Royal Muslim Academy – Application Form

APPLICATION FORM

Royal Muslim Academy – Mogadishu Center

READ THE APPLICATION INSTRUCTIONS BEFORE COMPLETING THIS FORM.
COMPLETE ALL APPROPRIATE SECTIONS IN BLOCK LETTERS.

RETURN THIS FORM WITH YOUR NON-REFUNDABLE APPLICATION FEE AND OTHER SUPPORTING DOCUMENTS.

ROYALMPS – MOGADISHU Admission Office

Mogadishu, Somalia

Mobile: 0613337000 / 0616455517 / 0613238956

Email: royalmpsmog@gmail.com

Web: www.royalmuslim.net

Year:

Student's Photo

Student Admission No

Personal Information

First Name

Middle Name

Last Name

Age

Gender

Male

Female

Date of Birth

Place of Birth

Father / Mother / Guardian Details

(Emergency Contact in Mogadishu)

Primary Contact

Name

Relationship

Town

Telephone

Alt Mobile

Secondary Contact

Name

Relationship

Town

Telephone

Alt Mobile

Preferred Term of Enrolment

Term 1

Term 2

Term 3

Year

Interview (Official Use Only)

To be completed by the school after assessment.

Level	Marks	Placed In	English Marks	Placed In (English)
PP1
PP2
Grade 1
Grade 2
Grade 3
Grade 4

Guardian's Details

Full Name

Address

Telephone

Relationship

How did you learn about Royal Muslim Academy?

Tick one or more options:

Media

T.V

Radio

Mailing

Social Media

Royal MPS Facebook

Royal MPS YouTube

Other social media

Personal & Other

Parent

Relative

Sign board

Royal MPS student

Friend

Royal MPS Admission Representative

School Teacher

Mosque

Exhibition

Other Charges

Breakfast

Lunch

School Bus:

First Class

Second Class

Application Checklist

Have you provided the following?

Non-refundable application fee ($10)

Two passport size photographs

Copy of birth certificate or passport

Complete and signed application form

Complete and signed medical form

Signature

Upload Signature

Upload Your Signature

Date

FEES ONCE PAID NOT REFUNDABLE

Royal Muslim Academy (RMA) is a modern educational institution dedicated to nurturing learners through high-quality academics, Islamic values, and practical life skills.

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