Madrasah Taleemul Islam Registration

Assalamu Alaykum,

Please fill in the form below as accurately as possible.

Please select the class you are applying for from the class options.

JazakAllah

* denotes required field

*Your first name:

*Surname:

*Your email:

*Confirm email:

Date of Birth:

*Gender:

Portal Password:

Confirm password:

If you already have an account and a password, you can skip this and leave it blank. Otherwise you should set your password now to create your password.

Telephone:

*Mobile:

*Address: *Postcode:

Application Group:

*Enroll:

Ladies Hadeeth Class

Every Friday - 5:00 pm till 6:00 pm (term time only)
Adult Hifz Class for Males

Mon - Friday - 5:30 pm till 7:15 pm
Ladies Tajweed Class

Every Monday 5:00 pm till 6:00 pm (term time only)
Womens' Quran Memorisation Circle

Every Monday 10:30 am till 12:00 pm (term time only)

You can drag the Enrollment option choices up and down to re-order them in the order of your preference.

Add medical info/notes

Contacts

You are the primary contact of yourself as the student. You can add additional contacts such as Husband/Wife, Father, Brother etc. as primary contacts or emergency contacts.

Additional Contact #1

*Contact Name:

Email:

Tel.:

Parent Portal Password:

Confirm:

Mobile:

Alt. Mob.:

Relation:

Type:

Primary Contact? This means the contact will receive emails concerning you such as fees reminders, receipts, end of year reports etc. The contact will also see your data on the parent portal to view progress and other information. If you select no here, this contact will not see you on the parent portal.

I agree to the terms and conditions of MTIUK

I consent that IBEUK can process this form and submit directly to Madrasah Taleemul Islam. Your data will not be stored nor used by us.

Please press the following buttons in order to confirm you're not a bot: