Maktab & Hifz Application Form

Which Site would you like to enrol at?

Moseley (Woodstock Rd, B13 9BB)
Kings Heath (Alcester Rd South, B14 6DR)

Applicant's Name

First

Last

Applicant's Date of Birth

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent Details:

Father's Name

First

Last

Father's Mobile

Mother's Name

First

Last

Mother's Mobile

Education Related:

Which Academic year would you like to enrol your child from?

Current Academic Year (25/26)
Sept 2026
Sept 2027
Sept 2028

Due to high demand, there is a considerable waiting list developing. To enable us to cater for as many students as possible, please do consider applying early.

Preferred Shift/Class:

Maktab Shift 1 (4:30pm – 6:00pm)
Maktab Shift 2 (6:00pm – 7:30pm)
Hifz Class (4:30pm – 6:30pm)

Academic Applicant's Father's

Previous Madrasah and Education:

Please provide information regarding previous Madrasahs attended and Islamic education arrangements (if any). This helps us to cater for the needs of the applicant more accurately.