Registration iLuvQuran Quranic Kids

Student's Information

Student's Name*

Student's Age*

Student's IC*

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?*

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

Quranic Kids | Mon - Fri: 9.00 am – 12.00 pm*

Select your preferred center

Wangsa Melawati
Bangi
Kelana Jaya

Get rewarded when you refer your family & friends

Introduce family and friends to iLuvQuran and enjoy up to 15% OFF your first annual's fee!

Would you like to refer friends or family members?*

Refer up to 3 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*

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

Coupon

iLuvQuran Quranic Kids - Registration / Annual Fee*

Boy - RM 1,033
Girl - RM 1,053

Includes deposit, annual fee, appreciation day, t-shirt, module development & system (E-Portal, AOne), Books Fee, Diagnistic Test, iLuvQuran Merchandises, Meet and Greet (Parenting Talk)

Total

RM 0.00

Joining Instructions*

The Parent shall be deemed to have accepted the terms and conditions set out in Joining Instruction Document further to delivery of Joining Instruction Document, and upon making any payment toward the registration of iLuvQuran classes or programs , unless explicitly stated otherwise in writing.

Payment Method*

FPX / Online Banking / Billplz
Credit Card

Select your payment method