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  • Application Form

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    Abdul Ghaffar
    98 Ansichten3 Seiten
    APPLICATION FORM 2015 kindly fill up the form and email the softcopy to:. APPLICANT DETAILS Name Passport / I.C. No. Date of birth Father's name Mother's name Contact person and no Postal address email address HEALTH Does the applicant suffer from any illness that would affect his studies or his stay at the institute? GUARDIAN A guardian is person responsible for the period of time outside madrasah and should be a muh

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    APPLICATION FORM 2015 kindly fill up the form and email the softcopy to:. APPLICANT DETAILS Name Passport / I.C. No. Date of birth Father's name Mother's name Contact person and no Postal address email address HEALTH Does the applicant suffer from any illness that would affect his studies or his stay at the institute? GUARDIAN A guardian is person responsible for the period of time outside madrasah and should be a muh

    Copyright:

    © All Rights Reserved
    Als DOCX, PDF, TXT herunterladen oder online auf Scribd lesen
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    98 Ansichten3 Seiten

    Application Form

    Hochgeladen von

    Abdul Ghaffar
    APPLICATION FORM 2015 kindly fill up the form and email the softcopy to:. APPLICANT DETAILS Name Passport / I.C. No. Date of birth Father's name Mother's name Contact person and no Postal address email address HEALTH Does the applicant suffer from any illness that would affect his studies or his stay at the institute? GUARDIAN A guardian is person responsible for the period of time outside madrasah and should be a muh

    Copyright:

    © All Rights Reserved
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    Madrasah Al-Hikmah

    Surau Al-Hikmah, Jalan SS 18/4, 47500 Subang Jaya, Selangor Darul Ehsan
    No PENDAFTARAN JAIS 13S(8)4/45 Kod Sekolah BYA8248

    Tel: 019-236 7926


    019- 392 1614

    APPLICATION FORM 2015


    Kindly fill up the form and email the softcopy to: mahsj98@yahoo.com
    APPLICANT DETAILS
    Name
    Passport/I.C. No.
    Date of birth
    Fathers name
    Mothers name
    Contact person & no
    Postal address
    Email address
    EDUCATIONAL RECORD
    Previous School
    Level achieved
    Period
    HEALTH
    Does the applicant suffer
    from any illness that would
    affect his studies or his
    stay at the institute? If yes,
    specify.
    GUARDIAN
    A guardian is person responsible for the student for the
    period of time outside madrasah and should be a muhrim
    Name
    Relationship
    Contact No
    Note: Most future correspondence shall be via email

    Madrasah Al-Hikmah
    Surau Al-Hikmah, Jalan SS 18/4, 47500 Subang Jaya, Selangor Darul Ehsan
    No PENDAFTARAN JAIS 13S(8)4/45 Kod Sekolah BYA8248

    Tel: 019-236 7926


    019- 392 1614

    Registration Fee
    Registration fee is RM400. The payment is made on the acceptance of student to study in
    the madrasah. The place of study shall not be reserved for student who has yet to pay this
    fee.
    Annual Fee
    The annual fee is RM5400. Payment can be staggered into monthly payments. Payments
    shall be acknowledged in periodical statements. The final settlement shall be not later than
    October

    Fees Card
    All students shall be issued a FEES Card. In each occasion, please make sure that the
    recipient of the fees is a member of the staff and signs the card to acknowledge the
    respective payment. All payments should be made to:

    Account Name: Madrasah Al Hikmah Lil Banaat


    Acc. Number: 562375401226
    Bank: Maybank
    ACCEPTANCE
    1. Submission of this form shall be considered as a formal application to study in the
    institution.
    2. The decision of acceptance shall be made after an interview session with the
    prospective student.
    3. The dates of interview shall be informed at least 2 weeks prior.
    4. The madrasah shall inform the applicant the status of the application as soon as
    possible, inshaAllah.

    Madrasah Al-Hikmah
    Surau Al-Hikmah, Jalan SS 18/4, 47500 Subang Jaya, Selangor Darul Ehsan
    No PENDAFTARAN JAIS 13S(8)4/45 Kod Sekolah BYA8248

    Tel: 019-236 7926


    019- 392 1614

    THE AGREEMENT AND DECLARATION OF PARENTS


    On successful application, kindly read carefully and sign only if you agree on all the
    terms mentioned below. Submit this page during registration. Entrance shall not be
    processed if the agreement below has not been signed.
    o I, the undersigned, testify that all that are submitted above as true.
    o I am applying on behalf of the above mentioned student to enroll at this institution.
    o I understand the Rules and Regulation of the Madrasah and agree to abide by it.
    o I, in my capacity as the PARENT/GUARDIAN/SPONSOR of the student mentioned
    above, hereby undertake to pay the fees as indicated above
    o I am responsible for the arrangement of the students visa.
    o I hereby agree that:
    1. The parents shall not intervene in the operation of the madrasah. Any feedback must
    be addressed to the mudir in writing.
    2. The madrasah will do its utmost to take care of the students safety, but is NOT
    responsible for any mental or physical harm that may befall the student for all time
    during the stay in the madrasah or away from the madrasah.
    3. Punctuality is of high importance. Disciplinary action shall be taken on students
    returning late to the madrasah.
    4. Any item(s) found in possession of the student, which have been ruled impermissible
    by the madrasah, will be confiscated. It is entirely up to the madrasah to do what is
    deemed necessary with the confiscated item(s). The parents have no more rights
    over the item(s).
    5. The madrasah will inform the student and may update the parents of the items which
    have been declared impermissible by the madrasah.
    6. The madrasah has the right to expel the student who is found to be unfit,
    academically or behaviourally, to continue his/her study in the madrasah.
    We put our trust in Allah swt.

    Signature of parent : _______________________________________


    Name of parent

    : _______________________________________

    This is submitted on (date) _______________

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