Registration form for the Digital Platform

Name of Madrasah*

If your Madrasah is not present in the list, select 'Other' and type the name of your Madrasah in the field below.

If other, please give us the name of your Madrasah

Address of Madrasah*

Street Address City County / State / Region ZIP / Postal Code Country

Name of Head of Admin*

First Name Last Name

Head of Admin Email address*

Name of Principal*

First Name Last Name

Principal Email address*

Phone*

Is the madrasah under a Jamaat that is a member of a regional federation within the World Federation (i.e. COEJ, NASIMCO, AFED, Federation of Australasian Communities, India Federation, Federation of KSI Jamaats of Pakistan)?*

Yes
No

If yes, please state the name of the Jamaat.

Are you currently using the Tarbiyah curriculum?*

Yes
No

How many students are you registering for the Tarbiyah Digital platform across all bands (A-F)? (Please provide an accurate total as this will be used to generate the invoice for the use of the digital platform.)*

Please advise the number of children in each band you are taking on. Please mention 0 in any band you are not taking on for the digital platform. Please Note the corresponding bands and ages.

Band A – (4-5 years)*

Band B – (6-7 years)*

Band C – (8-9 years)*

Band D (10-11 years)*

Band E (12-13 years)*

Band F (14-15 years)*

Are you purchasing the Teacher Package? If yes how many teachers are signing up for the portal?*

The Teacher package is only for those teachers who want to use Digital Tarbiyah to teach but whose students are not subscribing to the portal. (Please note this does not apply to teachers who are teaching students that have signed up for the portal).

When does your academic year for madrasah start?

When do you want to start using the digital platform?*

Please note fees will be charged at a very reasonable levy of UK £10/EUR €13/USD $15/CAD 18/AUS $20 per student per year. For any queries please email us at [email protected] The Teacher package is also charged at the same price as the student.

Please choose your preferred payment currency*

Registration form for the Digital Platform

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