Student Registration
TADIKA DUTA IMAN (RANTAU PANJANG) (1243307-W)
LOT 2918A & 2919A
JALAN LEBUH RAYA RANTAU PANJANG PASIR MAS
17200 RANTAU PANJANG
KELANTAN
0102394060
Program Info
Session
*
2024
2025
Program
CEP
COMBO CEP
FULL DAYCARE
HALF DAYCARE
INTENSIVE CLASS LITTLE QARI (Registration Is Closed)
INTENSIVE CLASS SCB/FTER (Registration Is Closed)
KG1-4
KG1-5
KG2-5
KG2-6
PRA TAHFIZ
Student Info
Full Name
*
Name Tag
*
Primary Phone
*
Local
International
E-mail
*
Address
*
ID Type
MyKad
Passport
Army IC
Police IC
NRIC
Birth Cer No.
*
Gender
*
Male
Female
Date of Birth
*
Place of Birth
*
No. of Siblings
*
Child No.
*
Previous School
School Name
Referred From (About Us)
Health Info
Health
*
Enter if there are allergies, illnesses and medication intake
Father/Guardian Info
Full Name
*
ID Type
MyKad
Passport
Army IC
Police IC
MyKad
Phone
*
E-mail
*
Occupation
*
Employer
*
Office Address
Office Phone
Salary
*
Mother Info
Full Name
*
ID Type
MyKad
Passport
Army IC
Police IC
MyKad
Phone
*
E-mail
*
Occupation
*
Employer
*
Office Address
Office Phone
Salary
*
Emergency Info
Full Name
*
Phone
*
Relationship
*
Terms and Conditions
Full payment for 2024 Annual Registration Fee to be paid latest by 15 December 2024 or your booking seat will be open to other students.
I have read and understand Polisi Parents Handbook (
https://drive.google.com/file/d/1IYncu3V18S9Hg8dNupIV06tJZKZsBW69/view?usp=sharing
)
& agreed with AKURJANJI (
https://forms.gle/ZyTQU74DsXjGi52K8
)provided
I agree to the above terms and conditions
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