Children Online Personal Coaching Class Registration

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*

+ this number is active on whatsApp

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?*

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

Preferences

Preferred Time(GMT+8)*

e.g: 2 session/week 1. Every Monday, 9:00 pm 2. Every Wednesday, 8:00 pm

Preferred Language*

Malay
English

Preferred Teacher*

Ustaz
Ustazah

Select Preferred Session*

1 session / week
2 sessions / week
3 sessions / week
4 sessions / week
5 sessions / week

Payment Package for 1 session*

1 session / 30 minutes

Select Preferred Payment Package for 2 sessions*

additional Rm9.90 for the learning management system(monthly)

Per Month +RM 239
Per 6 Months +RM 1146

Select Preferred Payment Package for 3 sessions*

additional Rm9.90 for the learning management system(monthly)

Per Month +RM 359
Per 6 Months +RM 1686

Select Preferred Payment Package for 4 sessions*

additional Rm9.90 for the learning management system(monthly)

Per Month +RM 479
Per 6 Months +RM 2226

Select Preferred Payment Package for 5 sessions*

additional Rm9.90 for the learning management system(monthly)

Per Month +RM 599
Per 6 Months +RM 2754

Registration and Annual Fees*

Price:

Payment

Ambassador Code or Agent ID

Please enter DT Code or Agent code here if available

Coupon

Online Personal Coaching Total Fee*

iLuvQuran Finance Team will send the invoice at the end of the month and Rm9.90 for learning management system(monthly)

RM 0.00

Payment Method*

FPX / Online Banking / FPX
Credit Card

Credit Card

Card Details

Cardholder Name

Children Online Personal Coaching Class Registration

Online Personal Coaching - Children

Student's Information

Parent's Information

Survey

Preferences

Payment

PHYSICAL CLASS

ONLINE CLASS