Luqman Academy SIS and LMS Portal.Powered By Classe365

Pupil Details

First Name^*

Last Name^*

Date of Birth^*

Gender^*

Male Female

Address^*

City^*

Postcode^*

Landline Contact No.:

Identity

Upload childs photo here^*

Nationality^*

Ethnic Origin

First/native Language^*

Educational Background

Home Environment^*

Please tell us a bit about your child. This will help us to provide a positive learning environment tailored to the needs of your child. Describe your child's personality, likes and dislikes, attitude to learning, and Islamic home environment.

Previous/Current school^*

Class / Year^*

What year group will your child be in at the start of September 2024?

School report^*

Please attach most recent school report. If your child is home-schooled, you can attached results for exams/tests completed for English, Maths and Science.

SEN and Disability^*

Yes No

Does your child have any Special Educational Needs or Disability?

If so, please provide more details on his/her Special Needs

This will allow us to assess what support we can put in place to help your child

Entry Assessment ^*

Yes No

Your child will be required to take an entrance exam to assess their levels in English, Maths and Science.

Our aspiration is for all our children to achieve their full potential and for every child to achieve the best of success in deen and dunya.

If your child does not pass their entrance exam, unfortunately they will not be able to join Luqman Academy unless they are also registered at HikmaHub afterschool club which will help children raise their grades. Tuition at HikmaHub is a separate cost to that of the school. Do you agree:

Medical Details

1st Parent / Guardian Details

Mother Name^*

Mothers Last Name^*

Mothers Mobile Number^*

Mothers E-mail^*

Mothers Occupation

Address: Do you live at the same address as your child^*

Yes No

If no, where do you live?

2nd Parent / Guardian Details

Fathers First Name

Father Last Name

Fathers Mobile Number

Fathers E-mail

Fathers Occupation

Address: Do you live at the same address as your child

Yes No

If No, where do you live?

Family Details

Emergency Contact Details

The emergency and next of kin details should be two different people other than the parent/guardian details completed above

Emergency Contact Name:^*

Relationship^*

Emergency Telephone No.:^*

Next of Kin

Next of Kin Contact Name:^*

Relationship^*

Next of Kin Telephone No.:^*

Pick up Arrangement

Please state who can collect your child after school, apart from parents/carers

Name

Relationship

Name

Relationship

Name

Relationship

Please provide a password for unplanned collection

Parents/carers must call before we can allow anyone who is not on the collections list (even with a password) to collect a child.

Is your child allowed to go home by themselves?^*

Yes No

This is only applicable to secondary school students.

Declaration

I will give one term's notice should I chose to withdraw my child (children) from the school. I understand that one term's fees will be due, and the school will undertake necessary measures to reclaim any fees which are due. Children must not stop attending the school during the withdrawal notice period.

Print Full Name (Parent/Carer)^*

Signed (Parent/Carer)^*

Add Signature

Print Full Name (Parent/Carer)

Signed (Parent/Carer)

Add Signature

Administration Fee^*

Agree

We have a non refundable administration fee of £50, if your child is successfully offered a place at Luqman Academy. Please tick to show you agree to pay the administration fee

I confirm that the information I have provided above is accurate and true.^*

Yes

By ticking the box, you confirm that all information provided by you regarding your child is accurate and true to the best of your knowledge. If any information provided is found to be false or misleading, Luqman Academy reserves the right to terminate your child's enrolment at the school without refund or notice. It is your responsibility to ensure that all information provided is up-to-date and accurate.

Admissions 2024/25

Pupil Details

Identity

Educational Background

Medical Details

1st Parent / Guardian Details

2nd Parent / Guardian Details

Family Details

Emergency Contact Details

Next of Kin

Pick up Arrangement

Declaration

Upload Image