Maktab Application Form

LADIES ONLY

Applicants must be over the age of 18.

PERSONAL DETAILS

APPLICANT

Gender

State your gender.

This field is required

First Name

Enter your first name.

This field is required

Last Name

Enter your last name.

This field is required

Date of Birth

Enter the child's Date Of Birth.

This field is required

Phone Number

Enter your phone number.

This field is required

Enter your email address.

This field is required

ADDRESS

Address Line 1

Enter the first line of your address.

This field is required

Address Line 2

Enter the second line of your address.

This field is required

Town / City

Enter your town or city.

This field is required

Postcode

Enter your postcode.

This field is required

ADDITIONAL INFORMATION

Additional information such as special needs or any existing level of education.

This field is required

You agree to the terms of our Privacy Policy.

Agree to our Privacy Policy.

By clicking 'Submit' you confirm the information provided is accurate to the best of your knowledge.

Your Maktab application has been sent. Jazāk Allāhu Khayran. A member of our team will be in touch shortly.

There was a problem submitting this form. You can email us directly at: support@suttoncoldfieldmasjid.org

Sutton Coldfield Muslim Association is a UK registered charity (no. 1020820).

Address

Anchorage Road
Sutton Coldfield
West Midlands
B74 2PL
United Kingdom