Admission Application Form

Admission Application Form

Pupil Details
Family Details





Marital Status

Sibling Information

Does your child have a sibling already studying at Jamiatul Ummah? If so please fill out the required details


Primary School

Other schools attended

Please list all the schools your child has attended

Secondary School

If your child is already in secondary school, please write the school's details here.

Key Stage 2 Test Scores

Please enter expected test scores if SATS are unavailable

KS3 Progress Grades

SEN Needs

Medical Information

Does your child have any medical conditions which might affect his school life?

If so, please give us details

Is this child on a care plan?

If yes, please give us details.

Emergency Contacts

In case of emergency during school hours, we may need to contact someone in your absence. These persons should be someone we can contact easily during school hours.

Contact 1

Contact 2

Additional Information & Signature

Payment of Fees

The following methods are available for the payment of fees. However, we recommend payment through monthly standing order

Please click the appropriate box

How did you hear about Jamiatul Ummah School?

Photo Permission

From time to time Jamiatul Ummah produces digital and and print material for marketing and promotional purposes. We may take photographs of your child for such material. Please tick this box if you do not want the school to use your child's photos.


I confirm the information provided on this form is accurate to the best of my knowledge. I also confirm my commitment to payment of fees should my child be offered a place at the school, and I confirm my commitment to following and promoting the school’s ethos, values and policies.