Application Form - Enrolment - Bellfield College

Saturday, November 21, 2009 | Dhil Hijjah 3, 1430

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"The Holy Prophet [s] said: "Verily, what will continue to reach a believer, after his death, from amongst his actions and good deeds are: the knowledge which he taught and spread, the righteous child whom he left behind, and the Holy script which he"
Sunan-i-Ibn-Majeh, vol. 1, p. 88

Enrolment

Please complete all of the relevant sections below. If you are intending to enroll more than one student, please complete a separate application for each student.

If you have any questions, please contact Haji Badia Assaf on: 9759 4794 or 0406 009 706

SECTION 1 - STUDENT INFORMATION

Name:

*
Surname

*
Given name

Preferred name

Home address:

Suburb:

Post code:

Gender:

Date of birth:

/ / * (DD-MM-YY)

Australian Permanent Resident:

Visa class: (If any)

Country of birth:

Language spoken at home:

Expected year of enrolment:

Grade for enrolment:

* We are now taking grades K, 1, and 2 for 2008.
* Grades 7 & 8 will not commence until 2009.

School last attended:

Grade on leaving:

SECTION 2 – PARENT/GUARDIAN INFORMATION

Father's name:

Mother's name:

Guardian's name: (If applicable)

Contact number:
(One required)

Home

Mobile

Work

Email address:

I hereby confirm the above information to be true and understand that this application does not guarantee a place for my child and is subject to acceptance.