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
Refering To Personal Data Protection Act 2010 (PDPA), Security Level of Personal data increased to prevent data leak. Information Below IMPORTANT To Update Profile/Application, While Process Request pin code using email / Request pin code using SMS
Mobile Phone (Father)*
Email (Father)* (Click Here If None Information)
Mobile Phone (Mother)*
Email (Mother)* (Click Here If None Information)
Save & Next

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Student Information
Nationality
Mobile Phone (Guardian)
Email (Guardian) (Click If None)
Tel. Home (Guardian) (Click If None)
Save & Next

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Student Information
Home Address
Country
State
Postcode
City (Please Select State) *
District
Back Save & Next

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Parent Information
Father Information / Guardian
Name *
IC No *
Tax Identification Number (TIN)
Mobile Phone *
Tel. Home (Click Here If None Information)
Email * (Click Here If None Information)
Birth Place
Nationality
Father Information / Guardian
Job Type
Occupation (Click Here If None Information)
Office Address
Back Save & Next

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Parent Information
Mother Information / Guardian
Name *
IC No *
Tax Identification Number (TIN)
Mobile Phone *
Tel. Home (Click Here If None Information)
Email * (Click Here If None Information)
Birth Place
Nationality
Mother Information
Job Type
Occupation (Click If House Wife)
Office Address
Back Save & Next

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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
Back Save & Next

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Confirmation

Sila semak terlebih dahulu akan setiap maklumat yang diberikan, klik butang " show information "..

Sekiranya lengkap dan benar, sila tandakan " confirmation " terlebih dahulu sebelum klik butang "send this application "..

Perhatian!

Permohonan akan disemak terlebih dahulu oleh pihak penemuduga, sebarang maklumat yang diberikan hendaklah benar. Sekiranya terdapat pemalsuan maklumat dengan sengaja, maka pihak penemuduga akan membatalkan permohonan tersebut.

 

Dalam tempoh PKPB ini semua calon akan ditemuduga secara online (atas talian), semoga berjaya!


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Show Information Send This Application