Sufairaa' Institute for Learning- Registration Form for 2019 intake
Kindly fill up this form in BLOCK LETTERS. You are required to fill up all fields. No field can be left blank. Write 'Nil' or 'NA' where relevant.
Email address *
Student’s Name *
Your answer
Birth Cert/IC No. *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Race *
Your answer
Citizenship *
Your answer
Home Address *
Your answer
Postal Code *
Your answer
Tel Home *
Your answer
Father's Mobile No. *
Your answer
Mother's Mobile No. *
Your answer
Illness / Allergy (if any) *
Your answer
Which Iqra'/Tilawati/At-Taysir book is your child reading now? eg. Book 1 or Al-Quran Juz 1 *
Your answer
Which course are you registering for? *
A copy of your responses will be emailed to the address you provided.
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