Madarsah Admission Form This form is used to enter student's information for Sydney Madarsah. If you need help, please contact Madarsah Committee. Child's Details Child's Full Name (For Ex: Burhanuddin Mustafa Jamnagarwala) * Child's Date of Birth (English) * Child's Date of Birth (Hijri) * Gender * Male Female Child's Ejamaat/ITS Number * Father's Details Father's Full Name * Father's Ejamaat/ITS Number * Contact Details Contact Email Address * Contact Primary Mobile Number * Contact Alternate Mobile Number (to be used in case of emergency if primary number is not reachable) Contact Home Number Address * Sydney Jamaat Registration Number (if you don't know your registration number, please contact Mulla Khozema Bhai Sherwala on Whatapp 0426 739 090). Other Details Commencement Date (English) If this child has any food allergy/dietary requirement, please mention here and provide medication (if required). Otherwise, please write NONE * If this child requires special care/need, please mention here. Otherwise, please write NONE. * In case of emergency if you are not contactable, please provide consent for medical treatment of this child * Consent provided Consent NOT provided Sibling Details Sibling 1 Name Sibling 1 DOB Sibling 2 Name Sibling 2 DOB Sibling 3 Name Sibling 3 DOB Sibling 4 Name Sibling 4 DOB
