IQRA ISLAMIC SCHOOL “Certified by the Ministry of Education, BC, Canada” Application for Admission Cur rent Date (mm/dd/yy): Your Email: Student Information: Date of Birth (mm/dd/yy): Session: 2017-182018-192019-202020-21 Place: Gender: MaleFemale Canadian /Landed Immigrant? CanadianLanded Immigrant Immigration Authorization Expiry Date (mm/dd/yy): Name & grade of any brother/s or sister/s attending (or will attend) IQRA Islamic School: Name: Date of Birth (mm/dd/yy): Primary Parent/Guardian information: Secondary Parent/Guardian information: Emergency contact (Not the name of the Parent/Guardian): General Information (If Applicable): Medical Information:
