Application Form

Download the Application Form or fill in the form below.

PERSONAL INFORMATION
FIRST NAME*
MIDDLE NAME
SURNAME*
FULL ADDRESS (excluding post code)*
POST CODE*
DATE OF BIRTH *

DD
MM
YYYY
AGE*
Year group applied for (please tick appropriate)
- Nursery
- Reception
- Year 1
- Year 2
- Year 3
- Year 4
- Year 5
- Year 6
DATE YOU WISH FOR YOUR CHILD TO START
ETHNIC BACKGROUND
NATIONALITY
HOME TELEPHONE NUMBER
RELIGION
NAME & ADDRESS OF SCHOOL YOUR CHILD IS PRESENTLY AT
DOES THE PUPIL HAVE A SIBLING CURRENTLY ATTENDING AZHAR ACADEMY GIRLS SCHOOL?*
- YES
- NO
NAME
Name of the sibling
YEAR
year they are attending
PARENT INFORMATION
NAME OF FATHER (GUARDIAN)
TELEPHONE
EMAIL
RELIGION
OCCUPATION
WORK TELEPHONE
MOBILE
NAME OF MOTHER (GUARDIAN)
TELEPHONE
EMAIL
RELIGION
OCCUPATION
WORK TELEPHONE
MOBILE
YOUR DETAILS:
FULL NAME
SIGNATURE
RELATIONSHIP WITH CHILD
Date

Azhar Academy 470 High Road, Leytonstone, London E11 3HN

PERSONAL INFORMATION