As-Salaam Academy Madrasah Application Form
Please complete the form below if you would like to register your interest for our As-Salaam Academy Madrasah Classes. Boys and Girls must be aged 4/+.

As-Salaam Weekday Madrasah operates on Monday to Friday for 2 hours per day 5pm-7pm.
As-Salaam Weekend Madrasah operates on Saturdays and Sundays from 9.00am-5pm (choose a preferred 2-hour slot).

Classes will be starting from September 2024.
Email *
Forename(s) *
Surname *
Child's Date of Birth *
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/
DD
/
YYYY
Full Address *
Postcode *
Father's Full Name
Father's Phone Number
Mother's Full Name
Mother's Phone Number
Main Guardian Name and Contact Number
 *
Name of previous/current Madrasah
 *
Applicant's Current Level of Study
 *
Amount of Quran completed
 *
Please enter how much the applicant has completed either by page number, juz or surah.
Has the applicant memorised any portion of the Quran?

If Yes, please state how much?
Please select the timing you are interested in. *
If interested in the Weekend Madrasah, please select from these timings (minimum 2-hour slot). Please note a student's age and ability will be taken into consideration when offering a place in one of these slots. *
Required
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