e-maktab | Jamia Madina Tul Islam

NOTE! Click on the "add student" button at the bottom to register your child.

Details for the next of kin

Parent Name*

Address

City

Postcode

Mobile*

Home Phone (optional)

Email*

Occupation

Relationship*

Additional Contact Numbers (optional)

Add Contact

Additional Data (optional)

Parent Name

Address

Postcode

Mobile

Home Phone

Occupation

Student Form

Add Student

I consent that e-maktab can process this form and submit directly to Jamia Madina Tul Islam.