Teen and Adult Online Personal Coaching Class Registration

Student's Information

Registration category*

For own self
For own child

Student's Name*

Student's Age*

Student's IC*

Student's School (Teen)/ Occupation (Adult)*

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*

Mother
Father

For billing and invoicing purposes

Student contact information

Phone number*

Email*

Home address*

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 Preferred Session

Session Per Week*

3 Sessions / week
2 Sessions / week

4 active week for class per month

3 sessions: Online Personal Coaching - Teen and Adult*

Per month +RM 449
3 active weeks +RM336.75
2 active weeks +RM224.50
1 active week +RM112.25
6 month fees + RM 2,753.40

2 sessions: Online Personal Coaching - Teen and Adult*

Per month +RM 299
3 active weeks +RM224.25
2 active weeks +RM149.50
1 active week +RM74.75
6 month fee + RM1853.40

Preferred Time(GMT+8) and Teacher*

Please click to view available slot e.g: Monday and Wednesday, 9am, Teacher Siti.

Preferred Language*

Malay
English

Preferred Teacher*

Ustaz
Ustazah

Payment

Registration & Annual Fees*

Price:

Coupon

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*

Please choose your preferred payment method below:

FPX / Online Banking / Billplz
Credit Card

Credit Card