e-maktab | Jamia Madina Tul Islam

Application Form

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

Parent Name*

Address

Postcode

City

Home Phone

Mobile*

Email*

Occupation

Relationship*

Add Contact

Parent Name

Address

Postcode

Home Phone

Mobile

Occupation

Add Student

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

Jamia Madina Tul Islam

98A Dogsthorpe Road, Peterborough

PE1 3AQ

Tel: 01733 851973

Email: Info@j-mi.co.uk

For admission queries please contact on the details above.