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Student Details :
Parents / Guardian Details :
(Landline - Not Mobile)
(This number will be used as primary contact number)
(Please provide an emergency phone number to contact in case of the above phone number's are not reachable)

When you are asked to sign the DD mandate for monthly fee, remember to use the same email that you enter here

Address :
Create a username and password to access the parent portal :

Please create a username and password to access the parent portal to monitor student progress
(example: username : your first name or your email id    password : any password at least 6 characters)

Medical :
Does the student suffer from any serious or long-term illness, e.g. Epilepsy, Bronchitis etc?
Yes No   If ‘Yes’ please give details
Does the Student require any special (educational or other) needs?
Yes No   If ‘Yes’ please give details
Does the Student suffer from any allergies?
Yes No   If ‘Yes’ please give details
If required the following can be administered to the student
1. Paracetamol  
2. Antihistamine  
3. Over the Counter (OTC) drugs  
4. Please consent following
  1. Does Student Know Swimming  
  2. Travel sickness  
  3. Travel Permission  
  4. Photo Permission  
Islamic Education History :
Already attended islamic education   Yes No   If yes please provide details below
  I agree to the Terms and Conditions
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