Fitrah Sips - Admission Form
All questions must be answered fully and correctly.
All the details will be verified soon after the initial registration.
After submitting this form, please email and attach your child's most recent School and/or Madrasah report and a copy of his passport/birth certificate in order to complete the application. E-mail address: office@fitrahsips.com

Applications will be deemed incomplete without these documents and therefore will not be considered.

Please note that filling this form does NOT mean your child is accepted.

An interview, entry test and registration fees are required before final admission letter is issued.
Email address *
DETAILS
Child's First Name(s) *
First and last name same in the passport, or as in the birth certificate
Your answer
Child's Surname *
First and last name same in the passport, or as in the birth certificate
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Main Phone number (for all enquiries and emergencies) *
Your answer
Application for Year Group *
Full address and post code (pupil's home address in UK) *
Your answer
What is your ethnic group?
Your answer
Language(s) Spoken at Home *
Your answer
Full name of Parent or Guardian/Carer *
Your answer
Relationship to Parent or Guardian/Carer? (father, mother, foster carer, etc..) *
Your answer
Address of Parent or Guardian (if different from the child address) *
Your answer
Child's Home Telephone Number *
Your answer
Parent/Guardian's Work Number *
Your answer
Parent/Guardian's Mobile Number *
Your answer
EMERGENCY CONTACT
By law, contact details for two people (other than the main parents/carer) needs to be available for each student should an emergency occur and the parent/guardian is out of reach.
EMERGENCY CONTACT 1
Emergency Contact 1 - Full Name *
Your answer
Emergency Contact 1 - Telephone Number *
Your answer
Emergency Contact 1 - Email address *
Your answer
EMERGENCY CONTACT 2
Emergency Contact 2 - Full Name *
Your answer
Emergency Contact 2 - Telephone Number *
Your answer
Emergency Contact 2 - Email address *
Your answer
EDUCATIONAL DETAILS
Current School Name (If not in education, please state your last school) *
Your answer
Name of School Headteacher *
Your answer
Current School Address *
Your answer
Current School Email Address *
Your answer
Current Madrasah/Quran Maktab (if any) *
Your answer
Name of Madrasah Headteacher (if any)
Your answer
Madrasah Address with full Post Code (if any)
Your answer
Madrasah Address with full Post Code (if any)
Your answer
Has the applicant ever been temporarily or permanently excluded or suspended from a current or previous school/Madrasah? even if it was for few hours? (if yes further details will be requested) *
Was this child subject to any care plan or child protection plan by any local authority in UK or abroad? (if yes further details will be requested) *
MEDICAL HISTORY AND OTHER ADDITIONAL NEEDS
Does the applicant have any medical conditions? *
Does the applicant take medication regularly? *
Does the applicant have any dietary needs *
Does the applicant have any additional/physical/emotional/psychological or educational needs? *
Declaration - Privacy Statement
At Fitrah Sips, we take our privacy responsibilities seriously and as such we will only use your personal information to manage our responsibilities towards your child – all personal information will only be used in accordance with this goal. From time to time, we will need to get in touch with you, either via email, letter or telephone, to update you about the school, any generic developments and to inform you of any issues relating to your child’s health and well-being. We will also communicate via Mobile SMS and/or email to inform you of any programs taking place at Fitrah Sips or any of its projects. We will manage this data in a professional, ethical and secure way to maintain the integrity of our records – so that we can run the school accordingly. Personally Identifiable Information will not be shared with ANY third parties. Only authorised staff can access your secured personal information. For full information on data protection and privacy please see our Data Protection and Privacy policies available from the school office. By ticking the box YES, you confirm that you have read and understood the above privacy statement and as such give us the consent required to contact you regarding matters as highlighted above. By ticking the following box, I hereby declare that:
I have read and understood the above privacy statement and give consent to contact you regarding matters as highlighted above *
A copy of your responses will be emailed to the address you provided.
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