Pre-Registration For New Students 2023/2024
Assalamualaikum and Good Day to All Parents.

We are glad to inform that our registration for 2023/2024 intake is now open subjected to availability of our classes below:

> 4 Year Class (Born in 2019)
> 5 Year Class (Born in 2018)
> 6 Year Class (Born in 2017)

1) Kindly fill in this pre-registration form with your correct information.
2) We will contact you within 48 hours (working days) to confirm your application.
3) Once your application is approved, RM300 booking payment is required to secure your registration.

For any inquiries, kindly contact our team:

> Puan Faezah 010 829 8689 (Batu Pahat)
> Cik Fazlina 014 633 8118 (Kubang Kerian)

Jazakumullahu Khair.
Sign in to Google to save your progress. Learn more
Enroll Now!
From which sources did you get information about IslahKids?
Dari sumber manakah Tuan/Puan dapat maklumat tentang IslahKids?
 *
Required
IslahKids branch to apply:
Cawangan IslahKids yang ingin dimohon: *
Student's Full Name:
Nama Penuh Murid: *
Mykid Number:
Nombor Mykid: *
Student's Year of Birth:
Tahun Lahir Murid: *
Monthly package you like to choose:
Pakej bulanan yang ingin dipilih: *
Parent's Name:
Nama Ibu/Bapa: *
Relationship with student:
Hubungan dengan Murid: *
Main contact number:
Nomber telefon utama yang boleh dihubungi: *
Secondary contact number:
Nombor telefon kedua yang boleh dihubungi:
Please tick if your child have sign of any issues below:

Tandakan sekiranya anak jagaan Tuan/Puan dikesan mengalami ciri-ciri berikut: *
Required
I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination.  

Saya mengaku bahawa segala maklumat yang diberikan adalah benar dan tepat. Saya juga faham bahawa sebarang pengesahan yang tidak jujur akan mengakibatkan permohonan Tuan/Puan ditolak atau pengajian pelajar ditamatkan serta merta. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms