Forname (required)

Surname (required)

Date of Birth (required)

Applying for Year (required)

PLEASE UPLOAD PHOTO HERE(required)

Permanent Home Address (required)

Post Code (required)

Your Email (required)

Telephone (required)

Mobile (required)

Siblings studying at Darul Uloom: (required)

Part 2 – Parent(s) Details

Father Name (required)

Occupation (required)

Contact Number (required)

Email: (required)

Home Address (if different from above): (required)

Mother Name (required)

Occupation (required)

Contact Number (required)

Email: (required)

Home Address (if different from above): (required)

Part 3 – Emergency Contact

In case of emergency we need to contact someone in your absence. This should be someone who we can contact easily during the school Hours.

Name (required)

Relationship (required)

Contact number (required)

Part 4 – Academic Education Details

Current /Previous School Name: (required)

School Address (required)

School Postcode (required)

School Telephone (required)

School Email (required)

Reason for leavening student current /previous School:

Details of Subject studied and Grades/Level Achieved:

Part 5 – Islamic Education Details (Including Evening Classes )

Masjid/ Madrasah /Darul Uloom last attended:

Masjid/ Madrasah Address (required)

Masjid/ Madrasah Postcode (required)

Masjid/ Madrasah Telephone (required)

Masjid/ Madrasah Email (required)

Completed the recitation of whole Quran: (required)
YesNo

If No, How many juzz (required)

Memorised any part of Quran: (required)
YesNo

If Yes, How many juzz (required)

Details of Islamic books studied and grade Achieved:

Part 6 – Medical Details

Doctor’s Name

Doctor’s contact name

Doctor’s Address & Postcode

Does your child suffer from any medical condition which might affect his school life?
YesNo

If Yes, please give details

Part 7 – Required Documents

Copy of Birth Certificate or Passport

Copy of Most Recent proof of address( e.g.: Utility bill)

KS2 SATs results (English & Maths)

Copy of School Report (Academic, Attendance and Behaviour)

Two passport size photos of applicant (Academic, Attendance and Behaviour)

Any relevant documents (if applicable for applicant)

Please provide all the required documents. Application will only be processed once we have received all documents. Applicant’s school and relevant authority will be contacted for further reference.

Part 8 – Other Details

Is your child registered SEN (Special need in Education)?
YesNo

Has the applicant had any involvement with the police?
YesNo

Has the applicant previously been temporarily or permanently excludedYesNo from any previous school?

Has the applicant had any involvement with the Social/ Probation services ?
YesNo

Part 9 – Fee Payment & Declaration

The annual fee for Darul Uloom Islamic High School is £2500.00 (excluding admission fee, book, stationary, exam fees, trips
& event etc). All student fees must be paid promptly, any delay in payment may lead to temporary or permanent exclusion
from the School. In addition there is a refundable deposit payable of £825. This will be refunded normally at the end of the
student’s education at Darul Uloom as long as all fees have been cleared.

Please select from one of the payment options below (a standing order is recommended)
One Single Payment (1 payment of £2500.00 at the beginning of each year of studyTwo Payments (1st payment of £1250.00 due on the start date with the 2nd payment of £1250.00 due 6 months after)Three Payments (1st payment of £900 due on the start date with the 2nd payment of £800 due on end of first term and 3rd payment of£800 due on end of second term )

Term and Conditions / Declaration

Rules of The School:
1. Disclosure of all previous character and conduct is necessary. The application will be rejected if any information is given falsely.
2. The School maintains strict adherence to basic Islamic principles of good conduct, behaviour and respect. Above all, students are required to respect all teachers, staff and
fellow students. Any student found guilty of insulting teachers, staff or fellow students will be judged as inexcusable and maybe excluded temporarily or permanently.
3. Students are expected to observe and act upon the lesson timetables. Whilst at Darul Uloom all lessons & examinations must be attended.
4. School uniform as prescribed in pre admission documents must be worn at all times during School hours.
5. Students must participate in all curricular and extra-curricular activities assigned by the teachers. Class rooms and School premises must be kept clean by the students.
6. Should a student cause any damage to the School's or others property, parents or guardians will be held responsible for full costs of repair or replacement.
7. The student is to maintain his hair according to Islamic customs and ensure hair is in equal length.
8. The use of mobile phones is not allowed on the School premises. Any student found using a mobile phone on the premises is liable to have his phone confiscated.
9. Missing prayers, theft, smoking, using drugs or inappropriate relations are strictly prohibited, students involved in any such activity are liable for permanently exclusion .
10. No student is allowed to leave School premises during School hours 8:30am-4:30pm (Year 7-9) and 6:00pm (Year 10-11)
11. Parents or guardians wishing to obtain leave for student may contact the Darul Uloom office. Permission may be sought in case of emergency or dire necessity.
12. Any student leaving the premises, even for a short period of time, must notify the supervisor or teacher concerned and acquired formal authorisation.
13. Any student leaving the School premises without authorisation will be cautioned and will be liable for expulsion.
14. Unauthorised absence and repeated lateness may lead to permanently exclusion from the School. Three days unauthorized late will lead to disciplinary action and
10 days unauthorized absence will lead to permanently exclusion and will need to re-apply for admission.
15. If a student wishes to leave the school, one term notice is required, and all fees for this period must be cleared prior to leaving.
16. The school will recover any unpaid fees using an authorised debt collector if fees are not paid. And additional charges for the services will be added to the debt.
17. If a student permanently excluded due to his misconduct, parent of guardian will be responsible to pay a full term fees.
18. All students are required to examine and observe the rules of the School.
19. If a student gets detention outside the School hours, parents will be given prior notice. Parents are required to arrange for the student to attend all detentions which are
outside School hours..
20. Darul Uloom reserves the full right to alter, add to or amend the rules and regulations as and when necessary.
GCSE Policy: Darul Uloom reserve the right to withdraw any student from GCSE examination if the student found to be incapable of
obtaining a pass, based on internal assessment by DU. Opportunities to arrange alternative qualification will be provided
Darul Uloom Reserve the full right to alter, add or amend the rules and regulation as and when necessary.
All school policies and documentation are available on request from the Reception of Darul Uloom.
I the parent / guardian have read and understood the Admission Policy/ Term
and Condition. The information I have provided is accurate to the best of my
knowledge and I ensure payment of fees as indicated above.

Parents Name

Signature

Date

I the student have read and understood all rules of Darul Uloom. If my
application is accepted, I will abide by all rules of the School. I agree to take responsibility if I break any of the rules of the School.

Students Name

Signature

Date