"[LATEST UPDATES] RAMADHAN> 1st of Ramadhan 12 March 2024. DONATIONS> You can now make Contactless/Bank Card Donations in the masjid."

"The mosques of Allah are only to be maintained by those who believe in Allah and the Last Day and establish prayer and give zakah and do not fear except Allah, for it is expected that those will be of the [rightly] guided."
Surah Tauba [9:18]

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Course Admissions

1. ADMISSION CATEGORY

Class Type *
Preferred Method of Learning *
Select Course..... *
Select appropriate Date/time for the course.... *

2. STUDENT DETAILS

First Name(s) *
Surname *
Gender *
Date of Birth *
Mobile Tel No. *
Email *
Nationality *
Full Home Address *
City/Country *
Post code *

3. LANGUAGE AND COMMUNICATION SKILLS

Able to communicate verbally in English? *
yesno
Language spoken at home *

4. MEDICAL INFORMATION

Asthmatic or other breathing disorder? (please answer yes or no) *
On regular medication? If yes, give details. *
Any other condition, allergies, long term illness, skin condition preventing use of hand cleaning gel or soap? (please answer yes or no) *

5. PARENT-1 DETAILS (If you're under 18)

First Name(s)
Surname
Relationship
ParentGuardian
Email
Mobile Tel No.
Home Tel or 2nd mobile.
Work Tel No.
Address (if different to student's)
Post code

6. PARENT-2 DETAILS (If you're under 18)

First Name(s)
Surname
Relationship
ParentGuardian
Email
Mobile Tel No.
Home Tel or 2nd mobile.
Work Tel No.
Address (if different to student's)
Post code

7. ADDITIONAL INFORMATION (optional)

Please use this space to provide any additional information about the student which may help us during the admission / assessment process.
Maximum words allowed: 100. Total words: 0

8. DECLARATION

- [Before submitting this online application, please read the documents by clicking on the links provided.]
- By ticking each of the boxes below, the student, or, the parent / guardian of the student (if student is under 18) hereby confirm that I’ve read and understood each of these documents and I agree to the content of each document in their entirety.
- Code of conduct for Students
- It is crucial that students respect the learning environment. A learning environment begins with healthy self‐esteem and respect for others.
- All students are expected to fully adhere to following ‘Code of Conduct’.
- 1. I’ve read and agree with 'Code of conduct for Students' outlined above. *
  Yes
- 2. I’ve read and understood 'GDPR Notice' (click here to view/download document). *
  Yes
- 3. I’ve read and understood 'COVID-19 Liability Waiver' (click here to view/download document). *
  Yes
- If student is under 18, please provide full name of Parent/Guardian submitting this form?

Verification

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