Online Class - Quranic Discovery (promo)

Student's Information
Student's Name*
Student's Age*
Student's IC/Date of birth*
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?*
If Other, please specify:
Other specific important information we should know?
e.g: medical or health info such as allergies or special need
What are your expectations from the class?
Select a Payment Plan - Monthly or Annual
Select Preferred Session*
- 1 session / week
- 2 sessions / week
Select Preferred Payment Package for 1 session / week*
additional Rm9.90 for the learning management system(monthly)
- Per Months +RM71
- Per Year+RM 590
Select Preferred Payment Package for 2 sessions / week*
additional Rm9.90 for the learning management system(monthly)
- Per Month +RM 125
- Per Year +RM 999
Registration and Annual Fee*
includes registration fee, learning tool, report cards and assessments. Not including the monthly fee.
Price:
Ambassador Code or Agent ID
Please enter DT Code or Agent code here if available
Online Quranic Discovery Class Fee
RM 0.00
Payment Method
Select your payment method below:
- FPX / Online Banking / Billplz
Credit Card
Card Details
Cardholder Name

Student's Information