Enrol – Afiyah Learning

Afiyah Learning Madrasah Registration Form (Boys Only)

If you are applying for more than 1 child, please fill in a new form for each student.

Thank you for showing interest in our online madrasah.

After you submit your form, you will be contacted when there is space or a new class forming, In Shaa Allaah.

Parent/Guardian First Name

Parent/Guardian Surname

Parent/Guardian Email

Parent/Guardian Mobile Number (including country code)

Parent/Guardian Gender

Male Female

Country Of Residence

If you are applying for more than 1 child then please fill in a new form for each student

Student First Name

Student Surname

Student Gender

Male Female

Date Of Birth

E-mail (if he/she has one)

Mobile (if he/she has one)

Medical conditions or special need considerations

Weekday classes (2 or 3 days a week) Madrasah Fee will be confirmed by one of the admins.

Once the application is checked and confirmed you will be contacted regarding payment and more, In Shaa Allaah.

Do you agree to pay the fee before the beginning of every month?

Yes No