New Student Registration

Dear Parent/Guardian:
Please complete the following form and accept the school terms and conditions to register your child.

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Dear Parent/Guardian. Please complete the following application form to enrol your child with Al-Arqam Tuition Centre. We are grateful to have you on board.

Student Details

Child's Full Name *

Child's Date of Birth *

Street Address *

Apartment, suite, etc

City *

State/Province

Post code *

Country *

Current SchoolWhich school does your child currently attend?0 / 600

Current School Year Group *

Which subjects are you interested in studying? *

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Parent/Guardian Details

Parent/Guardian 1

Full Name *Parent/Guardian 1

Phone Number *Parent/Guardian 1

Email Address *Parent/Guardian 1

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Parent/Guardian 2

Full NameParent/Guardian 2

Phone NumberParent/Guardian 2

Email AddressParent/Guardian 2