Online Student Registration Form

Terms And Conditions

Terma dan Syarat Pemohonan Temuduga Pengambilan Pelajar sesi 2024 :-

Anda Akan Menerima Panggilan Temuduga Setelah Mendaftar Atas Talian Dalam Sistem Dalam Masa 3 Hari Bekerja

 

Temuduga Sesi  2024

Sila Rujuk Bahagian Hal Ehwal Murid (HEM)

Ustaz Ahmad Sharifuddin : 013-204 1425

 

 

 


Application For School PUSAT PENGAJIAN TAHFIZ AL-QURAN DAN HADITH DARUSSOLEHAH
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Information School
Application For School
Student Name *
IC No Student (No Space and Dash '-') *
For Intake Year
For Form/Year/Level/Class
Birth Cert. No
Birth Date
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Student Information
Nationality
Mobile Phone (Guardian)
Email (Guardian) (Click If None)
Tel. Home (Guardian) (Click If None)
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Student Information
Home Address
Country
State
Postcode
City (Please Select State) *
District
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Parent Information
Father Information / Guardian
Name *
Mobile Phone *
(Click If None)
Email * (Click If None)
Birth Place
Nationality
Father Information / Guardian
Job Type
Occupation (Click If None)
Office Address
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Parent Information
Mother Information / Guardian
Name *
Mobile Phone *
(Click If None)
Email * (Click If None)
Birth Place
Nationality
Mother Information
Job Type
Occupation (Click If House Wife)
Office Address
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Parent Information
For Emergency Contact
Name *
IC No (No Space and Dash '-')
Relation
Mobile Phone *
Tel. Home
For Emergency Contact
Address
Tel. Office
Email
Back Save & Next

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Attachment
Salinan IC Ibu dan Bapa ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
Salinan Sijil Lahir ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
Sijil Pengesahan Kesihatan ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
Sijil Berhenti Sekolah ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
Gambar berukuran Passport pelajar ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
Salinan Keputusan SRAI (yang berumur 12 tahun) ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
Salinan Keputusan UPKK (yang berumur 12 tahun) ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
Salinan Slip Gaji Ibu Bapa/ Penjaga ** Sila klik butang Upload selepas masukkan dokumen Upload After Select, Please Click Upload
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