Student Name (required)
Date of Birth (required)
Parent/Guardian (required)
Your Email (required)
Address (required)
Email (required)
Home Phone
Mobile Phone (required)
GP Name
GP Address & Phone
Declaration:
I will ensure that I will come on time to all classes.
I will ensure that I attend Quran classes and participate in all activities.
I will inform about any absences in advance to avoid inconvenience.
I will maintain discipline and observe all rules set by the Teachers.
Student Name (required):
Date:
Parent/Guardian Name (required):
[recaptcha]
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