Grade:
Languages spoken:
Details of Siblings:
Parent's Information:
| Father's Name | |
| Father's Qualification | |
| Father's Email & Phone No. | |
| Father's Occupation | |
| Mother's Name | |
| Mother's Qualification | |
| Mother's Email & Phone No. | |
| Mother's Occupation |
Address:
Payment Details
I declare and affirm that:
I / my child am applying for admission to Madinatul Uloom Madrasa & Orphanage and I have fully understood the rules, conditions and policies of the institution and agree to abide by them.
I confirm that all information provided by me is true and correct, and that I have not submitted any false or misleading information.
I agree that if, at any time, any of my information is found to be false, the institution reserves the full right to cancel my / my child's admission.
I understand that my child must participate in all madrasa activities—education, discipline and behavior, prayers, regular attendance, and other prescribed programs.
I will strive to follow the policies, moral guidelines, and instructions of the institution and will show respect and service towards others.
I give permission for the madrasa to use my contact information, whenever necessary, to inform me about any announcements, notices, or urgent matters.
I understand that if any expenses fall solely under my personal responsibility (such as special educational materials, medical expenses, or others), I will fulfill those obligations in due time.
I promise that neither I nor my family will engage in any slander, rumor, or negative discussion against the madrasa, and that we will uphold all moral and social responsibilities.
I am voluntarily filling out this online/printed form and I am fully committed to complying with all rules, terms, and policies of the institution.
Date: ____________________________
Parent/Student Signature: ___________________________
Mobile Number: ___________________________