Admission Form - Jamia Tul Madina UK

JAMIA-TUL-MADINA UK | ADMISSION FORM

Applicant Picture

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Applicant Forename (First Name)

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Applicant Surname (Last Name)

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Applicant Date of Birth

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Applicant Mobile Phone Number

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Applicant Email Address

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Applicant Postcode

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Applicant Place of Birth

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Applicant Current Address

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Gender

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Full-time or Part-time

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City

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Course

No Course exist for this City and Jamia.

Parent/Guardian Forename (First Name)

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Parent/Guardian Surname (Last Name)

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Parent/Guardian Relationship to Applicant

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Parent/Guardian Email

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Mobile Number

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Guardian Current Address

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Emergency Contact Name

Emergency Contact Name.

Emergency Contact Number

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Emergency Contact Number Relationship to Applicant

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Name of GP

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Practice Address (including Postcode)

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GP Telephone Number

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Does the applicant have any serious illness or injuries?

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Does the applicant have any known allergies?

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Does the applicant have any known medical conditions?

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Does the applicant have any particular or Special Needs?

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Does the applicant smoke?

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Name of School/College/University you are currently Attending If no, please enter N/A.

Please enter the name of the school.

School/College/University Address

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School/College/University Telephone Number

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Has the applicant had any involvement with the Police/Court(s)?

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Has the applicant had any involvement with a terrorist or anarchic group?

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Has the applicant previously been temporarily or permanently excluded from any previous institutes?

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Please provide the following required document:

Copy of a Valid Passport

Please bring the required documentation to your interview when called

Do you agree to bring all required documentation?

Photographs, video recording are used to track learning, on displays, websites, publications and electronic media I GIVE MY PERMISSION to be photographed and/or videoed for the above reasons.

I GIVE MY PERMISSION for a trained first aider to administer first aid to me, if required.

I give permission for my conduct and academic progress to be discussed & shared with my parent/guardian.

Any other information you think would be helpful for us to know about the applicant: If no, then please enter N/A.

We have read and understood all the rules and regulations in the Handbook and will adhere to them. We confirm that all the details completed in this form are true and accurate, and understand that our application will be terminated if we have knowingly given false information. We will inform Jāmia Tul Madīnah/ Dawat e Islami UK of any changes imme‐ diately, in writing.
Any information given to Jāmia Tul Madīnah/ Dawat e Islami UK as part of this application/registration form will be treated with the strictest of confidence. Any Data collected will be, fairly and lawfully processed, for limited purposes, adequate, relevant and not excessive, accurate, not kept longer than is necessary, processed in accordance with the data subjects' rights, held securely and not transferred to other organisations unless required to do so by for example Ofsted, health and safety legislation or other legal obligations.
PLEASE NOTE:

In the event that the number of students enrolled in a class does not meet the department’s minimum requirement, or if teaching staff are unavailable at your selected branch, the student will be transferred to another nearby branch or to Faizan Online Academy for online classes.
Students may only study up to the 3rd Year in a Full-time non-residential Jamiaa-Tul-Madina. From the 4th Year onwards, all students must continue their studies in one of the residential Jamia-Tul-Madina. If a student is unable to join a residential Jamia-Tul-Madina, they may continue their studies online through Faizan Online Academy from the 4th Year.
The final Year (Dora-Tul-Hadees) will only take place at Bradford Jamia-Tul-Madina.

Jamia Tul Madina Declaration