Admission Form

Applicant Details

Pupil's Medical Particulars

 Yes No

Father / Guardian's Particulars

Mother / Guardian's Particulars


 Father Mother Guardian
 I, the undersigned parent / guardian of pupil hereby absolve the Markaz Junubi Afriqiyah Al Islami or any person employed by the Madrasah from all liability for any loss of property and / or damage sustained by reason of injury to the said pupil’s property for the time he / she enrolls as a pupil of the Madrasah