Your Heart My Heart
Research-backed techniques for Muslim marriage.

Ready to register?

1. Choose a course date.
2. Fill in your details on this page.
3. Fill in your partner's details on the next page.
4. Make your payment to confirm your registration.
5. Receive acknowledgement within 2 days.
Sign in to Google to save your progress. Learn more
For Private Your Heart My Heart Course or Private Counselling, please WhatsApp 93650490 to arrange an appointment date before continuing.
Choose a date (group session - all in English unless otherwise specified) *
Are you registering as a couple? *
Registration is confirmed based on payment made (first-come, first-served).
My Info
Your details will be kept strictly confidential according to our Privacy Policy.
Name (as in IC) *
IMPORTANT : Please ensure that your Name is correct as it will appear on your certificate exactly as entered in this form.
Gender *
Nationality *
NRIC / FIN / Passport No. *
IMPORTANT : Please ensure that your NRIC/FIN/Passport Number is correct as it will appear on your certificate exactly as entered in this form.
Address *
(excluding postal code) A valid address is required for mailing your certificates at the end of the course.
Postal Code *
HP No. *
Home Phone No.
Date of Birth *
This course is only open to participants who are at least 21 years old on the day of the course.
Race *
Academic Achievement *
English Language Proficiency *
Malay Language Proficiency *
Occupation *
Income (SGD) *
Marital Status *
Islamic Knowledge *
If you studied Islamic knowledge at the tertiary level, please name the University / Organisation:
Topic of special interest *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy