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Home
About
-- About
-- Team
-- Branches
For Parents
-- Online Class
-- Physical Class
-- iLuvQuran Online
For Educators
-- iLuvQuran Online
-- ILHAM
Licensing
Shop
-- iLuvQuran Online Shop
-- Cart
-- Checkout
Contact
-- Contact Us
-- Donate
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Kelana Jaya Form - Test
Student's Information
Student's Name
*
Student's Age
*
Student's IC
*
Student's School
*
Parent's Information
Mother's Name
*
Mother's Phone Number
*
Mother's Email
*
Occupation
Father's Name
*
Father's Phone Number
*
Father's Email
*
Occupation
Home Address
*
Select Primary Contact
*
For billing and invoicing purposes
Mother
Father
Survey
Where did you find out about our class?
*
Friends
Facebook
Instagram
Email
Booth
Google Search
Banner/Signage
Exhibition
Event
WhatsApp
Telegram
Television
Radio
Newspaper
Other
What are your expectations from the class?
If Other, please specify:
Other specific important information we should know?
e.g: medical or health info such as allergies or special need
Preferred Class
Select Preferred Class
*
Quranic Seedlings
Quranic Junior al-Hafiz
Quranic Seedlings | Select a preferred time session
*
Monday - Friday | 2.30 pm – 4.30 pm
Saturday & Sunday | 9.00 am – 11.00 am
Quranic Junior al-Hafiz | Select a preferred time session
*
Monday - Friday | 2.30 pm – 4.30 pm
Saturday & Sunday | 4.00 pm – 6.00 pm
Get rewarded when you refer your family & friends
Introduce family and friends to iLuvQuran and enjoy up to 30% OFF your first month's fee!
Would you like to refer friends or family members?
*
Refer up to 5 names. Fill in the details below and we'll contact them via email as soon as possible.
Yes, definitely!
No, thank you for the offer.
Friend #1 - Name
*
Friend #1 - Mobile number
*
Friend #1 - Email address
*
Friend #2 - Name
*
Friend #2 - Mobile number
*
Friend #2 - Email address
*
Friend #3 - Name
*
Friend #3 - Mobile number
*
Friend #3 - Email address
*
Friend #4 - Name
*
Friend #4 - Mobile number
*
Friend #4 - Email address
*
Friend #5 - Name
*
Friend #5 - Mobile number
*
Friend #5 - Email address
*
Please tick the box for confirmation
*
I agree and confirm that I have read, agreed and hereby consent to the collection and processing of my information and my friend's personal information/personal data and the information you have provided is accurate and correct.
Payment
iLuvQuran Kelana Jaya - Registration / Annual Fee
*
Includes registration fee, facilities, equipments, learning and activities materials, report cards and assessments. Not include monthly fee.
Price:
RM 1.00
Message
1
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Assalamualaikum,
How can we help you?