Madrasah Application

Please complete the form below fully. If any fields are incorrectly completed, the form will not be sent and you will be required to complete the red sections. Once you have submitted it with all fields filled in, a green confirmation should appear below the ‘Apply’ button.

*** The Madrasah is currently full and your applications will be placed on a waiting list ***

Class applied for
Section 1 [Child’s Details]
MaleFemale Birth
Does the child have a learning difficulty? YesNo
Does the child have a medical condition or allergy? YesNo
Section 2 [Previous Education]
Level of Qur’ān reading attained BeginnerCompleted Qā'idaAble to recite Qur'ān
Level of tajweed PoorAverageGood
How many Surah memorised
Able to perform Wudu YesNo
Able to perform Salah YesNo
Date of starting : Date of Leaving:
Section 3 [Parent or Guardian Details]

Section 4 [Next of Kin Details]
Do you agree to the Rules and Regulations of Islamic Centre Edgware YesNo

If you have difficulty completing this form, please contact us and we will assist you. (UA-24278895) (UA-24278895)