Cambourne Crescent - Islamic School (Application Form)
UK Charity Registration Number: 1174750
HMRC Gift Aid Reference: XT34245
Email address *
Parent/Guardian Details
Full Name (Mother)
Your answer
Email (Mother's)
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Mobile (Mother's)
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Full Name (Father)
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Email (Father's)
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Mobile (Father's)
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Address *
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Post Code *
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Telephone Home
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Child Details
Full Name (Child - 1) *
Your answer
Date of Birth (Child - 1) *
MM
/
DD
/
YYYY
Full Name (Child - 2)
Your answer
Date of Birth (Child - 2)
MM
/
DD
/
YYYY
Full Name (Child - 3)
Your answer
Date of Birth (Child - 3)
MM
/
DD
/
YYYY
Address (if different from above)
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Mother Tongue
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Medical History
Does your child have any medical conditions that we need to be aware of? *
If the answer is yes, please provide details
Your answer
Fee Details
All parents/guardians are responsible for paying the appropriate fees on time. The fees are to be paid by standing order and should be done for 10 months (from September to June). Please set standing Order and use reference starting with CCIS (eg CCIS Mohammed and Bilal).

The Islamic School current fees are -
▪ One child £20
▪ Two children £30
▪ Three or more children £35

Fees should be paid by monthly Standing Order into the following bank account:
Cambourne Crescent
Natwest, 81 High Street, Bedford, MK40 1YN
Account No: 62412930
Sort Code: 60-02-13

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