JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Madrasah NIC Admission Form
Particulars of new Applicant/Student
(Please note that we are currently full for the year 2025/26 term. So all new applications will automatically be on the waiting list for the new term)
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Application Date:
*
MM
/
DD
/
YYYY
Class Looking for 2025/2026 term
*
Weekdays (Mon-Fri) for 6 to 7 years old only
Weekends (Sat-Sun) for 6 to 11 years old only
Further Education 12+
Other:
Required
Full Name of Student:
*
Your answer
Gender:
*
Female
Male
Student Date of Birth:
*
MM
/
DD
/
YYYY
Student Place of Birth:
*
Your answer
Name of State School?
(Please provide the school name in the other row)
*
No/Homelearning
Other:
Any previous knowledge of Quran/Qaida
(You may add details in other row)
*
Finished Qaida
No Previous Learning
Quran Finished
Other:
Required
Next
Page 1 of 4
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northolt Islamic Centre.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report