Family Online Personal Coaching Class Registration

Student's Information

Up to 4 siblings for Family Package only

How many family members will be joining the class?*

1 Student
2 Students
3 Students
4 Students

Student #1 Details

Student #1 - Name*

Student #1 - Age*

Student #1 - IC*

Student #1 - School*

Student #1 - Progress Recitation

Student #1 - Specific Request

Student #2 Details

Student #2 - Name*

Student #2 - Age*

Student #2 - IC*

Student #2 - School*

Student #2 - Progress Recitation

Student #2 - Specific Request

Student #3 Details

Student #3- Name*

Student #3 - Age*

Student #3 - IC*

Student #3 - School*

Student #3 - Progress Recitation

Student #3 - Specific Request

Student #4 Details

Student #4 - Name*

Student #4- Age*

Student #4 - IC*

Student #4 - School*

Student #4 - Progress Recitation

Student #4 - Specific Request

Personal Preferences

Preferred Day(s), Time and Teacher*

e.g: 2 session/week, Tcr Siti. 1. Every Monday, 9:00 pm 2. Every Wednesday, 8:00 pm. Please click to view available slots.

Preferred Language*

Bahasa Malaysia
English

Preferred Teacher*

Ustaz
Ustazah

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

Select a Payment Plan - Monthly or Per 6 months

Select Preferred Session*

1 sessions / week
2 sessions / week
3 sessions / week

Select Preferred Payment Package for 2 sessions / week*

Per Month +RM 399
3 active weeks +RM299.25
2 active weeks +RM199.50
1 active week +RM99.75
Per 6 Months +RM 2,453.40

Select Preferred Payment Package for 3 sessions / week*

Per Month +RM 599
3 active weeks +RM449.25
2 active weeks +RM299.50
1 active week +RM149.75
Per 6 Months +RM 3,653.40

Registration & Annual Fees*

Price:

Payment

Coupon

Term and Conditions*

By clicking this Term and Conditions; parents/students are confirming that they have already read, understood and agreed to all the terms and conditions for iLuvQuran Online Class and iLuvQuran is not responsible for any loss due to non-compliance with these terms and conditions.

Online Personal Coaching Total Fee

note: monthly fees will be invoiced later and an additional Rm9.90 for the learning management system (monthly)

RM 0.00

Payment Method*

Select your payment method below:

FPX / Online Banking / Billplz
Credit Card

Credit Card