Application - Madina Islamic School

Upload your most recent passport photo(Portrait style)

Enter Student’s first name

Enter Student’s last name

Date Of Birth(as shown on birth certificate)

Enter place of birth

Student’s sex
MaleFemale

For class/level

Expected date of enrolment

Nationality

Upload a copy of student’s National Id

Religion

Is this applicant currently attending a school?
YesNo

Does the applicant have a sibling currently attending MIS?
YesNo
Street Address 1

Street Address 2

City

Region

GPS

Enter a telephone number where we can reach you

Enter your most active Email address

Is there any information you would like to communicate with us