Maktab Ibrahim Registration Form

REGISTER details today in the following “Expression of Interest Form” to get onto our WAITLIST.

PLEASE NOTE OUR FEE STRUCTURE [subject to change, with notice]

ENROLMENT FEE + TERM FEE (Fees are subject to change with notice)
ADMIN FEE – ALL NEW AND RE-ENROLMENTS (non refundable): $10
ENROLMENT FEES ARE PAYABLE EACH YEAR (includes set of books):
$130 Beginner Class / $90.00 Class 1 and up
TERM FEES : $150.00 per child per term x 4
QURAN/QURAN PRIMERS : Must be purchased separately

STUDENT'S FAMILY NAME:*
GIVEN NAMES:*
GENDER:*
DATE OF BIRTH:*
DD slash MM slash YYYY
ADDRESS:*
POSTCODE:*
SUBURB:*
Please Provide below Parent / Guardian Contact Details :
FATHER / GUARDIAN NAME:*
FATHER /GUARDIAN MOBILE NO:*
FATHER /GUARDIAN WHATSAPP NO:*
FATHER/GUARDIAN EMAIL:*
MOTHER'S NAME:*
MOTHER MOBILE NO (Different from father's):*
MOTHER WHATSAPP NO (Different from father's):*
MOTHER EMAIL:*
MAIN CONTACT FOR EMAIL:*
PERSON RESPONSIBLE FOR FEES:*
MEDICAL INFORMATION
Does your child have any medical condition/special needs that the Maktab should be aware of? (If Yes, Please Advise)*
Does your child require any medication to be taken? If Yes, please provide details.*
ENROLMENT FEE + TERM FEE (Fees are subject to change with notice)
ENROLMENT FEES ARE PAYABLE EACH YEAR (includes set of books):
$130 Beginner Class / $90.00 Class 1 and up
TERM FEES : $150.00 per child per term x 4
QURAN/QURAN PRIMERS : Must be purchased separately
AGREEMENT
SIGNATURE:*
DATE:*
DD slash MM slash YYYY
Terms & Conditions*
- I, the parent/guardian, hereby apply for my child to attend the Maktab Ibrahim Southern River and hereby "Agree" to pay the fees and abide by the rules and regulations of the Maktab Ibrahim Insha'Allah*.

Maktab Ibrahim Registration Form

Please Provide below Parent / Guardian Contact Details :

MEDICAL INFORMATION

AGREEMENT

‘Aalim Course

Eid ul Adha Tue 18th June 2024

Eid-ul-Adha Tue 18th June 2024

CONTACT US

Maktab Ibrahim Registration Form

Please Provide below Parent / Guardian Contact Details :

MEDICAL INFORMATION

AGREEMENT