e-maktab | Mosque & Islamic Centre of Brent

Application Form

NOTE! Click on the "add student" button at the bottom to register your child.

Parent Name*

Address

Postcode

City

Home Phone

Mobile*

Email*

Occupation

Relationship*

Parent Name

Address

Postcode

Home Phone

Mobile

Occupation

Add Student

I consent that e-maktab can process this form and submit directly to Mosque & Islamic Centre of Brent.

Mosque & Islamic Centre of Brent

33A Howard Road Cricklewood, London

NW2 6DS

Tel: 02084501986

Email: brentmosque@hotmail.co.uk

For admission queries please contact on the details above.