[ Darul Uloom Trinidad and Tobago Ltd. ]
[ Darul Uloom Trinidad and Tobago Ltd. ]
Please read the
RULES
of Darul Uloom Girls 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:
A copy of the last school report or school transcript must be presented to Darul Uloom.
A copy of the students 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
--
YES
NO
Rheumatic Fever
--
YES
NO
Tuberculosis
--
YES
NO
Asthma
--
YES
NO
Diabetes
--
YES
NO
Kidney Disease
--
YES
NO
Epilepsy (Fits)
--
YES
NO
Has any member of your family contracted tuberculosis?
--
YES
NO
Does your child suffer from any allergies?
--
YES
NO
Has your child ever been hospitalized?
--
YES
NO
If YES, please state reason
Does your child suffer from sneezing and runny nose on waking up in the morning?
--
YES
NO
Is your child vaccinated against:
Mumps
--
YES
NO
Yellow Fever
--
YES
NO
Tetanus
--
YES
NO
Did your child have an operation before?
--
YES
NO
If YES, please state reason
The Darul Uloom Girls College provides a limited hostel facility for foreign students and local students who reside far away from the school. Acceptance for this facility is subjected to the availability of space in the hostel.
Students accepted for this facility are reminded that indiscipline or misbehavior on their part will cause this allowance to be revoked.
Please state whether your child is applying for boarding/lodging at the hostel or not.
--
YES
NO
[ Darul Uloom Trinidad and Tobago Ltd. ]
RASHAAD AVENUE, MON PLASIR ROAD, CUNUPIA, TRINIDAD WEST INDIES. TEL: (868) 665-8868 FAX: (868) 665-1442