[ Darul Uloom Trinidad and Tobago Ltd. ]
[ Darul Uloom Trinidad and Tobago Ltd. ]


















Please read the RULES of Darul Uloom Boys before submitting this form.

Student's Name:

Address:


Telephone:

Date of Birth:

Age:

Last School Attended:

Last Class / Form Completed:

Form for which request of Admission is made:

Father's / Guardian's Name:

Father's / Guardian's Address:


NOTE:

  1. A copy of the last school report or school transcript must be presented to Darul Uloom.
  2. A copy of the student’s Immunization Card and Birth Certificate must be presented to Darul Uloom.
MEDICAL:
Answer the following questions:

Does your child suffer from any of the following:
Migraine Headaches

Rheumatic Fever

Tuberculosis

Asthma

Diabetes

Kidney Disease

Epilepsy (Fits)

Has any member of your family contracted tuberculosis?

Does your child suffer from any allergies?

Has your child ever been hospitalized?

If YES, please state reason

Does your child suffer from sneezing and runny nose on waking up in the morning?

Is your child vaccinated against:
Mumps

Yellow Fever

Tetanus

Did your child have an operation before?

If YES, please state reason

Application for students to go home daily
(Not applicable of foreigners)

RULE 1
Students must be transported to the Darul Uloom and back home by parents, guardian or anyone authorized by them.

RULE 2
Students behaviour and performance in studies must be of a good standard.
I request that concession be given to my child to return home daily with the above-mentioned conditions.


[ Darul Uloom Trinidad and Tobago Ltd. ]
RASHAAD AVENUE, MON PLASIR ROAD, CUNUPIA, TRINIDAD WEST INDIES. TEL: (868) 665-8868 FAX: (868) 665-1442